Skip to main content
Key Specialties
Anesthesiology Cardiology Dermatology Diabetology Endocrinology Gastroenterology and Hepatology General Medicine Geriatrics Hematology Infectious Diseases Internal Medicine Nephrology Neurology Obstetrics and Gynecology Oncology Ophthalmology Pediatrics Psychiatry Radiology Respiratory Medicine Rheumatology Surgery Urology
Congress Coverage
ASH 2024 Annual Meeting 2024 ESMO Congress 2024 ERS Congress 2024 EASD Congress 2024 ESC Congress 2024 EAN Congress 2024 ASCO Annual Meeting 2024 ACC Congress
Clinical Collections
Advances in Alzheimer’s

Podcast | Sexual health in older age

Dr Holly Thomas helps us unpack the needlessly taboo subject of sex and sexual health in women of older age.

Listen now
ADVANCED SEARCH
Log in
Top
Community Mental Health Journal
Published in:

Open Access 07-12-2024 | Schizophrenia | Original Paper

Patient-Centered Communication: Incorporating Principles of Dialogic Practice and Family Centered Rounds on an Inpatient Psychotic Disorders Unit

Authors: Adrienne T. Gerken, Dost Öngür, Soo Jin Kim, Boyu Ren, Thomaskutty Idiculla, Joseph Stoklosa

