OPEN DIALOGUE ISRAEL
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Mission Statement
O.D.I. is a public benefit company reshaping the mental health field in Israel, focusing on a number of serious ailments: 1 - "Revolving door" phenomenon - recurring mental hospitalizations 2 - Compulsory hospitalization, stigma and violation of human rights in standard psychiatric treatment 3 - Low efficiency of treatments that leads to the development of chronic conditions Open dialogue is a family - social network based approach, firmly grounded in research, with proven effectiveness treating and preventing mental crises outside the hospital, in the community. The approach, developed in Finland, offers a dialogic, humane way of developing services for mental health both in hospitals and outpatient treatments. ODI's vision is that anyone facing a mental crisis will have access to a quick, accessible, and publicly funded Open Dialogue treatment. We are working to educate and integrate the approach in Israel while working for policy change on a large national scale. Our pyramid impact model: ODI trains staff members in existing institutions to work in the open dialogue approach. that way they are converting from the standard way of doing psychiatry (in clinics and mental wards) to mental health teams that go out to the community and meet networks at their homes. In this way, we are able to create a deep transformation in a number of institutions simultaneously and reach more end-users in an effective and ecological manner. Each stride in the direction of ODI's vision, contributes to 4 significant and necessary changes in the mental health system in Israel: Reducing the number of psychiatric hospitalizations- Today there are about 24,000 hospitalizations a year, almost 80% of which are re-hospitalizations (the "Revolving Door" phenomenon). Studies have found that OD reduces the number of hospitalization days and of re-hospitalizations in about 50% compared to the standard treatment. Restoring power back to the support system - increasing the involvement of family members in dealing with mental crises. Using the existing resources in the person's natural support system to deal with the crisis. Raising the ethical standard in the field of mental health - OD is a nonviolent approach to extreme crisis situations. It has been recognized by the UN as an approach that allows treatment without human rights violation, in situations otherwise treated in the psychiatric system, where unfortunately even today there are blatant violations of basic human rights. Cost Effectiveness- It is estimated that OD will reduce costs to the state over time in 3 ways: 50% reduce of re-hospitalizations 50% less benefit claims for disability pension (in Israel, this means reducing costs for rehabilitation assistance as well). The cost of operating a mobile “OD” system that provides service at the customer's home is much more economic than operating a hospital.
About This Cause
Open Dialogue Israel has been active since 2018. We have 2 Entrepreneurs in managing positions: Sivan Bar On, and Lila Hefer, both of them are social workers. Alongside them, ODI has 8 volunteers and 7 board members all working together for a better future in mental health in Israel. Our Beneficiaries are mental health patients and their family members, and our target audience is professionals in the mental health field, alongside mental health organizations like general hospitals with psych wards or psychiatric hospitals. An essential part of the innovation of the approach is the combination of therapists with knowledge from lived experience alongside therapists with academic knowledge in training and the treatment itself. The training is currently conducted in three tracks: (1) lectures/seminars, (2) introductory workshops, (3) an annual foundation course, and (4) Advanced two year course. Our accomplishments thus far - Education - 2,800 people participated in our introduction lecture 500 people participated in a 2 days intro workshop, with special workshops for the entire mental health staff in “Rambam” hospital in Haifa and the “English hospital” in Safed 120 alumni graduated our foundation year long training, and are now able to be Open Dialogue practitioners. On Sep. 23' we opened our first full Advanced two year course that will lead the OD community in Israel to a greater independence. Implementation- The first public pilot program launched in mental health center “Mazor” funded by “Hakavert” (by the Social Security Funds and the “Joint”) Policy change - Participation in parliament committees Creating publicly accessible reading material in Hebrew Including open dialogue in trails for support from the health ministry Working alongside mental health patients and families organizations Beneficiaries - mental health patients and families who received open dialogue therapy thus far - about 200 men and women. With further support we could: Create more pilot programs in mental health institutes - making OD accessible and publicly funded Double the number of institutes that are exposed to our workshop within 1 year Double the number of individuals and families who have benefited from O.D. therapy within two years