Open Dialogue (OD) is an integrated approach that encourages the involvement one's social network (i.e., family, friends, care providers) during a mental health crisis. It emphasizes listening to, understanding, and engaging an individual's social network almost immediately (i.e., within 24 hours of seeking crisis services) through open conversations and shared decisions. In this webinar, the presenters will share about the Open Dialogue approach to care for persons experiencing psychosis. An overview of the key principles and elements of the approach will be provided. The presenters will discuss their implementation of the approach in a safety net hospital system and the lessons learned.
Learning Objectives:
1. List and describe three principles of Open Dialogue.
2. List and explain three key elements of dialogic practice in Open Dialogue.
3. Give three examples of how Open Dialogue has been implemented.
Robert O. Cotes, MD, is an Associate Professor at Emory University School of Medicine in the Department of Psychiatry and Behavioral Sciences. He is Director of the Clinical & Research Program for Psychosis at Grady Health System, which comprises of two clinical programs: 1) PSTAR, which provides evidence-based, recovery-oriented care for individuals with persistent symptoms of psychosis, specializing in the use of clozapine, and 2) Project ARROW, a coordinated specialty care team for people experiencing early psychosis. He serves as Physician Expert for SMI Adviser (www.smiadviser.org), which is funded by the Substance Abuse and Mental Health Services Administration and administered by the American Psychiatric Association. SMI Adviser provides evidence-based resources to clinicians, individuals with serious mental illness, and their families. Within SMI Adviser, he co-directs the Clozapine Center of Excellence and Long-Acting Injectable Center of Excellence.
Justin Palanci, MD, is an Assistant Professor in the Department of Psychiatry and Behavioral Sciences at the Emory University School of Medicine. He serves as Medical Director for the Assertive Community Treatment program at Grady Memorial Hospital. His interests include recovery-oriented care for persons experiencing serious mental illness, racial disparities in the assessment and treatment of psychosis, and the relationship between trauma and psychosis. Dr. Palanci is certified as a dialogic practitioner and trainer through the Institute for Dialogic Practice.