Published in: Community Mental Health Journal | Issue 2/2025

Login to get access

Abstract

This study examined the impact of Patient-Centered Communication (PCC), Open Dialogue-inspired changes to rounding practices and culture, on patient perceptions of care on an inpatient psychotic disorders unit. A retrospective cohort analysis was conducted based on medical records, restraint and seclusion records, and hospital Perceptions of Care (PoC) surveys. The analysis compared data from 6-month periods before and after implementation of PCC to quantify whether the implementation of PCC was associated with more positive care ratings. There were trends toward improvement suggestive of an effect on patients’ perception that their care was adequately explained, that they felt involved in care, that they felt respected, and that they were supported during hospitalization, although improvements did not achieve statistical significance. Greater improvement was observed for teams that incorporated a greater number of interventions. Dialogic practice-inspired changes on an acute inpatient unit may improve patient perceptions of inclusion and respect in their care.
Appendix
Available only for authorised users
Literature
Beauford, J. E., McNiel, D. E., & Binder, R. L. (1997). Utility of the initial therapeutic alliance in evaluating psychiatric patients’ risk of violence. American Journal of Psychiatry, 154, 1272–1276.CrossRefPubMed
Bergstrom, T., Seikkula, J., Alakare, B., Maki, P., Kongas-Saviaro, P., Taskila, J. J., Tolvanen, A., & Aaltonen, J. (2018). The family-oriented open dialogue approach in the treatment of first-episode psychosis: Nineteen-year outcomes. Psychiatry Research, 270, 168–175.CrossRefPubMed
Bolsinger, J., Jaeger, M., Hoff, P., & Theodoridou, A. (2019). Challenges and opportunities in building and maintaining a good therapeutic relationship in acute psychiatric settings: A narrative review. Frontiers in Psychiatry, 10, 965.CrossRefPubMed
Buus, N., Bikic, A., Jacobsen, E. K., Muller-Nielsen, K., Aagaard, J., & Rossen, C. B. (2017). Adapting and implementing open dialogue in the Scandinavian countries: A scoping review. Issues in Mental Health Nursing, 38, 391–401.CrossRefPubMed
Buus, N., Ong, B., Einboden, R., Lennon, E., Mikes-Liu, K., Mayers, S., & McCloughen, A. (2021). Implementing open dialogue approaches: A scoping review. Family Process, 60, 1117–1133.CrossRefPubMed
Committee on Hospital Care and Institute for Patient- and Family-Centered Care. (2012). Patient- and family-centered care and the pediatrician’s role. Pediatrics, 129, 394–404.CrossRef
Cotes, R. O., Palanci, J. M., Broussard, B., Johnson, S., Grullon, M. A., Norquist, G. S., Mehta, C. C., Wood, K., Cubellis, L., Gholami, M., & Ziedonis, D. (2023). Feasibility of an open dialogue-inspired approach for young adults with psychosis in a public hospital system. Community Mental Health Journal, 59, 1428–1435.CrossRefPubMed
Davidson, J. E., Aslakson, R. A., Long, A. C., Puntillo, K. A., Kross, E. K., Hart, J., Cox, C. E., Wunsch, H., Wickline, M. A., Nunnally, M. E., Netzer, G., Kentish-Barnes, N., Sprung, C. L., Hartog, C. S., Coombs, M., Gerritsen, R. T., Hopkins, R. O., Franck, L. S., Skrobik, Y., … Curtis, J. R. (2017). Guidelines for family-centered care in the neonatal, pediatric, and adult ICU. Critical Care Medicine, 45, 103–128.CrossRefPubMed
Dawson, L., River, J., McCloughen, A., & Buus, N. (2021). ‘Should it fit? Yes. Does it fit? No’: Exploring the organisational processes of introducing a recovery-oriented approach to mental health in Australian private health care. Health, 25, 376–394.CrossRefPubMed
Florence, A. C., Jordan, G., Yasui, S., Cabrini, D. R., & Davidson, L. (2021). It makes us realize that we have been heard: Experiences with open dialogue in Vermont. Psychiatric Quarterly, 92, 1771–1783.CrossRefPubMed
Gordon, C., Gidugu, V., Rogers, E. S., DeRonck, J., & Ziedonis, D. (2016). Adapting open dialogue for early-onset psychosis into the U.S. health care environment: A feasibility study. Psychiatric Services, 67, 1166–1168.CrossRefPubMed
Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, D.C.: National Academy.
Lennon, E., Hopkins, L., Einboden, R., McCloughen, A., Dawson, L., & Buus, N. (2023). Organizational change in complex systems: Organizational and leadership factors in the introduction of open dialogue to mental health care services. Community Mental Health Journal, 59, 95–104.CrossRefPubMed
Olson, M., Seikkula, J., & Ziedonis, D. (2014). The key elements of dialogic practice in open dialogue. The University of Massachusetts Medical School.
Razzaque, R., & Wood, L. (2015). Open dialogue and its relevance to the NHS: Opinions of NHS staff and service users. Community Mental Health Journal, 51, 931–938.CrossRefPubMed
Rosen, K., & Stoklosa, J. (2016). Finland in Boston? Applying open dialogue ideals on a psychotic disorders inpatient teaching unit. Psychiatric Services, 67, 1283–1285.CrossRefPubMed
Seikkula, J., & Olson, M. E. (2003). The open dialogue approach to acute psychosis: Its poetics and micropolitics. Family Process, 42, 403–418.CrossRefPubMed
Seikkula, J., Aaltonen, J., Alakare, B., Haarakangas, K., Keränen, J., & Lehtinen, K. (2006). Five-year experience of first-episode nonaffective psychosis in open-dialogue approach: Treatment principles, follow-up outcomes, and two case studies. Psychotherapy Research, 16, 214–228.CrossRef
Seikkula, J., Alakare, B., & Aaltonen, J. (2011). The comprehensive open-dialogue approach in Western Lapland: II. Long-term stability of acute psychosis outcomes in advanced community care. Psychosis: Psychological Social and Integrative Approaches, 3, 192–204.CrossRef
Tribe, R. H., Freeman, A. M., Livingstone, S., Stott, J. C. H., & Pilling, S. (2019). Open dialogue in the UK: Qualitative study. BJPsych Open, 5, e49.CrossRefPubMedPubMedCentral
Wusinich, C., Lindy, D. C., Russell, D., Pessin, N., & Friesen, P. (2020). Experiences of parachute NYC: An integration of open dialogue and intentional peer support. Community Mental Health Journal, 56, 1033–1043.CrossRefPubMed
Wyder, M., Bland, R., Blythe, A., Matarasso, B., & Crompton, D. (2015). Therapeutic relationships and involuntary treatment orders: Service users’ interactions with health-care professionals on the ward. International Journal of Mental Health Nursing, 24, 181–189.CrossRefPubMed
Metadata
Title
Patient-Centered Communication: Incorporating Principles of Dialogic Practice and Family Centered Rounds on an Inpatient Psychotic Disorders Unit
Authors
Adrienne T. Gerken
Dost Öngür
Soo Jin Kim
Boyu Ren
Thomaskutty Idiculla
Joseph Stoklosa
Publication date
07-12-2024
Publisher
Springer US
Keyword
Schizophrenia
Published in
Community Mental Health Journal / Issue 2/2025
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-024-01398-w

Other articles of this Issue 2/2025

The Meaning of Social Support for Mental Health Service-Users: The Case Managers’ Perspective

  • Original Paper

Recovery at 30: Perspectives from Psychiatry Clinicians and Senior Faculty

  • Brief Report

Changing the Game? Increasing the Impact of Peer-Run Organizations

  • Brief Report

Social Sense-Making and Explanatory Models for Voice-Hearing Within Hearing Voices Network Groups

  • Original Paper

The Stepping Stone Clubhouse Evaluation: Exploring Members’ Experiences, Service Engagement, and Perceived Impact of the Clubhouse International Model

  • Open Access
  • Original Paper

Taking what you get or Getting what you Need: A Qualitative Study on Experiences with Mental Health and Welfare Services in Long-Term Recovery in First-Episode Psychosis