scholarly journals He Waka Eke Noa at Korowai Manaaki: A Process Evaluation of a Dialectical Behaviour Therapy-informed skills programme for young people in a secure youth justice residence

2021 ◽  
Author(s):  
◽  
Molly Weenink
Keyword(s):  
Young People ◽  
Process Evaluation ◽  
Cognitive Abilities ◽  
Worth Living ◽  
Behaviour Therapy ◽  
Youth Justice ◽  
Life Worth Living ◽  
Dialectical Behaviour Therapy ◽  
Therapeutic Environment ◽  
Cultural Responsivity

<p>Dialectical Behaviour Therapy (DBT) aims to help people live a life worth living. It has increasingly been developed and adapted to address a range of mental health symptoms across different ages, cognitive abilities and environmental contexts; however, its popularity in implementation has outpaced empirical research. The current study was a Process Evaluation which assessed professionals’ perspectives about a DBT-informed skills group called He Waka Eke Noa operating at Korowai Manaaki – a youth justice secure residence in New Zealand (NZ). The study involved 11 interviews with professionals across two organisations involved in facilitating He Waka Eke Noa and/or supporting the young people who participated. Thematic analysis was used to analyse the interviews and three overarching themes were identified. The first theme, ‘Factors influencing practical effectiveness’, explored areas which professionals highlighted as having a significant impact on how He Waka Eke Noa worked and had three subthemes: ‘Generalisability’, ‘Cultural Responsivity’, and ‘Criminal Justice Environment’. The second theme, ‘Theoretical application of DBT to young people in NZ’ investigated the compatibility of DBT with young people in secure youth justice residences in NZ. The final theme, ‘Motivation’, considered the role that motivation played in engagement and continuation of treatment for people involved in He Waka Eke Noa. The findings from this study shed light on how the group was operating and highlighted the importance of the relationship between facilitators and young people. It identified the challenges He Waka Eke Noa faced including the difficulty of balancing a risk-reduction approach with creating a therapeutic environment. Further developments are considered that would assist He Waka Eke Noa in maximising its effectiveness through increasing resources and ensuring diversity amongst the clinicians (e.g., increasing cultural diversity). The thesis concludes with recommendations for the future direction of operation, for example, rolling out DBT-informed skills groups in other residences and the community; and potential research avenues.</p>

scholarly journals He Waka Eke Noa at Korowai Manaaki: A Process Evaluation of a Dialectical Behaviour Therapy-informed skills programme for young people in a secure youth justice residence

2021 ◽  
Author(s):  
◽  
Molly Weenink
Keyword(s):  
Young People ◽  
Process Evaluation ◽  
Cognitive Abilities ◽  
Worth Living ◽  
Behaviour Therapy ◽  
Youth Justice ◽  
Life Worth Living ◽  
Dialectical Behaviour Therapy ◽  
Therapeutic Environment ◽  
Cultural Responsivity

<p>Dialectical Behaviour Therapy (DBT) aims to help people live a life worth living. It has increasingly been developed and adapted to address a range of mental health symptoms across different ages, cognitive abilities and environmental contexts; however, its popularity in implementation has outpaced empirical research. The current study was a Process Evaluation which assessed professionals’ perspectives about a DBT-informed skills group called He Waka Eke Noa operating at Korowai Manaaki – a youth justice secure residence in New Zealand (NZ). The study involved 11 interviews with professionals across two organisations involved in facilitating He Waka Eke Noa and/or supporting the young people who participated. Thematic analysis was used to analyse the interviews and three overarching themes were identified. The first theme, ‘Factors influencing practical effectiveness’, explored areas which professionals highlighted as having a significant impact on how He Waka Eke Noa worked and had three subthemes: ‘Generalisability’, ‘Cultural Responsivity’, and ‘Criminal Justice Environment’. The second theme, ‘Theoretical application of DBT to young people in NZ’ investigated the compatibility of DBT with young people in secure youth justice residences in NZ. The final theme, ‘Motivation’, considered the role that motivation played in engagement and continuation of treatment for people involved in He Waka Eke Noa. The findings from this study shed light on how the group was operating and highlighted the importance of the relationship between facilitators and young people. It identified the challenges He Waka Eke Noa faced including the difficulty of balancing a risk-reduction approach with creating a therapeutic environment. Further developments are considered that would assist He Waka Eke Noa in maximising its effectiveness through increasing resources and ensuring diversity amongst the clinicians (e.g., increasing cultural diversity). The thesis concludes with recommendations for the future direction of operation, for example, rolling out DBT-informed skills groups in other residences and the community; and potential research avenues.</p>

scholarly journals Teaching ‘small and helpless’ women how to live: Dialectical Behaviour Therapy in Sweden, ca 1995–2005

2018 ◽  
Vol 31 (4) ◽  
pp. 131-157
Author(s):  
Åsa Jansson
Keyword(s):  
Social Support ◽  
Individual Responsibility ◽  
Support Network ◽  
Worth Living ◽  
Behaviour Therapy ◽  
Community Based ◽  
Life Worth Living ◽  
Dialectical Behaviour Therapy ◽  
Borderline Patients ◽  
Independent Person

