Evidence map›Paper›PMID 35585467›Full record

ArticleCommunity mental health journal2023

Organizational Change in Complex Systems: Organizational and Leadership Factors in the Introduction of Open Dialogue to Mental Health Care Services.

Elizabeth Lennon, Liza Hopkins, Rochelle Einboden, Andrea McCloughen, Lisa Dawson, Niels Buus

Abstract read
PubMed Publisher
In one paragraph

Article in Community mental health journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Elizabeth LennonThe Leader Factor Pty Ltd., Sydney, NSW, Australia.
Liza HopkinsAlfred Health, Bentleigh, Victoria, Australia.
Rochelle EinbodenFaculty of Medicine and Health, The University of Sydney Susan Wakil School of Nursing and Midwifery, Sydney, NSW, Australia.
Andrea McCloughenFaculty of Medicine and Health, The University of Sydney Susan Wakil School of Nursing and Midwifery, Sydney, NSW, Australia.
Lisa DawsonSydney Children's Hospital Network, Sydney, NSW, Australia.
Niels BuusSchool of Nursing and Midwifery, Faculty of Medicine, Nursing and Health, Monash University, Clayton, Victoria, Australia. niels.buus@monash.edu.ORCID 0000-0003-4980-4096

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Conventional mental health services are frequently criticized for failing to support people and communities in their care. Open Dialogue is a non-conventional humanistic approach to mental health care, which has been implemented in many different settings globally. At two Australian public health care services, implementation of the approach led to positive client outcomes and sustained organizational and clinical change. The aim of the study was to identify and explore the organizational, management, leadership and cultural factors that contributed to sustained implementation in these complex systems. We conducted nine individual semi-structured interviews of health care leaders and managers from the two sites. Transcriptions of the interviews were analyzed thematically. Leaders facilitated a gradual development of clinical and organizational legitimacy for the non-standardized Open Dialogue approach by holding the anxiety and frustration of practitioners and parts of the administration, cultivating cultural change and adaptation and by continually removing organizational obstacles.

Indexed as

LeadershipMental Health ServicesAustraliaHumansMental HealthOrganizational InnovationAdaptive leadershipComplex systemsOpen dialogueOrganizational changePublic mental healthcare services

Identifiers

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.