A collection of resources on Open Dialogue and Open Dialogue practices
“Open Dialogue” is an innovative approach to acute psychiatric crises developed by Jaakko Seikkula, Markku Sutela, and their multidisciplinary team at Keropudas Hospital in Tornio, Finland. Starting in the eighties, there have been a variety of research studies of Open Dialogue and its outcomes with early psychosis. Garnering widespread international attention, the results consistently show that this approach reduces hospitalization, the use of medication, and recidivism when compared with treatment as usual. For example, in a five-year study, 83% of patients had returned to their jobs or studies or were looking for a job (Seikkula et al. 2006), In the same study, 77% did not have any residual symptoms. Such outcomes led the Finnish National Research and Development Center for Welfare and Health to award a prize recognizing the Keropudas group for “the ongoing development of psychiatric care over a period of ten years.” — From the Institute for Dialogic Practice
The principles and values of Open Dialogue as practiced out of Keropudas hospital in Finland draw from multiple rich traditions, including but not limited to Milan family therapy, the work of Dr. Tom Andersen, the Need Adapted Treatment model, and the psychology of Mikhail Bakhtin. Many people in the US and internationally are now studying and rediscovering this tradition, in methods such as the treatment meeting dialogue, limiting use of psychiatric medications, working in teams, reflecting process, and seeing psychosis as taking place in the “in between spaces” between people.
The Network of Dialogical Practices, Europe’s Open Dialogue network founded by Jaakko Seikkula and colleagues
The International Network for the Treatment of Psychoses, founded by Tom Andersen
Michael Rymer’s film Face To Face dramatizes a workplace restorative justice mediation that has interesting resonance with Open Dialogue
Story of the Weeping Camel about healing in a traditional nomadic tribe in Mongolia was studied at the IDP as evocative of Open Dialogue principles