The Open Dialogue model itself centres around regular network meetings. These involve the patient, together with his or her family members, as well as extended social network.

The network meetings are the only forum where decisions are made, with the client remaining at the centre of the process. This enables a strong emphasis on independence and long- term recovery from day one.

A further core element of the model -– as used in services such as New York -– involves the inclusion of peer workers within each team. Peer workers are seen as experts in their own right, working with patients and extending social networks where necessary, and they also work locally to cultivate a wider supportive peer community.

Open Dialogue Values

Dialogue: We think of mental health difficulties as expressions of distress and trauma that haven’t found words and meaning.   The aim of the meetings is to develop a dialogue, giving a voice to all concerned putting the person at the centre.  We won’t rush to find solutions but listen responsively to you.

Authenticity- We will come together as fellow human beings. We recognise that we all have struggles and difficult times in our lives. We do not see the world as divided between those who have mental health problems and those who don’t, not “them” and “us

Openness- We will be accepting, respectful and trusting of you and aim for us to have an equal relationship together.  Colleagues working with you will respond respectfully within the sessions and will speak about what they are thinking  as part of the process within the meetings

Tolerating uncertainty- one of the seven basic principles of Open Dialogue, we are taught to behave in a way that increases safety among the family and the rest of the social network. It is important to make contact with each person early in the meeting and thus, acknowledge and legitimize their participation.