An Open Dialogue-informed approach to mental health service delivery: experiences of service users and support networks

Abstract

Background Open Dialogue (OD) is a needs-based, service-user initiated approach to mental health service delivery that emphasises dialogue, and shared understanding between service users, and their support network. Aims The aim of this study was to explore the lived experience of being part of an OD-informed mental health service in Ireland. Method Data were collected through semi-structured group interviews and analysed using thematic analysis. Results Three primary themes were identified across the data set namely: diversity across practice; unpacking the taken-for-granted and mental health as shared experiences. Participants experienced enhanced communication, improved relationships with mental health staff and developed shared understandings of mental health. Conclusions This small-scale implementation demonstrates the received value for service users and their networks of an OD-informed approach within a traditional care pathway. As a relational and collaborative way of working, it requires a shift in clinical practice for mental health staff and service users that is experienced as a welcome change from treatment-as-usual (TAU).