The family-oriented open dialogue approach in the treatment of first-episode psychosis: Nineteen-year outcomes.

Open Dialogue (OD) is a family-oriented early intervention approach which has demonstrated good outcomes in the treatment of first-episode psychosis (FEP). Nevertheless, more evidence is needed. In this register-based cohort study the long-term outcomes of OD were evaluated through a comparison with a control group over a period of approximately 19 years.

[Psychotherapy of a depressed patient--presentation of treatment modalities].

The article includes a brief introduction to five forms of psychotherapy that are in active use in Finland: psychodynamic, cognitive and group psychotherapy, family therapy of a depressed patient, and resource and solution-oriented working attitude. An advocate of each treatment modality provides a description of the suitability of the particular modality for a depressed patient. Different treatment modalities are not compared as such; the aim is rather to provide clinical thinking tools for the doctor, who considers the patient's suitability for and referral to psychotherapy.

Mental health care: trust and mistrust in different caring contexts.

Aims And Objectives: To identify the factors that make trust within the context of public mental health possible. We also consider the question of patients' trust in the whole caring system. The study is based on individual interviews with 22 psychiatric patients, who were also users of social services.

Predicting medication-free treatment response in acute psychosis: cross-validation from the Finnish Need-Adapted Project.

This study tested predictors of 2-year antipsychotic-free response from the Soteria study (older, better social functioning, fewer cardinal symptoms) using data from the Finnish Acute Psychosis Integrated treatment study. The quasi-experimental study compared need-adapted family-oriented psychosocial intervention within a 3-week antipsychotic-free trial to psychosocial intervention plus antipsychotic medications. Forty-six percent of experimental completers (37% of intent-to-treat subjects) were successfully treated without antipsychotic medications for the entire 2-year study.

Mental health: integrated network and family-oriented model for co-operation between mental health patients, adult mental health services and social services.

Background: Co-operation between mental health care units and the social services is important in the case of people with social problems who also suffer from mental health problems. However, participation of patients and their families in the treatment process, and co-operation between them and the professionals, are also important. Communication between the professionals, patients and their family members, and the professionals is a crucial factor for co-operation.