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Peer support and shared decision making in Open Dialogue: Opportunities and recommendations

Chmielowska, Marta; Mannocci, Nell; Tansel, Alexander; Zisman-Ilani, Yaara; (2022) Peer support and shared decision making in Open Dialogue: Opportunities and recommendations. Frontiers in Psychology , 13 , Article 1059412. 10.3389/fpsyg.2022.1059412. Green open access

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Abstract

Open dialogue (OD) is a person-centred social network model of crisis and continuing mental healthcare, which promotes agency and long-term recovery in mental illness. Peer support workers who have lived experience of mental illness play a key role in OD in the UK, as they enhance shared understanding of mental health crisis as part of the OD model and provide a sense of belonging and social inclusion. These elements are in alignment with the shared decision making (SDM) approach in mental health, which focuses on person-centred communication in treatment decision-making. The previously documented benefits of peer-led SDM include increased engagement with services, symptom reduction, increased employment opportunities, and reduced utilization of mental and general health services. While the contribution of peer support and SDM principles to OD has been acknowledged, there is only a small body of literature surrounding this development, and little guidance on how peer support can enhance treatment decision-making and other aspects of OD. This viewpoint, which was co-authored by people with lived experience of mental illness, clinicians, and researchers, discusses practical implications and recommendations for research and training for the provision of a co-produced OD model grounded in peer support and SDM.

Type: Article
Title: Peer support and shared decision making in Open Dialogue: Opportunities and recommendations
Open access status: An open access version is available from UCL Discovery
DOI: 10.3389/fpsyg.2022.1059412
Publisher version: https://doi.org/10.3389/fpsyg.2022.1059412
Language: English
Additional information: © 2022 Chmielowska, Mannocci, Tansel and Zisman-Ilani. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Keywords: peer support, shared decision making, Open Dialogue, mental health, mental illness, peer support workers, lived experience
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10174313
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