Related Experiment Video
Updated: Dec 31, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Client, family, and clinician experiences of Open Dialogue-based services
Vasudha Gidugu1, E Sally Rogers1, Christopher Gordon2
1Center for Psychiatric Rehabilitation, Boston University.
Abstract:
The last 2 decades have seen tremendous growth in programs to address first-episode psychosis, which typically affects adolescents and young adults. Open Dialogue is a program that has shown promise in FEP treatment in Finland and is gaining popularity internationally. Implementation of this model in cultural and health care contexts that differ from Finland has not been studied. We conducted a qualitative study as part of the first pilot study of Open Dialogue in the United States to understand factors critical for implementation of the model. We interviewed 6 clients, 10 family members, and 9 clinicians. They identified several unique and beneficial features of the approach, focusing particularly on the value of family involvement, transparency, respectfulness, and the collaborative nature of Open Dialogue. Contextual factors, particularly regarding funding for this model in the current United States health care environment, are key determinants to address for future implementation of Open Dialogue in the United States. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Related Concept Videos
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Elements Crucial for Effective Psychotherapy
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Patient-centered Care
Therapeutic Communication
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Communication

