ADAPTING OPEN DIALOGUE FOR EARLY-ONSET PSYCHOSIS IN LATVIA: BARRIERS AND FACILITATORS

Māris Taube, Douglas Ziedonis, Dina Ozerska (Coresponding Author)

Research output: Contribution to journalArticlepeer-review

Abstract

Open Dialogue (OD) is the Finnish crisis intervention approach based on an open dialogue involving various professionals and a trusted person of the patient. This publication has demonstrated
both clinical and economic benefits from the implementation of the principles of OD. The implementation of this approach was started in Latvia in cooperation with Dr. D. Ziedonis from the Department of Psychiatry, University of Massachusetts Medical School (today working at University
of California San Diego), by translating into Latvian “The Key Elements of Dialogic Practice in
Open Dialogue” and carrying out expert consensus panel discussions on the barriers and facilitators of the approach. The obstacles are linked with the lack of education in family therapy, lack of
resources, possible problems of cooperation among professionals, and the existing standard
practice where there are no active home visits in crisis situations. At the same time, positive elements that are close to Latvian psychiatry can be observed in the OD approach, for instance, the
importance of a clinical conversation and listening to the points of views of family members encourage psychiatrists in Latvia to use this approach. The setting of OD could be communitybased mental health centres as well as inpatient psychiatric departments dealing with acutely
psychotic patients. OD can be a valuable addition and alternative in the case of new psychotic
patients when treatment with medications is not efficient, and the patient is not favourably disposed to the use of medications, but nevertheless is seeking help
Original languageEnglish
Pages (from-to)410-414
JournalProceedings of the Latvian Academy of Sciences. Section B. Natural, Exact, and Applied Sciences.
Volume74
Issue number6
DOIs
Publication statusPublished - 2020

Keywords

  • open dialogue
  • mental health
  • psychiatry

Field of Science

  • 3.2 Clinical medicine

Publication Type

  • 1.1. Scientific article indexed in Web of Science and/or Scopus database

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