Implanting Rhizomes in Vermont: a Qualitative Study of How the Open Dialogue Approach was Adapted and Implemented

The Open Dialogue approach was developed in Finland in the 1980s as a form of psychotherapy and a way to organize mental health systems. It has been adapted and implemented in several countries in recent years. This qualitative study sought to explore staff and developers' experiences with one...

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Detalles Bibliográficos
Autores: Florence, Ana Carolina, Jordan, Gerald, Yasui, Silvio [UNESP], Davidson, Larry
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:Brasil
Institución:Universidade Estadual Paulista (UNESP)
Repositorio:Repositório Institucional da UNESP
Idioma:inglés
OAI Identifier:oai:repositorio.unesp.br:11449/197870
Acceso en línea:http://dx.doi.org/10.1007/s11126-020-09732-7
http://hdl.handle.net/11449/197870
Access Level:acceso abierto
Palabra clave:Open dialogue
Qualitative research
Psychosis
Mental health
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spelling Implanting Rhizomes in Vermont: a Qualitative Study of How the Open Dialogue Approach was Adapted and ImplementedOpen dialogueQualitative researchPsychosisMental healthThe Open Dialogue approach was developed in Finland in the 1980s as a form of psychotherapy and a way to organize mental health systems. It has been adapted and implemented in several countries in recent years. This qualitative study sought to explore staff and developers' experiences with one adaptation of the Open Dialogue approach in the state of Vermont called the Collaborative Network Approach. In total twenty two staff members from two agencies participated in focus groups and three developers of the approach were interviewed. Three dominant topics emerged in the analysis process: impact of training; buy-in across levels; and shift in organizational culture. Findings revealed that 1) participants experienced the Collaborative Network Approach as positively impacting their clinical work, relationship with clients and families, and with colleagues; 2) buy-in across levels - colleagues, management and department of mental health - was perceived as crucial to the development and implementation of the approach; 3) the main challenges to full implementation were: inadequate billing structures, costly and lengthy training, and resistance to shift organizational culture to integrate the Collaborative Network Approach into agencies. We hope to have contributed to the field in a way that will support further efforts to develop and implement Open Dialogue-informed approaches by pointing to potential successes and challenges future program developers may face.Yale Univ, Dept Psychiat, New Haven, CT 06520 USAState Univ Sao Paulo, Assis, SP, BrazilState Univ Sao Paulo, Assis, SP, BrazilSpringerYale UnivUniversidade Estadual Paulista (Unesp)2020-12-11T22:56:48Z2020-12-11T22:56:48Z2020-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article681-693http://dx.doi.org/10.1007/s11126-020-09732-7Psychiatric Quarterly. New York: Springer, v. 91, n. 3, p. 681-693, 2020.0033-2720http://hdl.handle.net/11449/19787010.1007/s11126-020-09732-7WOS:000555486300005Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengPsychiatric Quarterlyinfo:eu-repo/semantics/openAccessFlorence, Ana CarolinaJordan, GeraldYasui, Silvio [UNESP]Davidson, Larry2024-06-14T19:10:36Zoai:repositorio.unesp.br:11449/197870Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestrepositoriounesp@unesp.bropendoar:29462024-06-14T19:10:36Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Implanting Rhizomes in Vermont: a Qualitative Study of How the Open Dialogue Approach was Adapted and Implemented
title Implanting Rhizomes in Vermont: a Qualitative Study of How the Open Dialogue Approach was Adapted and Implemented
spellingShingle Implanting Rhizomes in Vermont: a Qualitative Study of How the Open Dialogue Approach was Adapted and Implemented
Florence, Ana Carolina
Open dialogue
Qualitative research
Psychosis
Mental health
title_short Implanting Rhizomes in Vermont: a Qualitative Study of How the Open Dialogue Approach was Adapted and Implemented
title_full Implanting Rhizomes in Vermont: a Qualitative Study of How the Open Dialogue Approach was Adapted and Implemented
title_fullStr Implanting Rhizomes in Vermont: a Qualitative Study of How the Open Dialogue Approach was Adapted and Implemented
title_full_unstemmed Implanting Rhizomes in Vermont: a Qualitative Study of How the Open Dialogue Approach was Adapted and Implemented
title_sort Implanting Rhizomes in Vermont: a Qualitative Study of How the Open Dialogue Approach was Adapted and Implemented
dc.creator.none.fl_str_mv Florence, Ana Carolina
Jordan, Gerald
Yasui, Silvio [UNESP]
Davidson, Larry
author Florence, Ana Carolina
author_facet Florence, Ana Carolina
Jordan, Gerald
Yasui, Silvio [UNESP]
Davidson, Larry
author_role author
author2 Jordan, Gerald
Yasui, Silvio [UNESP]
Davidson, Larry
author2_role author
author
author
dc.contributor.none.fl_str_mv Yale Univ
Universidade Estadual Paulista (Unesp)
dc.subject.por.fl_str_mv Open dialogue
Qualitative research
Psychosis
Mental health
topic Open dialogue
Qualitative research
Psychosis
Mental health
description The Open Dialogue approach was developed in Finland in the 1980s as a form of psychotherapy and a way to organize mental health systems. It has been adapted and implemented in several countries in recent years. This qualitative study sought to explore staff and developers' experiences with one adaptation of the Open Dialogue approach in the state of Vermont called the Collaborative Network Approach. In total twenty two staff members from two agencies participated in focus groups and three developers of the approach were interviewed. Three dominant topics emerged in the analysis process: impact of training; buy-in across levels; and shift in organizational culture. Findings revealed that 1) participants experienced the Collaborative Network Approach as positively impacting their clinical work, relationship with clients and families, and with colleagues; 2) buy-in across levels - colleagues, management and department of mental health - was perceived as crucial to the development and implementation of the approach; 3) the main challenges to full implementation were: inadequate billing structures, costly and lengthy training, and resistance to shift organizational culture to integrate the Collaborative Network Approach into agencies. We hope to have contributed to the field in a way that will support further efforts to develop and implement Open Dialogue-informed approaches by pointing to potential successes and challenges future program developers may face.
publishDate 2020
dc.date.none.fl_str_mv 2020-12-11T22:56:48Z
2020-12-11T22:56:48Z
2020-09-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1007/s11126-020-09732-7
Psychiatric Quarterly. New York: Springer, v. 91, n. 3, p. 681-693, 2020.
0033-2720
http://hdl.handle.net/11449/197870
10.1007/s11126-020-09732-7
WOS:000555486300005
url http://dx.doi.org/10.1007/s11126-020-09732-7
http://hdl.handle.net/11449/197870
identifier_str_mv Psychiatric Quarterly. New York: Springer, v. 91, n. 3, p. 681-693, 2020.
0033-2720
10.1007/s11126-020-09732-7
WOS:000555486300005
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Psychiatric Quarterly
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 681-693
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv Web of Science
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv repositoriounesp@unesp.br
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score 15,301603

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