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Opening A Dialogue In Mental Health

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i so hope that this takes off in the UK & other places -

Opening A Dialogue In Mental Health - Mad In America

Open Dialogue has spread across much of Scandinavia and beyond. In Berlin, mental health commissioners only purchase approaches embedding an Open Dialogue approach. New York recently invested $50 million in an Open Dialogue service. The variant used there integrates peer workers into the model, and has inspired ‘Peer-supported Open Dialogue’ (POD) in the UK.

Its growing popularity is because it appears to work. In a two year follow- up study comparing the approach to conventional treatment, patients were found to have mild or no symptoms in 82% of cases with the new approach, compared to 50% with usual treatment. Antipsychotic prescribing was reduced by 65%. In a subsequent 5 year follow up, 86% of those treated with the approach had returned to work, a rate that mental health services in the UK could only dream of.
https://www.mentalhealthforum.net/forum/thread129808.html#post1278985
 

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Burlington's HowardCenter Tries a New Approach to Treating Mental Illness: More Talking, Fewer Meds -

Burlington's HowardCenter Tries a New Approach to Treating Mental Illness: More Talking, Fewer Meds | Health + Fitness | Seven Days | Vermont's Independent Voice

"To that end, the Vermont Department of Mental Health has awarded a $15,000 grant to Burlington’s HowardCenter for a pilot project — the first of its kind in Vermont — that will train staff in a form of therapy called Open Dialogue. The method replaces antipsychotic medication with a form of talk therapy that involves not just patients but their family members as well.

Leading the project is Dr. Sandra Steingard, the HowardCenter’s medical director of mental health and substance abuse services. For much of her 30-year career, Steingard largely accepted the mainstream thinking of the American psychiatric community — that antipsychotic medications are a critical tool in treating people who are delusional or hearing voices.

But Steingard and a small team of HowardCenter clinicians are now treating people with schizophrenia and other psychoses in their homes with minimal use of drugs.

The Open Dialogue method was first developed in the 1980s in northern Finland, where it’s reduced the number of people in psychiatric hospitals, on disability and taking pharmaceuticals. Most remain symptom-free for years. Open Dialogue, which Steingard believes could also reduce Vermont’s dependence on costly in-patient psychiatric care, involves nothing more high-tech than a series of conversations with patients and their families where they live."
 
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