In this episode, Sheila talks with psychiatrist and the Foundation’s Vice Chair Chris Gordon about his path to Open Dialogue practice and how he has integrated the approach into his community mental health program and into his teaching at Harvard Medical School, MacLean and Mass General.
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Corporate sponsors are welcome and donors of $75,000 or more will receive special invitations to meet Sheila’s celebrity guests in studio as well as dinner with Sheila and Foundation for Excellence in Mental Health Care CEO, Gina Nikkel, PhD.Read More
Attention Deficit Hyperactivity Disorder (ADHD) is the presence of the behaviors of hyperactivity, impulsivity, and poor attention. The root causes and best solutions for these troubling behaviors will vary from child to child.
Parents concerned about the safety and effectiveness of popular drug treatments can try some promising alternatives with a significantly lower risk of unwanted side effects. Many have found psychotherapy and parent training highly effective in resolving troubling behavior and improving their child’s social skills and relationships with peers.
For some, micronutrient supplements have been life-changing:
The Micronutrients for ADHD Youth study is now accepting new participants, with sites at Oregon Health & Science University, The Ohio State University in Columbus, and University of Lethbridge in Alberta, Canada. Eligible children are age 6-12 and have not been on ADHD medications for two weeks before their participation begins.
Contact lead researcher, Jeanette Johnstone, PhD, at 503-494-3700 or firstname.lastname@example.org if you are within driving distance of Portland, Oregon.
If you are near Columbus, OH, contact E. Arnold, MD at OSUMCemail@example.com
If you are near Lethbridge, Alberta, contact B. Leung, PhD at firstname.lastname@example.orgRead More
HOPEnDialogue: An International collaborative multicentre research to support the Open Dialogue Learning Community and evaluate the effectiveness of Open Dialogue in various mental health care contexts around the world
This year (2019), the Foundation for Excellence in Mental Health Care has funded the HOPEnDialogue research project to promote and assess the fidelity of Open Dialogue practice and evaluate its effectiveness internationally. HOPEnDialogue, coordinated by the Italian National Research Council, is inspired by and linked to the ODDESSI-study, the first randomized trial of Open Dialogue, ongoing in the UK.
An International Advisory Board involving different stakeholders such as researchers, peer supporters, family members, trainers, Open Dialogue professionals, and experts in public health from eight different countries will contribute to the development of the project and promote its sustainability.Read More
BANGOR, Maine – A cutting edge study on the effect of micronutrients as a supporting treatment for bipolar disorder is currently underway in Bangor, Maine, led by Lewis Mehl-Madrona, MD, at Northern Light Family Medicine and Residency.
“The purpose of this trial is to determine whether a 36-ingredient micronutrient supplement (primarily vitamins and minerals) and fish oil (omega-3 fatty acid) supplement improves nutritional status and allows lower doses of conventional medications to be effective for bipolar disorder with fewer side effects, when studied under randomized and fully blinded conditions and compared to a placebo.
A follow-up open label phase will allow all participants, including those previously taking the placebo, to try the active micronutrient treatment for an additional twelve months.
The objective of this study is to assess the effectiveness of a micronutrient supplement + fish oil compared with placebo. To achieve this, the study needs a total of one hundred subjects who complete the first twelve months of the study. The prevalence of this disorder in the general population is only 3% and it has been difficult to recruit sufficient subjects. Researchers need to recruit and enroll an additional fifty people in the study. All participants must live in the vicinity of Bangor, Maine. Those interested in enrolling in the study should contact Edwina at 207.973.9013.
Once the study participants complete the first twelve months of the randomized study they will transition onto the open label phase of the study. This is less intensive but will still involve quarterly check in, data collected and the micronutrient supplement + fish oil dispensed to participants by the researchers.
Our hypothesis is the micronutrients and fish oil improves nutritional status and as we do not know the nutritional baseline of participants at the start the study, the longer we can follow the participants the better we will be able to understand the impact of taking this dose of vitamins over time. To achieve this we will need an additional $25,000 so the participants can check in quarterly, the data collected and the analysis completed.
The study was first made possible by a generous donor to Dr. Bonnie Kaplan’s Nutrition & Mental Health Research Fund at the Foundation for Excellence in Mental Health Care.Read More
(Psychiatric News) – Adolescents who have been hospitalized for suicidal behaviors may benefit from recurrent follow-up calls following hospital discharge, according to a report in Psychiatric Services.