In 1995, a Swedish pilot study of Dialectical Behaviour Therapy (DBT) was launched to investigate its therapeutic efficacy and cost-effectiveness as treatment for Borderline Personality Disorder (BPD) in suicidal women. In the same year, a sweeping reform of psychiatric care commenced, dramatically reducing the number of beds by the end of the decade. The psychiatry reform was presented as an important factor prompting the need for a community-based treatment for Borderline patients. This article suggests that the introduction of DBT in Sweden, and its relationship to the reform, can only be adequately explained with reference to the wider political shift occurring at the time, whereby the Swedish welfare state and its guiding ethos of egalitarianism were abandoned in favour of a neoliberal ‘choice revolution’. With the new liberalism, hard work and individual responsibility replaced the idea of a Swedish ‘people’s home’, a nationwide community and social support network. This language was reflected in DBT, which sought to teach patients the ‘skills’ necessary ‘to create a life worth living’. In this context, therapy was constituted as a form of ‘work’ that the patient had to undertake to improve. Moreover, DBT rejected the prevailing view of Borderline patients as ‘manipulative’ and ‘aggressive’, suggesting instead that they were ‘helpless’, ‘weak’ and unable to regulate their emotions. This new Borderline persona fit neatly into the new liberal discourse: she could be taught to become a rational and independent person able to cope in a society that valued individual responsibility over social support.

scholarly journals ‘There’s Not Going to Be a Single Solution’: The Role of Resettlement Consortia in Improving the Resettlement Outcomes of Young People Leaving Custody

Youth Justice ◽  
2018 ◽  
Vol 18 (1) ◽  
pp. 67-81 ◽  
Author(s):  
Paul Gray ◽  
Hannah Smithson ◽  
Richard McHugh ◽  
Graham Smyth
Keyword(s):  
Young People ◽  
Process Evaluation ◽  
Youth Justice ◽  
Geographically Dispersed ◽  
Single Solution

As part of the government’s Transforming Youth Custody programme, in 2014 the Youth Justice Board (YJB) established four new resettlement consortia in four areas in England. This article presents the findings from a process evaluation of the new consortia, paying particular attention to the enablers and/or barriers that affected the implementation of an enhanced resettlement offer. We found that the consortia did appear to improve partnership working and collaboration between key agencies. Yet the delivery of an enhanced offer was often hampered by the geographically dispersed nature of the consortia, along with problems accessing suitable accommodation upon release.

scholarly journals A Qualitative Evaluation of Young People’s, Parents’ and Carers’ Experiences of a National and Specialist CAMHS Dialectical Behaviour Therapy Outpatient Service

2021 ◽  
Vol 18 (11) ◽  
pp. 5927
Author(s):  
Namali Ratnaweera ◽  
Katrina Hunt ◽  
Jake Camp
Keyword(s):  
Young People ◽  
Qualitative Methodology ◽  
Outpatient Service ◽  
Qualitative Evaluation ◽  
Young Person ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Recommended Treatment ◽  
Service Data

(1) Background: Dialectical Behaviour Therapy (DBT) is the recommended treatment for Borderline Personality Disorder (BPD) symptoms in adults, however, research investigating the effectiveness of DBT for adolescents is limited. The present study explores the experiences of young people and their parents/carers of a DBT service using qualitative methodology. (2) Methods: Young people and their parents/carers, who completed DBT within the National and Specialist Child and Adolescent Mental Health DBT Service based at the Maudsley Hospital in London, were asked questions regarding their experience of the service. Data was collected from young people who completed treatment between July 2019 and July 2020 (n = 18) and their parents and carers (n = 7). (3) Results: Amongst young people, the themes identified were: a new way of living, better understanding of self, new skills, person-centred approach, and relationships with others. Parent and carer interviews revealed themes of improved relationships, feeling supported, improved quality of life, and time/timing. (4) Conclusions: Young people reported improvements in emerging BPD symptomology after completing DBT. Parents and carers reported improvements in their young person and families since starting DBT. A longer DBT programme, earlier DBT intervention, and the time-consuming nature of DBT were highlighted as areas for improvement.

Case Formulation in DBT

2018 ◽  
pp. 236-258
Author(s):  
Shari Manning
Keyword(s):  
Treatment Plan ◽  
Initial Assessment ◽  
Worth Living ◽  
Case Formulation ◽  
Case Conceptualization ◽  
Behaviour Therapy ◽  
Life Worth Living ◽  
Formal Case ◽  
Pre Treatment ◽  
Stage 1

In Dialectical Behaviour Therapy (DBT), case conceptualization uses the principles and the protocols of the treatment to assess client goals and behaviours, create a treatment plan, and provide accurate interventions that ultimately bring the client to his/her life worth living goals. It begins with the initial assessment and continues through pre-treatment. Throughout treatment specific behavioural targets are conceptualized using a behavioural formulation, including functions, controlling variables, and the behavioural interventions that treat the behaviours. The case conceptualization is organic and changes as needed. Formal case conceptualizations can be written or therapists can articulate their conceptualization of a case as they conduct the therapy. This chapter describes the purpose of case conceptualization in DBT, describes the various sections of the conceptualization that are used most frequently by DBT therapists, and concludes with a DBT case conceptualization example for a current Stage 1 DBT client.

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