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Implementing DBT: selecting, training and supervising a team

Published online by Cambridge University Press:  15 June 2010

Michaela A. Swales*
Affiliation:
University of Wales, School of Psychology, Bangor, Wales, UK
*
*Author for correspondence: Dr M. A. Swales, University of Wales, School of Psychology, Brigantia Building, Penrallt Road, Bangor LL57 2AS, Wales, UK. ([email protected])

Abstract

NICE Clinical Guideline no. 78 recently identified Dialectical Behaviour Therapy (DBT) as an appropriate treatment approach for the effective treatment of suicidal behaviours in the context of borderline personality disorder. Uniquely among the cognitive behavioural therapies DBT is a team-based treatment. This paper focuses on the task of selecting and training a team before considering issues in the training and supervision of therapists learning this approach.

Type
Education and supervision
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2010

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References

Recommended follow-up reading

Swales, MA, Heard, HL (2008). Dialectical Behaviour Therapy: Distinctive Features. London: Routledge. Chapters 12 and 29 provide more information on both consultation team and on treating the therapist using the principles of the treatment.CrossRefGoogle Scholar

References

Aarons, GA (2004). Mental health provider attitudes toward adoption of evidence-based practice: the Evidence-Based Practice Attitude Scale. Mental Health Services Research 6, 6172.CrossRefGoogle ScholarPubMed
Bennett-Levy, J (2006). Therapist skills: a cognitive model of their acquisition and refinement. Behavioural and Cognitive Psychotherapy 34, 5778.CrossRefGoogle Scholar
Cukrowicz, KC, White, BA, Reitzel, LR, Burns, AB, Driscoll, KA, Kemper, TS, Joiner, TE (2005). Improved treatment outcome associated with the shift to empirically supported treatments in a graduate training clinic. Professional Psychology: Research and Practice 36, 330337.Google Scholar
Fadden, G (1997). Implementation of family interventions in routine clinical practice following staff training programs: a major cause for concern. Journal of Mental Health 6, 599612.Google Scholar
Fixsen, DL, Naoom, SF, Blasé, KA, Friedman, RM, Wallace, F (2005). Implementation Research: A Synthesis of the Literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network.Google Scholar
Foa, EB, Hembree, EA, Cahill, SP, Rauch, SAM, Riggs, DS, Feeny, NC, Yadin, E (2005). Randomized trial of prolonged exposure for posttraumatic stress disorder with and without cognitive restructuring: outcome at academic and community clinics. Journal of Consulting and Clinical Psychology 73, 953964.CrossRefGoogle ScholarPubMed
Franklin, ME, Abramawitz, JS, Kozak, MJ, Levitt, JT, Foa, EB (2000). Effectiveness of exposure and ritual prevention for obsessive-compulsive disorder: randomized compared with nonrandomized samples. Journal of Consulting & Clinical Psychology 68, 594602.CrossRefGoogle ScholarPubMed
Frederick, JT, Comtois, KA (2006). Practice of dialectical behavior therapy after psychiatry residency. Academic Psychiatry 30, 5562.CrossRefGoogle ScholarPubMed
Hawkins, KA, Sinha, R (1998). Can line clinicians master the conceptual complexities of dialectical behavior therapy? An evaluation of a State Department of Mental Health training program. Journal of Psychiatric Research 32, 379384.CrossRefGoogle ScholarPubMed
Henggeler, SW, Schoenwald, SK, Pickrel, SG (1995). Multisystemic therapy: bridging the gap between university and community-based treatment. Journal of Consulting & Clinical Psychology 63, 709717.Google Scholar
Mufson, L, Pollack Dorta, K, Wickramaratne, P, Nomura, Y, Olfson, M, Weissman, MM (2004). A randomized effectiveness trial of interpersonal psychotherapy for depressed adolescents. Archives of General Psychiatry 61, 577584.Google Scholar
NICE (2009). Borderline personality disorder: treatment and management. Clinical Guideline 78. National Institute for Health and Clinical Excellence, London, January 2009.Google Scholar
Rogers, EM (1995). Diffusion of Innovations, 4th edn.New York: The Free Press.Google ScholarPubMed
Rounsaville, BJ, Foley, S, O'Malley, S, Weissman, MM (1988). Role of manual-guided training in the conduct and efficacy of interpersonal psychotherapy for depression. Journal of Consulting and Clinical Psychology 56, 681688.CrossRefGoogle ScholarPubMed
Rounsaville, BJ, Kranzler, HR, Ball, S, Tennen, H, Poling, J, Triffleman, E (1998). Personality disorders in substance abusers: Relation to substance use. Journal of Nervous and Mental Disease 186, 8795.Google Scholar
Schoenwald, SK, Sheidow, AJ, Letourneau, EJ, Liao, JG (2003). Transportability of multisystemic therapy: evidence for multilevel influences. Mental Health Service Research 5, 223239.CrossRefGoogle ScholarPubMed
Swales, MA, Heard, HL (2008). Dialectical Behaviour Therapy: Distinctive Features. London: Routledge.Google Scholar
Trupin, EW, Stewart, DG, Beach, B, Boesky, L (2002). Effectiveness of a dialectical behavior therapy programme for incarcerated female offenders. Child and Adolescent Mental Health 7, 121127CrossRefGoogle Scholar
Turkington, D, Kingdon, D, Turner, T (2002). Effectiveness of a brief cognitive-behavioural therapy intervention in the treatment of schizophrenia. British Journal of Psychiatry 180, 523527.CrossRefGoogle ScholarPubMed
Wade, WA, Treat, TA, Stuart, GL (1998). Transporting an empirically supported treatment for panic disorder to a service clinic setting: a benchmarking strategy. Journal of Consulting and Clinical Psychology 66, 231239.CrossRefGoogle ScholarPubMed
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