Experiences of Parachute NYC: An Integration of Open Dialogue and Intentional Peer Support

Wusinich, Christina; Lindy, David C.; Russell, David; Pessin, N; Friesen, Phoebe

doi:10.1007/s10597-020-00556-0

Cited by 15 publications

(16 citation statements)

References 28 publications

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“…An international consortium of peer sup port leaders agreed that present and future peer support innovations should adhere to values and principles rooted in maintain ing "role integrity", and in civil rights, social justice, and responsiveness to local cultural world views 155 . These principles should apply whether crisis services are located within public mental health systems (such as Open Dialogue 156 ) or beyond them in independent userled projects, such as the Leeds Survivor Led Crisis Service (LSLCS).…”

Section: The Contribution Of Service User-led and Co-produced Initiat...mentioning

confidence: 99%

Acute psychiatric care: approaches to increasing the range of services and improving access and quality of care

et al. 2022

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Acute services for mental health crises are very important to service users and their supporters, and consume a substantial share of mental health resources in many countries. However, acute care is often unpopular and sometimes coercive, and the evidence on which models are best for patient experience and outcomes remains surprisingly limited, in part reflecting challenges in conducting studies with people in crisis. Evidence on best approaches to initial assessment and immediate management is particularly lacking, but some innovative models involving extended assessment, brief interventions, and diversifying settings and strategies for providing support are potentially helpful. Acute wards continue to be central in the intensive treatment phase following a crisis, but new approaches need to be developed, evaluated and implemented to reducing coercion, addressing trauma, diversifying treatments and the inpatient workforce, and making decision‐making and care collaborative. Intensive home treatment services, acute day units, and community crisis services have supporting evidence in diverting some service users from hospital admission: a greater understanding of how best to implement them in a wide range of contexts and what works best for which service users would be valuable. Approaches to crisis management in the voluntary sector are more flexible and informal: such services have potential to complement and provide valuable learning for statutory sector services, especially for groups who tend to be underserved or disengaged. Such approaches often involve staff with personal experience of mental health crises, who have important potential roles in improving quality of acute care across sectors. Large gaps exist in many low‐ and middle‐income countries, fuelled by poor access to quality mental health care. Responses need to build on a foundation of existing community responses and contextually relevant evidence. The necessity of moving outside formal systems in low‐resource settings may lead to wider learning from locally embedded strategies.

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Section: The Contribution Of Service User-led and Co-produced Initiat...mentioning

confidence: 99%

Acute psychiatric care: approaches to increasing the range of services and improving access and quality of care

et al. 2022

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“…This, along with the fact that at the time OD was the standard approach to care in the region, might also explain why there were no comparisons between OD and other types of mental health treatment that have been expressed in some previous studies (e.g. Piippo, 2008 ; Tribe et al, 2019 ; Wusinich et al, 2020 ). The actual clinical significance of these findings merits further studies.…”

Section: Discussionmentioning

confidence: 98%

“…In these studies most persons under OD-based treatment indicated that they were listened to and understood, although a minority had had mixed experiences regarding some aspects of the approach (e.g. Florence et al, 2021 ; Tribe et al, 2019 ; Wusinich et al, 2020 ). It nevertheless should be noted that, as already reported in earlier study (Bergström et al, 2019 ), in the majority of participants’ life stories treatment-related narratives were de-emphasized as compared to other themes; rather than focusing on mental health treatment, participants underlined the support from their close networks as well as their own actions in the gradual process of surviving from psychosis.…”

Section: Discussionmentioning

confidence: 99%

Retrospective Experiences of First-Episode Psychosis Treatment Under Open Dialogue-Based Services: A Qualitative Study

Bergström

Seikkula

Holma

et al. 2021

Community Ment Health J

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Open Dialogue (OD) is an integrated approach to mental health care, which has demonstrated promising outcomes in the treatment of first-episode psychosis (FEP) in Finnish Western Lapland region. However, little is known how treatment under OD is retrospectively experienced by the service users themselves. To address this, twenty participants from the original Western Lapland research cohort diagnosed with psychosis (F20–F29) were asked about their treatment of FEP, initiated under OD 10–23 years previously. Thematic analysis was used to explore how the treatment was experienced. Most participants viewed network treatment meetings as an important part of their treatment, as they enabled interactions with other people and the chance to go through difficult experiences. A minority of the participants had mixed experiences regarding family involvement and immediate home visits. OD may have the potential to promote therapeutic relationships, but replications from other catchment areas are needed.

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“…Open dialogue is an integrative approach that embodies systemic family therapy 15 and has growing interest internationally. 12,[16][17][18][19][20] Some note that open dialogue's increasing popularity is due to its compatibility with a human-rights approach. 21 Key aspects of open dialogue include continuity of care, immediate care, tolerance of uncertainty, dialogic practice and clinical meetings that involve patients' networks.…”

Section: Open Dialoguementioning

confidence: 99%

“…Wusinich et al (2020) reported that patients who had experienced open dialogue valued the accessibility of services and the dilution of role hierarchies, but attitudes towards medication management and the structure of network meetings seemed mixed. 19 Tribe et al (2019) found that patients had 'mixed' experiences of open dialogue: although most felt listened to, some found clinicians' reflections (an integral aspect of the model) unusual and one found it distressing. 23 Hendy et al (2019) used a series of focus groups to explore patients' experiences of open dialogue; participants reported being viewed as equal in network meetings, being able to relate to practitioners and also commented on the value of decisions being made together.…”

Section: Open Dialoguementioning

confidence: 99%

Exploring patients' experience of peer-supported open dialogue and standard care following a mental health crisis: qualitative 3-month follow-up study

et al. 2022

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Background Experience of crisis care may vary across different care models. Aims To explore the experience of care in standard care and ‘open dialogue’ (a peer-supported community service focused on open dialogue and involving social networks for adults with a recent mental health crisis) 3 months after a crisis. Method We conducted semi-structured interviews with 11 participants (6 received open dialogue; 5 received treatment as usual (TAU)) in a feasibility study of open dialogue and analysed the data using a three-step inductive thematic analysis to identify themes that (a) were frequently endorsed and (b) represented the experiences of all participants. Results Four themes emerged: (a) feeling able to rely on and access mental health services; (b) supportive and understanding family and friends; (c) having a choice and a voice; and (d) confusion and making sense of experiences. Generally, there was a divergence in experience across the two care models. Open dialogue participants often felt able to rely on and access services and involve their family and friends in their care. TAU participants described a need to rely on services and difficulty when it was not met, needing family and friends for support and wanting them to be more involved in their care. Some participants across both care models experienced confusion after a crisis and described benefits of sense-making. Conclusions Understanding crisis care experiences across different care models can inform service development in crisis and continuing mental healthcare services.

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Experiences of Parachute NYC: An Integration of Open Dialogue and Intentional Peer Support

Cited by 15 publications

References 28 publications

Acute psychiatric care: approaches to increasing the range of services and improving access and quality of care

Acute psychiatric care: approaches to increasing the range of services and improving access and quality of care

Retrospective Experiences of First-Episode Psychosis Treatment Under Open Dialogue-Based Services: A Qualitative Study

Exploring patients' experience of peer-supported open dialogue and standard care following a mental health crisis: qualitative 3-month follow-up study

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