Abstract

FLORENCE, Ana Carolina. The Open Dialogue approach: history, principles and observations. Rev. Polis Psique [online]. 2018, vol.8, n.1, pp. 191-211. ISSN 2238-152X.  http://dx.doi.org/10.22456/2238-152X.80427.

The Open Dialogue approach was developed in Finland in the 1980’s as a set of practices and principles that changed the model of mental health care delivery in the Western Lapland region. Through family meetings conducted in accordance with a dialogical perspective involving the person in crisis and their social network, the Open Dialogue approach reduced the number of hospitalisations in psychiatric hospitals, diminished the duration of untreated illness, incorporated the selective use of neuroleptics and promoted recovery in 84% of persons treated. This paper presents a literature review of the Open Dialogue approach outlining its history and development, as well as the seven principles that guide clinical practice and effectiveness studies. Finally, we invite the reader to participate in the debate regarding care strategies for first episode psychosis, given to understand that the Open Dialogue approach may provide new paths for Brazilian Psychosocial Care.

Keywords : Mental health; Psychosocial Care; Open Dialogue.

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