Need Adapted Treatment and open dialogue

Authors

  • Volkmar Aderhold

Abstract

The Finnish model of Need-Adapted Treatment was developed for treating first episode psychosis. It is characterized by immediate and flexible help, involving the family and other attachment persons from the start and when possible in the patient’s home setting with a multi-professional therapeutic team and with the lowest possible dosage of selective psycho-pharmaceutical therapy. Approximately half the patients actually make use of the offer of long-term individual therapy.

Under the leadership of J. Seikkula within this treatment framework, a systemic methodology model of open dialogue has been developed. It is directed at the patient’s social networks and facilitates, within this secure framework, a shared open dialogue process with all those involved.

Evaluation through comparable cohort studies shows a significant improvement in the symptomatic and functional outcomes in comparison to standard treatment, in particular a reduced rate of hospitalization and a higher integration in paid work or vocational training.

Keywords: Need-Adapted Treatment, open dialogue, multi-professional team, Hometreatment, psycho-pharmaceuticals

Author Biography

Volkmar Aderhold

Jahrgang 1954, Dr. med., Arzt für Psychiatrie Psychotherapie und Psychotherapeutische Medizin, arbeitet seit 1982 in der Psychiatrie. 10 Jahre Oberarzt in der Klinik für Psychiatrie und Psychotherapie des Universitätsklinikums Hamburg Eppendorf. Aktuell Mitarbeiter der Instituts für Sozialpsychiatrie an der Universität Greifswald. Qualifizierungsmaßnahmen und Beratung von Kliniken bei der Strukturentwicklung

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Published

2014-03-30

How to Cite

Aderhold, V. (2014). Need Adapted Treatment and open dialogue. Psychotherapie-Wissenschaft, 3(2), 70–78. Retrieved from https://psychotherapie-wissenschaft.info/article/view/168

Issue

Vol. 3 No. 2 (2013): Freie Themen

Section

Original Work

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