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The Psychiatrist's Role in Implementing an Open Dialogue Model of Care
Author(s) -
Valtanen Kari
Publication year - 2019
Publication title -
australian and new zealand journal of family therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.297
H-Index - 19
eISSN - 1467-8438
pISSN - 0814-723X
DOI - 10.1002/anzf.1382
Subject(s) - dialogical self , mental health , psychology , intervention (counseling) , work (physics) , service (business) , mental health service , project commissioning , nursing , health care , publishing , process (computing) , psychiatry , medicine , social psychology , political science , computer science , business , mechanical engineering , marketing , law , engineering , operating system
The Open Dialogue approach is a family‐oriented early intervention model for mental health problems developed in the health district of Western Lapland, Finland. Since the 1990s the psychiatric service system in Western Lapland Health Care District has been organised according to Open Dialogue principles and applied to the treatment of any mental health concerns. The Open Dialogue approach considers the client and their family as active participants rather than as objects of treatment in its planning and implementation with a psychotherapeutic focus. In daily work, the responsibility for the treatment process is shared with the case‐specific team. The model of care requires a dialogical orientation from all staff members, psychiatrists included, to interact with the team and the client's network. In this article I describe the role of the psychiatrist in implementing an Open Dialogue model of care in psychiatric services leaning on my experiences of clinical work in the adolescent psychiatric team in Western Lapland.