Znaczenie Otwartego Dialogu w leczeniu osób chorujących na schizofrenię

The Open Dialogue Approach (ODA) has been continuously developed in Finland by a psychotherapist, Jakko Seikulla, and a psychiatrist, Brigitta Alakare, since the 1980s. The ODA is an extension of the Finnish National Schizophrenia Program introduced by Yrjö Alanen and further development of his model of the Need Adapted Treatment (NATM). The ODA's purposes are to provide fast, home-based therapeutic interventions and, in consequence, to possibly minimize the frequency of inpatient hospitalization and the use of neuroleptics, as well as to improve treatment outcomes (in terms of e.g. reduced relapse rate, maintaining employment, etc). The authors delineate the program objectives, principles and its development. They also summarize treatment outcomes using this approach among patients with schizophrenic psychoses. In the final part of the paper feasibility of this approach implementation in Poland is discussed.