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Publication
The first portuguese open dialogue pilot project intervention
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Advisor(s)
Abstract(s)
Introduction: In 2020, the Directorate General of Health (DGS), a central service
of the Ministry of Health in Portugal, approved and co-financed the first Open
Dialogue program in the country. The present report aims to demonstrate the
preliminary results of the first year of the project, implemented in the northern
interior region of Alentejo.
Methods: Seven people at the Center of Concern (PCC) and 21 family
members/social networks received care through Open Dialogue; four external
social workers and psychologists were also involved in the project as members
of the support network. A total of 160 network meetings were undertaken,
reaching as many as 27 per month in the busiest periods. Based on a
previous Italian Research Protocol, developed by Pocobello et al. (non-published
manuscript), quantitative and qualitative data were collected in and after the
clinical meetings involving PCC and their family/social network, through a
multi-method approach: clinical history interview (e.g., generic research on
sociodemographic data, duration of untreated symptoms, reasons for requesting
help, possible hospitalizations, and/or treatments/therapies) and the following
scales applied every five sessions (e.g., CORE-OM, BSI, GAF, and LSNS-6).
Results: The preliminary results indicate an improvement in global functioning
and the enlargement of social network size/support, a decrease in symptoms, and
a negative correlation between the number of sessions and the LSNS6. Medication
use remained largely unchanged at the end of the project.
Discussion: In general, even with a small sample, the results are considered
satisfactory and seem to be aligned with the vast majority of Open Dialogue
studies, which for several decades have consistently pointed toward better
recovery rates than treatment as usual as well as increased client satisfaction. We
expect that the results presented can boost further research and help strengthen
the OD approach.
Description
Keywords
Democratic approaches Dialogic practice Mental health care Open Dialogue Psychiatric crisis
Citation
Tavares, S., Ribeiro, J., Graça, S., Araújo, B., Pereira, J. G., & Puchivailo, M. (2023). The first Portuguese Open Dialogue pilot project intervention. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1175700
Publisher
Springer New York