A new approach to mental health treatment, which involves a patient's family and friends, has been linked to a three-fold reduction in psychiatric hospital admissions, according to recent research. The study also indicated that patients rated their recovery and quality of life more highly compared to those receiving traditional care.
The research is the first major study of Open Dialogue, a treatment method focusing on patient priorities, consistent clinicians, and the involvement of close contacts. The trial, conducted across five NHS trust areas, found that while it reduced hospital admissions, it did not prevent patients from experiencing relapses.
The study, led by University College London, involved 500 patients who had sought mental health services during a crisis. Participants were divided into two groups: one received Open Dialogue, and the other received standard treatment. Researchers observed no significant difference in relapse rates. However, for those in the Open Dialogue group who did require hospital admission, the duration of their stay was, on average, half that of the other group.
Dr Russell Razzaque, a consultant psychiatrist and the trial's clinical lead, suggested this approach could have considerable implications for NHS psychiatric care. However, consultant psychiatrist Dr Sameer Jauhar noted that further research is needed to determine if the specific elements of Open Dialogue offer benefits beyond well-resourced community care.