Abstract
In the 1960s, the idea of “Need-Adapted Treatment” was born in Finnish mental health care. Until then, at the initial interview in the acute phase in the mental hospital, when the medical condition was urgent, until then, hospitalization and treatment policy were decided without the person, but Alanen and others invited the person and his/her family to the decision making place and dialogue(Dialogue). But this alone reduced the need for hospitalization to 40%. This idea became a national project in 1981. The opening dialogue was born in 1984, so as to be affected.
The Open dialogue is a generic term for mental health care, care, and the entire system that has been developed and practiced since the 1980s, centered on Kelopudas Hospital in the West Lapland region of Finland.
“Do not decide yourself in a place without yourself” “Dialogism” “Immediate support” “Reflecting” “Disease occurs between people” “Network meeting” “Need-Adapted Treatment” “It will not be one-on-one in the treatment scene” “treating ourselves”, etc. was cherished by keeping close dialogue with the needs of clients and their families.
This practice has made remarkable achievements and has gained international attention. For example, in the survey of the country, about 80% of those who received treatment worked or got involved (about 30% in the target group).
The open dialogue can be caught from several aspects such as service supply system, dialogue practice, worldview. How can we practice the open dialogue developed in West Lapland on each site in Japan? In this time, we will create a dialogue place to approach the hint.
