The implementation of the Open Dialogue approach in the UK
Research type
Research Study
Full title
The experiences of families and practitioners of the implementation of the Open Dialogue Approach within the NHS in the United Kingdom: A Qualitative Inquiry
IRAS ID
193528
Contact name
Kirsty Ellis
Contact email
Sponsor organisation
University of Essex
Duration of Study in the UK
0 years, 10 months, 29 days
Research summary
Historically, researchers have tended to focus on biomedical explanations for Psychosis, including the role of genetics and neurological deficits (Read, Bentall & Fosse, 2009). More recently, emphasis has been placed on early experiences, trauma and relationships in the development of psychosis (Read & Gumley, 2008). This has been reflected in the type of interventions offered, including recommendations of individual and family therapy (NICE, 2014). One such family therapy which has received growing attention is the Open Dialogue Approach (e.g. Seikkula et al., 2003). This approach aims to provide psychotherapeutic support to service users within their own personal support systems. Good outcomes have been demonstrated in Finland and several countries, including the United Kingdom, are in the process of implementing Open Dialogue within their services. Little is known, however, about the transferability of this approach to the National Health Service in the UK or the experiences of those participating in the implementation of the pilot Open Dialogue Approach. The proposed study aims to fill this gap, using qualitative methodology to explore the experiences of practitioners, service users and their network in the implementation of a pilot Open Dialogue Approach within North East London Foundation NHS Trust and North Essex Partnership NHS Foundation Trust. Participants will include service users, their network and practitioners participating in the Open Dialogue Approach. It felt important to include all members of the family and network as well as the team in this exploration as it reflects the key Open Dialogue element of outer polyphony. That is, an emphasis on hearing all voices. These interviews will take place either within the service or at the family’s home over a study period of 11 months. A narrative approach will be used to analyse the data. This research is being undertaken as part of Doctoral training in Clinical Psychology.
REC name
North West - Preston Research Ethics Committee
REC reference
16/NW/0800
Date of REC Opinion
14 Nov 2016
REC opinion
Further Information Favourable Opinion