The introduction and implementation of open dialogue in a day center in Athens, Greece: experiences and reflections of mental health professionals

IntroductionThe present study is part of a large-scale original action-research project aiming to assess the introduction and implementation of the Open Dialogue approach within the clinical practice of an established multidisciplinary team in a Day Centre in Athens, Greece. More specifically, it ai...

Full description

Bibliographic Details
Main Authors: Marina Christina Skourteli, Philia Issari, Lito Dimou, Ariadni O. A. Antonopoulou, Georgia Bairami, Artemis Stefanidou, V. Kouroglou, Stelios Stylianidis
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1074203/full
_version_ 1797820261757616128
author Marina Christina Skourteli
Philia Issari
Lito Dimou
Ariadni O. A. Antonopoulou
Georgia Bairami
Artemis Stefanidou
V. Kouroglou
Stelios Stylianidis
Stelios Stylianidis
author_facet Marina Christina Skourteli
Philia Issari
Lito Dimou
Ariadni O. A. Antonopoulou
Georgia Bairami
Artemis Stefanidou
V. Kouroglou
Stelios Stylianidis
Stelios Stylianidis
author_sort Marina Christina Skourteli
collection DOAJ
description IntroductionThe present study is part of a large-scale original action-research project aiming to assess the introduction and implementation of the Open Dialogue approach within the clinical practice of an established multidisciplinary team in a Day Centre in Athens, Greece. More specifically, it aimed to explore the experiences of professionals within the process of implementation both in relation to their clinical practice and their professional identity.MethodsData collection employed a focus group, which was set up to explore professional reflections of the implementation and research processes since the introduction of the model. Thematic Analysis of transcripts revealed two main themes that correspond to the impact of Open Dialogue on professionals’ clinical practice and on team dynamics, respectively.ResultsProfessionals identify several challenges in implementing OD, such as difficulties in linking theory to practice, containing uncertainty, and addressing cultural barriers to dialogical ways of working. Professionals further reflect on their own internal journey stemming from the implementation of Open Dialogue that has led them to greater openness and growth, personally and as a team.DiscussionThe role of mental health professionals is being acknowledged as being at the frontline of any meaningful psychiatric reform through the assimilation and promotion of humanistic paradigms aiming towards a change of culture in psychiatric care across different contexts. Despite variations in implementation across different contexts, the importance of consolidating and embracing Open Dialogue as a philosophical framework underpinning mental health care is being discussed.
first_indexed 2024-03-13T09:35:53Z
format Article
id doaj.art-e3a8792615da4883a7e3fb469a8e2f89
institution Directory Open Access Journal
issn 1664-1078
language English
last_indexed 2024-03-13T09:35:53Z
publishDate 2023-05-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Psychology
spelling doaj.art-e3a8792615da4883a7e3fb469a8e2f892023-05-25T15:51:04ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-05-011410.3389/fpsyg.2023.10742031074203The introduction and implementation of open dialogue in a day center in Athens, Greece: experiences and reflections of mental health professionalsMarina Christina Skourteli0Philia Issari1Lito Dimou2Ariadni O. A. Antonopoulou3Georgia Bairami4Artemis Stefanidou5V. Kouroglou6Stelios Stylianidis7Stelios Stylianidis8E.P.A.P.S.Y.—Association for Regional Development and Mental Health, Athens, GreeceLaboratory for Qualitative Research in Psychology and Psychosocial Well-being, National and Kapodistrian University of Athens, Athens, GreeceE.P.A.P.S.Y.—Association for Regional Development and Mental Health, Athens, GreeceLaboratory of Psychopathology, Social Psychiatry and Developmental Psychology, Panteion University, Athens, GreeceLaboratory of Psychopathology, Social Psychiatry and Developmental Psychology, Panteion University, Athens, GreeceLaboratory of Psychopathology, Social Psychiatry and Developmental Psychology, Panteion University, Athens, GreeceE.P.A.P.S.Y.—Association for Regional Development and Mental Health, Athens, GreeceE.P.A.P.S.Y.—Association for Regional Development and Mental Health, Athens, GreeceLaboratory of Psychopathology, Social Psychiatry and Developmental Psychology, Panteion University, Athens, GreeceIntroductionThe present study is part of a large-scale original action-research project aiming to assess the introduction and implementation of the Open Dialogue approach within the clinical practice of an established multidisciplinary team in a Day Centre in Athens, Greece. More specifically, it aimed to explore the experiences of professionals within the process of implementation both in relation to their clinical practice and their professional identity.MethodsData collection employed a focus group, which was set up to explore professional reflections of the implementation and research processes since the introduction of the model. Thematic Analysis of transcripts revealed two main themes that correspond to the impact of Open Dialogue