Open Dialogue, need‐adapted mental health care, and implementation fidelity: A discussion paper

• DOI: 10.1111/inm.12866
• Publication Date: 2021-04-14T02:03:02Z
• Authors: Edward Waters; Benjamin Ong; Kristof Mikes‐Liu; Andrea McCloughen; Alan Rosen; Steven Mayers; Anna Sidis; Lisa Dawson; Niels Buus
• Keywords: Mental Health Services; implementation science; philosophy; 05 social sciences; evidence-based nursing; 3. Good health; Mental Health; nursing; psychiatric nursing; Humans; 0501 psychology and cognitive sciences; mental health; Finland

Abstract Open Dialogue is a need‐adapted approach to mental health care that was originally developed in Finland. Like other approaches, aims meet consumer’s needs and promote collaborative person‐centred dialogue support recovery. Need‐adapted distinguished by flexibility responsiveness. Fidelity, defined from an implementation science perspective as the delivery of distinctive interventions high quality effective fashion key consideration care. However, presents challenges for evaluating fidelity, which much easier evaluate when manualization reproducible processes are possible. Hence, it remains unclear whether can be meaningfully evaluated fidelity. The aim this paper critically appraise advance evaluation fidelity care, using case study. opens discussion about how should flexible, complex interventions, identifies questions need asked practitioners working ensure they deliver these intended evidence‐based fashion.