The dialogic approach. An effective model for mental health services.

Abstract

Background: The quality and effectiveness of therapeutic rehabilitative interventions represent a landmark in the field of mental health. The respect of human rights is strictly linked to health in general, and these two aspects depend on how mental health services guarantee the treatment pathway. Methods: The focus of this study is on the international success of Open Dialogue (OD), once designed for those affected by schizophrenia, since it questions the traditional structure of mental health services. From the study of theoretical principles and the scientific evidences of the benefits of dialogic approach on Services, the core of this contribution consists of how much dialogue can be found inside Services themselves. The field of work was characterised by the operators of two MHCs: Modena Polo Est and Pavullo. The inquiry focused on operators’ behaviours and dispositions towards OD, regardless of the occupation of the workers, but selecting those with direct experience of Open Dialogue. Results: Results highlight that dialogic approach is, in most cases, already adopted by operators, and that it positively affects their dispositions. Conclusion: Despite arduous to undertake, it can be inferred that tolerating uncertainty in its practical application and the reject of a medical-centred approach are extremely necessary. Indeed, not only are they coherent with the dialogic approach, but they also bring improvement aside from the selected approach.