The use of evidence based practice in learning about dialectical behavior therapy
The synthesis indicates that implementers should consider the following recommendations: When introducing DBT into practice clinicians and organisations should encourage the staff team to operate a benign approach to BPD and ensure there are good communication systems in place.
DBT knowledge also moderately correlated with all indices of training [ 34 ].
Criticism of dialectical behavior therapy
Supplementary material. Limitations in the literature and framework provide opportunities for future research. Learn about these assumptions and why they are so important. Study design This study takes the form of a multi-site quasi-experimental design with non-equivalent groups. However, there were two examples of clearly executed implementation plans [ 40 , 46 ] and five examples of services forming teams to oversee the implementation process [ 41 , 49 , 51 , 57 , 59 ]. Availability of data and materials Not applicable as no new data collected or materials created. We have multiple pathways, both online and in person, to help you meet your specific DBT needs. While the outlined research studies have demonstrated the efficacy of DBT in treating BPD in controlled settings, there is a dearth of published research reporting on the effectiveness of DBT in publicly funded community mental health settings. Several optimal therapist attributes were detailed including a stance of equality, an ability to synthesise validation and challenge, a good understanding of DBT skills, as well as, group management and teaching abilities [ 25 ]. In the Republic of Ireland, an Expert Group on Mental Health published a government policy framework for publicly funded community mental health services which recommended DBT as an evidence-based treatment for people with BPD [ 6 ]. The increasing pressure to adopt treatments that work makes DBT skills and strategies a must-have for all types of therapists. Furthermore, the decision to include only published literature biased the review towards considering effective DBT implementations as most trials and programme descriptions reported positive results. However, our search and synthesis yielded two primary sub-elements team capacity and commitment, and training and ongoing support : Team capacity and commitment Some therapists thought the effectiveness of DBT was solely due to its techniques and theory [ 29 ], but this view was not universal. Context Our initial DBT framework included seven context sub-elements culture, leadership, evaluation, goal fit and suitability, individual characteristics, facilitative administrative supports and system interventions. On-going external consultation helps achieve sustainable programmes [ 23 ] and good communication was important within the DBT consultation team [ 29 ].
For instance, training significantly increased the use of skills training, treatment targets, daily diary cards and dialectic strategies [ 35 ]. In many cases the DBT consultation team seemed to undertake championing tasks through generating interest e. Additionally, in abiding with ethical guidelines and appropriate care of patients, neither is it possible to withhold treatment for individuals who meet criteria for participation in the intervention.
These nested programmes seem common as several therapists reported working in the DBT team part-time [ 28 ] and contrary to the Ditty et al.
The implementation papers reviewed also had methodological limitations. While the outlined research studies have demonstrated the efficacy of DBT in treating BPD in controlled settings, there is a dearth of published research reporting on the effectiveness of DBT in publicly funded community mental health settings.
Other required resources were finances [ 36 ] and space: having adequate space correlated with the implementation of more DBT components [ 26 ].
based on 10 review