Development and evaluation of open dialogue for severe mental illness: a feasibility study
This study is exploring a different way to support people experiencing a severe mental health crisis, called Open Dialogue (OD). OD is a treatment model from Finland that brings together the person in crisis, their family and friends, and mental health professionals to make decisions together. This is different from how care is usually provided, where families aren't always directly involved. The research aims to see if it's practical to carry out a larger study comparing Open Dialogue with current NHS crisis care. If this smaller study goes well, it could lead to bigger research to find out if Open Dialogue helps people recover better and reduces the time they spend in hospital. Participants are adults aged 18 and over, who are currently in mental health crisis and able to give consent.
At a glance
What is this study about?
This research is looking into a different way of providing mental health support during a crisis, called Open Dialogue (OD). This approach was developed in Finland and focuses on involving the person experiencing a mental health crisis, along with their family and friends (their social network), in all decisions about their care. The idea is that by working together, and with mental health professionals, people will get more personalised and continuous support. This is a bit different from how mental health crisis care usually works in the UK, where families aren't always as involved.
The main goal of this particular study is to find out if it's possible to do a much larger study on Open Dialogue in the future. Think of it like a trial run: the researchers want to make sure they can successfully set up and manage a big study across many different NHS locations, compare Open Dialogue to standard care, and gather useful information. If this smaller trial goes well, it means they'll be ready to move forward with a bigger study that could really show if Open Dialogue is a better way to help people.
The potential impact of this research is significant. Some early findings from elsewhere suggest that Open Dialogue might help people recover more effectively and could even reduce the need for hospital stays. However, these findings need to be properly tested in a larger, high-quality study within the NHS. By doing this research, we hope to find out if Open Dialogue could offer a promising alternative to current mental health crisis care, leading to better support for people when they need it most.
Key takeaways
- The study explores a new mental health crisis support called Open Dialogue.
- It aims to see if a larger study comparing Open Dialogue to usual NHS care is possible.
- Open Dialogue involves the person in crisis, their family/friends, and staff working together.
- Participants continue with their current care; treatment doesn't change due to the study.
- Interviews will be conducted at the start and after three months.
- The study is funded by the National Institute for Health and Care Research (NIHR).
Who may be eligible?
This study is looking for adults who are experiencing a mental health crisis right now. This means you would have been referred to crisis services or recently discharged from hospital after a crisis. You need to be 18 years old or over.
It's important that you, or someone legally allowed to make decisions for you, can understand and agree to take part in the study. You must also have a formal diagnosis of a mental health condition.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you 18 years old or older?
- Are you currently experiencing a mental health crisis, or have you recently been discharged from hospital after one?
- Do you have a diagnosis of a mental health condition?
- Can you, or someone representing you, understand and agree to take part in the research?
- Do you understand and speak English?
What does participation involve?
If you decide to take part, your mental health care will continue as usual, whether it's through the Open Dialogue approach or standard NHS crisis care. Your treatment won't change just because you're in the study.
First, a member of your clinical team will ask if you're happy for a researcher to contact you. If you agree, the researcher will explain the study in more detail and send you information to read. You'll have 48 hours to think about it and ask any questions before making a decision. You'll complete some interviews, either over the phone or at your home, at the start of the study and then again three months later. These interviews will gather information about how you're feeling and your experiences.
Potential risks and benefits
Locations (2)
- North East London NHS Foundation TrustCity onlyRainham, England
- Kent and Medway NHS and Social Care Partnership TrustCity onlyMaidstone, England
Common questions
What is Open Dialogue?
Open Dialogue is a way of providing mental health crisis care that includes the person, their family and friends, and mental health staff in all discussions and decisions about treatment.
Who is running this study?
This study is being run by researchers from the National Institute for Health and Care Research (NIHR) and carried out by NHS teams in North East London and Kent & Medway.
Will my regular treatment change if I join the study?
No, your mental health treatment will continue as normal, whether it's Open Dialogue or standard NHS care. The study just gathers information about your experiences.
What happens after this small study?
If this smaller, 'feasibility' study shows that it's possible to run, then a much larger study will be conducted to properly compare Open Dialogue with usual care.
Can I leave the study if I change my mind?
Yes, you are completely free to withdraw from the study at any time without it affecting your care or treatment.
How to find out more
Stephen Pilling
Always speak to your GP or specialist before deciding to take part in a study.
Discussion
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