Service user experience of adapted dialectical behaviour therapy in a community adult mental health setting

2012 ◽  
Vol 21 (6) ◽  
pp. 539-547 ◽  
Author(s):  
Pamela McSherry ◽  
Caroline O'Connor ◽  
David Hevey ◽  
Pat Gibbons
Keyword(s):  
Mental Health ◽  
User Experience ◽  
Service User ◽  
Mental Health Setting ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Adult Mental Health ◽  
Service User Experience ◽  
Community Adult

scholarly journals Mental Health Service User Experience of Positive Psychotherapy

2014 ◽  
Vol 71 (1) ◽  
pp. 85-92 ◽  
Author(s):  
Tamsin Brownell ◽  
Beate Schrank ◽  
Zivile Jakaite ◽  
Charley Larkin ◽  
Mike Slade
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
User Experience ◽  
Service User ◽  
Positive Psychotherapy ◽  
Mental Health Service User ◽  
Service User Experience

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.

Journeys into dialectical behaviour therapy (DBT): capturing the staff and service-user experience

2016 ◽  
Vol 7 (2) ◽  
pp. 84-93 ◽  
Author(s):  
Paula Johnson ◽  
Michaela Thomson
Keyword(s):  
Service User ◽  
Design Methodology ◽  
Evidence Base ◽  
Service Users ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Content Type ◽  
Shared Experiences ◽  
The People ◽  
Service User Experience

Purpose – The purpose of this paper is to explore the lived experiences of staff and service-users regarding the introduction of dialectical behaviour therapy (DBT) into an NHS forensic learning disability (LD) service. Design/methodology/approach – Drawing on data from two recent qualitative research studies, the research team used a case-oriented approach to see beyond original findings to capture the shared experiences of the participants’ journeys, thus giving a deeper insight to the commonalities of the participants’ voices which is rarely reported in the literature (Sandelowski, 2011). Findings – A common set of phenomena became apparent when the cases were analysed, these included: trust, intensity and worthwhile. It is intended this paper gives some opportunity for reflection and shared empathetic responses to the similar experiences discussed. Originality/value – The case-orientated analysis adds value to the evidence base by highlighting the importance of the qualitative voice of both the staff and service user. This is important because most available literature reflects the process of setting up a team or DBT service, rather than describing the team experience. Equally, most published literature regarding the effectiveness of DBT is not written from the perspective of the people who receive the therapy.

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.

scholarly journals An evaluation of service user experience, clinical outcomes and service use associated with urgent care services that utilise telephone-based digital triage: a systematic review protocol

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Vanashree Sexton ◽  
Jeremy Dale ◽  
Helen Atherton
Keyword(s):  
Systematic Review ◽  
Mixed Methods ◽  
Clinical Outcomes ◽  
User Experience ◽  
Service User ◽  
Service Use ◽  
Urgent Care ◽  
Narrative Synthesis ◽  
Service User Experience ◽  
Synthesis Approach

Abstract Background Telephone-based digital triage is widely used by services that provide urgent care. This involves a call handler or clinician using a digital triage tool to generate algorithm-based care advice, based on a patient’s symptoms. Advice typically takes the form of signposting within defined levels of urgency to specific services or self-care advice. Despite wide adoption, there is limited evaluation of its impact on service user experience, service use and clinical outcomes; no previous systematic reviews have focussed on services that utilise digital triage, and its impact on these outcome areas within urgent care. This review aims to address this need, particularly now that telephone-based digital triage is well established in healthcare delivery. Methods Studies assessing the impact of telephone-based digital triage on service user experience, health care service use and clinical outcomes will be identified through searches conducted in Medline, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science and Scopus. Search terms using words relating to digital triage and urgent care settings (excluding in-hours general practice) will be used. The review will include all original study types including qualitative, quantitative and mixed methods studies; studies published in the last 20 years and studies published in English. Quality assessment of studies will be conducted using the Mixed Methods Appraisal Tool (MMAT); a narrative synthesis approach will be used to analyse and summarise findings. Discussion This is the first systematic review to evaluate service user experience, service use and clinical outcomes related to the use of telephone-based digital triage in urgent care settings. It will evaluate evidence from studies of wide-ranging designs. The narrative synthesis approach will enable the integration of findings to provide new insights on service delivery. Models of urgent care continue to evolve rapidly, with the emergence of self-triage tools and national help lines. Findings from this review will be presented in a practical format that can feed into the design of digital triage tools, future service design and healthcare policy. Systematic review registration This systematic review is registered on the international database of prospectively registered systematic reviews in health and social care (PROSPERO 2020 CRD42020178500).

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