We have no final answer.
We wish to be as inclusive as possible. So
we accept availble descriptions, without further requirements or fidelity criteria evaluations
for 2 main considerations:
1 - We don't know either any official institution certifying fidelity or the methodology for evaluation in clinical practice.
2 - In various Countries Open Dialogue is implemented very often incompletely, while adapting to local challenges and needs.
In the many different paths to adaptation, for what we know, very few Centers have now reached a full implementation with all the 7 principles and 12 key elements, in usual clinical settings.
As a rule of thumb we thought that should be included in this list every Center complying with legal requirements for delivering "psychotherapy" in its Country and including at least 1 person having completed a "Foundation training" course in Open Dialogue, that is around 20 training days (or 160 hours) or equivalent clinical work.
Further thinking about that, we focused on a few elements that, perhaps, could work as common "turning points" in some of the adaptation processes:
- Social Network Perspective (Principle n.2).
So, for example, practically we tend NOT to include Centers delivering treatments described only as "Individual therapy" or even "Family therapy" - Dialogue and Polyphony (Principle n.7)
So, for example, practically we tend NOT to include Centers delivering treatments described only as "Cognitive Behavioral Therapy" or "Psychoanalysis" or even "Systemic therapy". - 2 or more therapists in the meeting room (Key element n.1)
- At least 1 "Reflective Conversation" in each Network Meeting (Key element n.10)
We hope this will help to generate some reflection.
Cristiana e Lupo