Innovations in Practice: Dialectical behaviour therapy for adolescents: multisite implementation and evaluation of a 16-week programme in a public community mental health setting

2018 ◽  
Vol 24 (1) ◽  
pp. 76-83 ◽  
Author(s):  
Daniel Flynn ◽  
Mary Kells ◽  
Mary Joyce ◽  
Paul Corcoran ◽  
Conall Gillespie ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Mental Health Setting ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy

A Peer-Clinician Approach to the Delivery of Dialectical Behaviour Therapy Targeted to Young Adults in a Community Mental Health Setting

2020 ◽  
Vol 39 (2) ◽  
pp. 65-69
Author(s):  
Claudie Coulombe ◽  
Stephanie Rattelade ◽  
Miriam McLaughlin ◽  
John Choi
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Community Mental Health ◽  
Self Efficacy ◽  
Coping Skills ◽  
Mental Health Setting ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Mental Health Difficulties

Stella’s Place created an adapted DBT program, delivered through an integrated peer-clinician approach, to treat young adults with mental health difficulties in a community mental health setting. Evaluation findings revealed significant improvements in participants’ use of coping skills, resiliency, and self-efficacy following their participation in the program.

Dialectical behaviour therapy in an Irish community mental health setting

2009 ◽  
Vol 26 (2) ◽  
pp. 59-63 ◽  
Author(s):  
Richard Blennerhassett ◽  
Lindsay Bamford ◽  
Anthony Whelan ◽  
Sarah Jamieson ◽  
Jennifer Wilson O'Raghaillaigh
Keyword(s):  
Mental Health ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Community Mental Health ◽  
Borderline Personality ◽  
Positive Symptom ◽  
Mental Health Setting ◽  
Behaviour Therapy ◽  
Post Intervention ◽  
Dialectical Behaviour Therapy

AbstractObjectives:Dialectical behaviour therapy (DBT) is a recommended treatment of patients with borderline personality disorder, yet there are few descriptions of the approach in public community mental health settings where the majority of such patients present. This study describes the development and evaluation of a DBT programme in an Irish setting.Methods:The DBT programme was run over a six month period. Participants were assessed at baseline and post intervention with the following instruments: The Structured Clinical Interview for DSM III R personality disorders (SCID II), the clinical Outcomes in Routine Evaluation (CORE) and the symptom checklist 90 Revised (SCL-90-Revised). Inpatient bed usage was determined from case note review.Results:Outcome data was available for eight subjects. Significant improvement (p < 0.005) was seen on all CORE subscales. SCL-90-R showed significant improvement (p < 0.05) on the global severity index and on the positive symptom distress index. A decrease in self harming behaviour was found. Subjects' inpatient bed days dropped from a mean of 58 in the year pre intervention to a mean of four days in the year post intervention. A novel finding was that 43% of subjects who originally fulfilled criteria for avoidant personality disorder no longer did so post intervention.Conclusions:The study found that DBT can be applied in a community mental health setting with benefits similar to more specialist settings. Significant difficulties were encountered in implementing the programme. The clinical implications are that specialist psychotherapy services need to be an integral part of psychiatric services to achieve better outcomes for patients with borderline personality disorder.

Effectiveness of a 10-week group program based on Dialectical Behaviour Therapy skills among patients with personality and mood disorders: findings from a pilot study

2017 ◽  
Vol 25 (5) ◽  
pp. 466-470 ◽  
Author(s):  
Agatha M Conrad ◽  
Anoop Sankaranarayanan ◽  
Terry J Lewin ◽  
Anna Dunbar
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Health Service ◽  
Health Services ◽  
Community Mental Health Service ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
The Impact

Objectives: Community mental health services are often required to manage people experiencing repeated crises. Personality disorders are not uncommon, accounting for up to one-third of such presentations. These patients are often difficult to treat, leading to a revolving-door phenomenon. This study evaluated the effectiveness of a pilot intervention in reducing psychological symptoms and distress, and examined the impact of the intervention on mental health service utilization. Methods: A pre- versus post-treatment evaluation was conducted of the effectiveness of a 10-week group psychological intervention based on Dialectical Behaviour Therapy skills, conducted in a regional Australian community mental health service with patients diagnosed with either Cluster B personality disorder or a mood disorder. Results: Of those who completed the program ( N = 38 patients), 84% were female, with an average age of 35.13 years. Participants were active clients of the service for an average of 58.3 weeks prior to the program. They demonstrated significant improvements in quality of life and self-control, and a reduction in hopelessness, cognitive instability and dependence on mental health services. Conclusions: Limiting the Dialectical Behaviour Therapy program to a short-term skills-based group component was successful with the targeted patient group; however, more research is required to establish the generalizability of these results.

Dialectical Behaviour Therapy Skills Training Groups for Common Mental Health Disorders: A Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Chantal P Delaquis ◽  
Kayla M. Joyce ◽  
Maureen Zalewski ◽  
Laurence Katz ◽  
Julia Sulymka ◽  
...  
Keyword(s):  
Mental Health ◽  
Emotion Regulation ◽  
Meta Analysis ◽  
Skills Training ◽  
Mental Health Disorders ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Transdiagnostic Treatment ◽  
Training Groups ◽  
Health Disorders

Context: Emotion regulation deficits are increasingly recognized as an underlying mechanism of many disorders. Dialectical behaviour therapy (DBT) holds potential as a transdiagnostic treatment for disorders with underlying emotion regulation deficits.Objective: Systematically review the evidence for DBT skills training groups as a transdiagnostic treatment for common mental health disorders via meta-analysis. Study Selection: Randomized control trials (RCTs) of DBT skills training groups for adults with common mental health disorders, and no comorbid personality disorder, were included. Data Synthesis: Twelve RCTs met inclusion criteria (N = 425 participants). DBT had a moderate-to-large effect on symptom reduction (g = 0.79, 95% CI [0.52, 1.06], p &lt; .0001). Improvements in emotion regulation yielded a small-to-moderate effect (g = 0.48, 95% CI [0.22, 0.74], p &lt; .01). Results showed significant effects of DBT on depression (g = 0.50, 95% CI [0.25, 0.75], p = .002), eating disorders (g = 0.83, 95% CI [0.49, 1.17], p = .001) and anxiety (g = 0.45, 95% CI [0.08, 0.83], p = .03).Conclusions: Findings suggest DBT is an effective treatment for common mental health disorders and may be considered as a promising transdiagnostic therapy.

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