Open Dialogue versus Treatment as Usual for Adults in Mental Health Crisis: Insights from the ODDESSI Multisite Cluster-Randomised Trial in England

Highlights

  • Open Dialogue, a network-oriented, person-centred mental health care model, was assessed in a large multisite cluster-randomised trial across England.
  • The primary endpoint, time to first relapse post-recovery, showed no significant difference between Open Dialogue and treatment as usual over two years.
  • Open Dialogue demonstrated significant reductions in psychiatric inpatient admission rates and re-referral to crisis or specialist services.
  • Service users receiving Open Dialogue reported enhanced recovery experiences, better quality of life, and greater satisfaction with care without safety concerns.

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