Peer work in Open Dialogue: A discussion paper.

Bellingham, B; Buus, N; McCloughen, A; Dawson, L; Schweizer, R; Mikes-Liu, K; Peetz, A; Boydell, K; River, J

Peer work in Open Dialogue: A discussion paper.

Bellingham, B Buus, N McCloughen, A Dawson, L Schweizer, R Mikes-Liu, K Peetz, A Boydell, K River, J

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: Int J Ment Health Nurs, 2018, 27, (5), pp. 1574-1583
Issue Date:: 2018-10

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Field	Value	Language
dc.contributor.author	Bellingham, B
dc.contributor.author	Buus, N
dc.contributor.author	McCloughen, A
dc.contributor.author	Dawson, L
dc.contributor.author	Schweizer, R
dc.contributor.author	Mikes-Liu, K
dc.contributor.author	Peetz, A
dc.contributor.author	Boydell, K
dc.contributor.author	River, J https://orcid.org/0000-0002-5270-4013
dc.date.accessioned	2022-09-08T03:02:05Z
dc.date.available	2018-02-18
dc.date.available	2022-09-08T03:02:05Z
dc.date.issued	2018-10
dc.identifier.citation	Int J Ment Health Nurs, 2018, 27, (5), pp. 1574-1583
dc.identifier.issn	1445-8330
dc.identifier.issn	1447-0349
dc.identifier.uri	http://hdl.handle.net/10453/161523
dc.description.abstract	Open Dialogue is a resource-oriented approach to mental health care that originated in Finland. As Open Dialogue has been adopted across diverse international healthcare settings, it has been adapted according to contextual factors. One important development in Open Dialogue has been the incorporation of paid, formal peer work. Peer work draws on the knowledge and wisdom gained through lived experience of distress and hardship to establish mutual, reciprocal, and supportive relationships with service users. As Open Dialogue is now being implemented across mental health services in Australia, stakeholders are beginning to consider the role that peer workers might have in this model of care. Open Dialogue was not, initially, conceived to include a specific role for peers, and there is little available literature, and even less empirical research, in this area. This discussion paper aims to surface some of the current debates and ideas about peer work in Open Dialogue. Examples and models of peer work in Open Dialogue are examined, and the potential benefits and challenges of adopting this approach in health services are discussed. Peer work in Open Dialogue could potentially foster democracy and disrupt clinical hierarchies, but could also move peer work from reciprocal to a less symmetrical relationship of 'giver' and 'receiver' of care. Other models of care, such as lived experience practitioners in Open Dialogue, can be conceived. However, it remains uncertain whether the hierarchical structures in healthcare and current models of funding would support any such models.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation.ispartof	Int J Ment Health Nurs
dc.relation.isbasedon	10.1111/inm.12457
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1110 Nursing, 1117 Public Health and Health Services, 1701 Psychology
dc.subject.classification	Nursing
dc.subject.mesh	Australia
dc.subject.mesh	Finland
dc.subject.mesh	Humans
dc.subject.mesh	Mental Disorders
dc.subject.mesh	Mental Health Services
dc.subject.mesh	Peer Group
dc.subject.mesh	Social Support
dc.subject.mesh	Humans
dc.subject.mesh	Peer Group
dc.subject.mesh	Mental Disorders
dc.subject.mesh	Mental Health Services
dc.subject.mesh	Social Support
dc.subject.mesh	Australia
dc.subject.mesh	Finland
dc.title	Peer work in Open Dialogue: A discussion paper.
dc.type	Journal Article
utslib.citation.volume	27
utslib.location.activity	Australia
utslib.for	1110 Nursing
utslib.for	1117 Public Health and Health Services
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2022-09-08T03:02:01Z
pubs.issue	5
pubs.publication-status	Published
pubs.volume	27
utslib.citation.issue	5

Abstract:

Open Dialogue is a resource-oriented approach to mental health care that originated in Finland. As Open Dialogue has been adopted across diverse international healthcare settings, it has been adapted according to contextual factors. One important development in Open Dialogue has been the incorporation of paid, formal peer work. Peer work draws on the knowledge and wisdom gained through lived experience of distress and hardship to establish mutual, reciprocal, and supportive relationships with service users. As Open Dialogue is now being implemented across mental health services in Australia, stakeholders are beginning to consider the role that peer workers might have in this model of care. Open Dialogue was not, initially, conceived to include a specific role for peers, and there is little available literature, and even less empirical research, in this area. This discussion paper aims to surface some of the current debates and ideas about peer work in Open Dialogue. Examples and models of peer work in Open Dialogue are examined, and the potential benefits and challenges of adopting this approach in health services are discussed. Peer work in Open Dialogue could potentially foster democracy and disrupt clinical hierarchies, but could also move peer work from reciprocal to a less symmetrical relationship of 'giver' and 'receiver' of care. Other models of care, such as lived experience practitioners in Open Dialogue, can be conceived. However, it remains uncertain whether the hierarchical structures in healthcare and current models of funding would support any such models.

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http://hdl.handle.net/10453/161523