From Mad in Norway: Open dialogue led to changes in the local healthcare system on two levels. Firstly, a culture of dialogic communication between employees, users and carers was established. Instead of an expert-led diagnosis and treatment model, users and their social networks were put at the center of a dialogical process aimed at finding ways out of the crisis. Secondly, multidisciplinary teams were organized in the local community to provide immediate help in crisis situations, and account was taken of the user’s and family’s needs, continuity of support from the same team and a primarily psychotherapeutically oriented approach (with the least possible use of medication). . These were the most important principles on which Open Dialogue was based, and which have been further developed over the past decades (Olson et al., 2014).
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