The Open Dialogue approach is both a philosophical/theoretical approach to people experiencing a mental health crisis. This involves ways of working with their families, networks, and system of care. Open Dialogue was developed in Western Lapland in Finland over the last 30 years. In the 1980s Western Lapland had one of the worst incidences of ‘schizophrenia’ in Europe. Now they have the best documented outcomes in the Western World. For example, around 75% of those experiencing psychosis have returned to work or study within 2 years and only around 20% are still taking antipsychotic medication at 2 year follow-up. Open Dialogue has drawn on a number of theoretical models, including systemic family therapy, dialogical theory and social constructionism.
Shine relies on donations to continue its work and provide much needed services to people with mental ill health as well as their family members and carers.
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