Compared with adolescents receiving a single post-discharge call, adolescents receiving recurrent phone calls had a significantly lower rate of suicidal behavior and greater confidence in their suicide safety plan.Read More
The Foundation for Excellence in Mental Health Care would like to congratulate the research team coordinated by Drs. Raffaella Pocobello (ISTC-CNR) and Giuseppe Salamina (ASL-TO) who will conduct the Expanding the Science and Practice of Open Dialogue: An international collaborative multicenter research project to evaluate the effectiveness of Open Dialogue in various mental health care contexts around the world.
The Open Dialogue approach to early psychosis is contrasted to the standard practice of immediate diagnosis and prescribing antipsychotic medication for people experiencing early psychosis. While Open Dialogue is growing in practice around the world and shows great promise, studies worldwide are limited and lack systematic application across settings.
This new project, based on an international collaborative process, will produce consistent documentation of Open Dialogue practices across study sites and further our understanding of the challenges and successes of improving the quality of Open Dialogue practice, in particular, how Open Dialogue practices can be advanced in such a way that they are implemented with fidelity to the evidence as they are adapted for local contexts and cultures.
This grant will fund the preparatory phase (year 1) of a three-part work plan. Funds are currently being raised to support year two’s pilot phase and the subsequent main study phase.
Basic Tenets of Open Dialogue
Open Dialogue is one of the most promising approaches for mental health care. It is a family/personal network approach based on the following principles:
EXCELLENCE is an international mental health community foundation which matches private philanthropy to independent research projects and innovative programs that lead to recovery. Our team of donors and volunteers embodies a rich diversity of knowledge and expertise including people with lived experience of our current system of care, family members, psychiatrists and other clinical professionals, researchers, and philanthropists. EXCELLENCE strives to nurture scientific excellence and innovation in mental health research and program support by supporting scientific rigor, trauma-informed care, informed consent, peer support and recovery-based initiatives.Read More
(The New Yorker Magazine) – A few years ago, the National Academy of Medicine convened a panel of sixteen leading medical experts to analyze the scientific literature on cannabis. The report they prepared, which came out in January of 2017, runs to four hundred and sixty-eight pages. It contains no bombshells or surprises, which perhaps explains why it went largely unnoticed. It simply stated, over and over again, that a drug North Americans have become enthusiastic about remains a mystery.Read More
The Foundation for Excellence in Mental Health Care is pleased to announce this funding opportunity, Expanding the Science and Practice of Open Dialogue: An international collaborative multicenter research project to evaluate the effectiveness of Open Dialogue in various mental health care contexts around the world. This funding opportunity provides for one multi-year award to a single eligible applicant, with the possibility to be renewed annually.
Purpose of award: The Foundation for Excellence in Mental Health Care (EXCELLENCE) is interested in funding a visionary, international research project that will lead to consistent documentation of Open Dialogue practices across study sites, as well as understanding challenges and successes to improve the quality of Open Dialogue practice. Applicants should propose to evaluate Open Dialogue practices in countries including those outside the United States, and be prepared to work with EXCELLENCE to advance our understanding of how Open Dialogue practices can be advanced in such a way that they are implemented with fidelity to the evidence while also being adapted for local contexts and cultures. The Open Dialogue approach to early psychosis is contrasted to the standard practice of immediate diagnosis and prescribing antipsychotic medication for people experiencing early psychosis. While Open Dialogue is growing in practice around the world and shows immense promise, studies worldwide are limited and lack systematic application across settings.
The first articles by Iain Chalmers announcing the Cochrane Collaboration appeared in 1992 (1), whose mission would be to systematically review medical evidence with a view to producing the best quality and trustworthy evidence (2). Writing The Antidepressant Era in 1995, I characterised systematic reviews as a logical, and necessary medical development (3). Although the founders came from Canada (Sackett and Enkin), the United States (Dickersin), Denmark (Gøtzsche) and elsewhere, from the mid-1990s, the United Kingdom (UK) became the home of the Collaboration.
The idea of embodying Evidence Based Medicine (EBM) in Guidelines also took shape at this time. In Britain, in 1997, a Labour government created a National Institute for Clinical Excellence (NICE) which began issuing Guidelines underpinned by Cochrane methods and in some instances with Cochrane collaboration. The NICE process was and still is highly regarded, sufficiently so for the Labour government to issue a new plan for Britain’s National Health Service (NHS) that on the basis of newly-minted standards of care set about standardising the health service in a manner that embraces continuity of data, with an interchangeability of personnel, rather than continuity of care (4).Read More