Five-year experience of first-episode nonaffective psychosis in open-dialogue approach: Treatment principles, follow-up outcomes, and two case studies

@article{Seikkula2006FiveyearEO,
  title={Five-year experience of first-episode nonaffective psychosis in open-dialogue approach: Treatment principles, follow-up outcomes, and two case studies},
  author={Jaakko Seikkula and Jukka Aaltonen and B Alakare and Kauko Haarakangas and Jyrki Ker{\"a}nen and Klaus Lehtinen},
  journal={Psychotherapy Research},
  year={2006},
  volume={16},
  pages={214 - 228}
}
Abstract The open dialogue (OD) family and network approach aims at treating psychotic patients in their homes. The treatment involves the patient's social network and starts within 24 hr after contact. Responsibility for the entire treatment process rests with the same team in both inpatient and outpatient settings. The general aim is to generate dialogue with the family to construct words for the experiences that occur when psychotic symptoms exist. In the Finnish Western Lapland a historical… 

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It can be argued that the ODA has been helpful, at least in moving the commencement of treatment in a less chronic direction, and may have even increased social capital in the entire psychiatric catchment area, and promote mutual trust between the general population and the psychiatric services.

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OD associated with favourable long-term outcomes, but due the observational design and possible residual confounding, further studies with a more robust research design are required.

The Finnish open dialogue approach to crisis intervention in psychosis: A review

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Findings indicate that in small cohorts of people in Western Lapland the duration of untreated psychosis has been reduced and the approach appears well-accepted and has a good philosophical fit with reform agendas to improve service user participation in care.

Five-Year Follow-Up of Supportive Psychodynamic Psychotherapy in First-Episode Psychosis: Long-Term Outcome in Social Functioning

TLDR
Investigation of the long-term outcome of SPP in a prospective, longitudinal, comparative, multicenter investigation of successively referred patients diagnosed with first-episode schizophrenia spectrum disorder supports SPP as a valuable treatment.
...

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