on professionals’ clinical practice and on team dynamics, respectively.ResultsProfessionals identify several challenges in implementing OD, such as difficulties in linking theory to practice, containing uncertainty, and addressing cultural barriers to dialogical ways of working. Professionals further reflect on their own internal journey stemming from the implementation of Open Dialogue that has led them to greater openness and growth, personally and as a team.DiscussionThe role of mental health professionals is being acknowledged as being at the frontline of any meaningful psychiatric reform through the assimilation and promotion of humanistic paradigms aiming towards a change of culture in psychiatric care across different contexts. Despite variations in implementation across different contexts, the importance of consolidating and embracing Open Dialogue as a philosophical framework underpinning mental health care is being discussed.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1074203/fullopen dialogueimplementationmental health multidisciplinary teamaction researchinterpersonal dynamics
spellingShingle Marina Christina Skourteli
Philia Issari
Lito Dimou
Ariadni O. A. Antonopoulou
Georgia Bairami
Artemis Stefanidou
V. Kouroglou
Stelios Stylianidis
Stelios Stylianidis
The introduction and implementation of open dialogue in a day center in Athens, Greece: experiences and reflections of mental health professionals
Frontiers in Psychology
open dialogue
implementation
mental health multidisciplinary team
action research
interpersonal dynamics
title The introduction and implementation of open dialogue in a day center in Athens, Greece: experiences and reflections of mental health professionals
title_full The introduction and implementation of open dialogue in a day center in Athens, Greece: experiences and reflections of mental health professionals
title_fullStr The introduction and implementation of open dialogue in a day center in Athens, Greece: experiences and reflections of mental health professionals
title_full_unstemmed The introduction and implementation of open dialogue in a day center in Athens, Greece: experiences and reflections of mental health professionals
title_short The introduction and implementation of open dialogue in a day center in Athens, Greece: experiences and reflections of mental health professionals
title_sort introduction and implementation of open dialogue in a day center in athens greece experiences and reflections of mental health professionals
topic open dialogue
implementation
mental health multidisciplinary team
action research
interpersonal dynamics
url https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1074203/full
work_keys_str_mv AT marinachristinaskourteli theintroductionandimplementationofopendialogueinadaycenterinathensgreeceexperiencesandreflectionsofmentalhealthprofessionals
AT philiaissari theintroductionandimplementationofopendialogueinadaycenterinathensgreeceexperiencesandreflectionsofmentalhealthprofessionals
AT litodimou theintroductionandimplementationofopendialogueinadaycenterinathensgreeceexperiencesandreflectionsofmentalhealthprofessionals
AT ariadnioaantonopoulou theintroductionandimplementationofopendialogueinadaycenterinathensgreeceexperiencesandreflectionsofmentalhealthprofessionals
AT georgiabairami theintroductionandimplementationofopendialogueinadaycenterinathensgreeceexperiencesandreflectionsofmentalhealthprofessionals
AT artemisstefanidou theintroductionandimplementationofopendialogueinadaycenterinathensgreeceexperiencesandreflectionsofmentalhealthprofessionals
AT vkouroglou theintroductionandimplementationofopendialogueinadaycenterinathensgreeceexperiencesandreflectionsofmentalhealthprofessionals
AT steliosstylianidis theintroductionandimplementationofopendialogueinadaycenterinathensgreeceexperiencesandreflectionsofmentalhealthprofessionals
AT steliosstylianidis theintroductionandimplementationofopendialogueinadaycenterinathensgreeceexperiencesandreflectionsofmentalhealthprofessionals
AT marinachristinaskourteli introductionandimplementationofopendialogueinadaycenterinathensgreeceexperiencesandreflectionsofmentalhealthprofessionals
AT philiaissari introductionandimplementationofopendialogueinadaycenterinathensgreeceexperiencesandreflectionsofmentalhealthprofessionals
AT litodimou introductionandimplementationofopendialogueinadaycenterinathensgreeceexperiencesandreflectionsofmentalhealthprofessionals
AT ariadnioaantonopoulou introductionandimplementationofopendialogueinadaycenterinathensgreeceexperiencesandreflectionsofmentalhealthprofessionals
AT georgiabairami introductionandimplementationofopendialogueinadaycenterinathensgreeceexperiencesandreflectionsofmentalhealthprofessionals
AT artemisstefanidou introductionandimplementationofopendialogueinadaycenterinathensgreeceexperiencesandreflectionsofmentalhealthprofessionals
AT vkouroglou introductionandimplementationofopendialogueinadaycenterinathensgreeceexperiencesandreflectionsofmentalhealthprofessionals
AT steliosstylianidis introductionandimplementationofopendialogueinadaycenterinathensgreeceexperiencesandreflectionsofmentalhealthprofessionals
AT steliosstylianidis introductionandimplementationofopendialogueinadaycenterinathensgreeceexperiencesandreflectionsofmentalhealthprofessionals