What is DIALOG+?

DIALOG + is the first approach that has been specifically developed to make routine patient-clinician meetings therapeutically effective. It is based on quality of life research, concepts of patient-centred communication, IT developments and components of solution-focused therapy, and is supported by an App. Research studies in different mental health services and different countries have shown that using DIALOG+ can improve patients’ quality of life.

The manual and the supporting App exist in >15 languages and all are free to download


How does DIALOG+ work?

In DIALOG+, patients rate their satisfaction with eight areas of life and three treatment aspects. The ratings are done and displayed on a tablet, and can be compared with any previous ratings. Considering the ratings, the patients then decide which concerns they want to discuss in the given meeting. Each concern will then be addressed in a four-step approach:

1) Understanding the problem and emphasising ways of successful coping;
2) Identifying the best-case scenario and the smallest step forward that would make a noticeable difference;
3) Exploring options for what the patient, the clinician and others can do to improve the patient’s situation; and
4) Agreeing on actions, which will then be reviewed at the next meeting.
DIALOG+ provides assessment, planning, intervention and evaluation in one procedure. The frequency and intervals of using it are flexible. 

Developed by experts

DIALOG and DIALOG+ were developed at the Unit for Social and Community Psychiatry (WHO Collaborating Centre for Mental Health Service Development), which is part of Queen Mary University of London (QMUL), and attached to East London NHS Foundation Trust.  The research was led by Professor Stefan Priebe and supported by a collaboration with the School of Electronic Engineering and Computer Science at QMUL.

A video explaining how DIALOG+ works can be found here: