[Dialectical behaviour theory in the Netherlands: implementation and consolidation].

Area of Science:

• Psychiatry
• Clinical Psychology
• Mental Health Services Research

Background:

• Evidence-based treatments for severe personality disorders are increasing.
• Challenges exist in implementing and sustaining these treatment programs.
• Dialectical Behavior Therapy (DBT) teams demonstrate notable program longevity.

Purpose of the Study:

• To identify factors contributing to the sustained operation of DBT teams.
• To understand the facilitators of long-term DBT program implementation.

Main Methods:

• A questionnaire survey was administered to 25 Dutch DBT teams.
• The survey included open, multiple-choice, and closed questions.
• Investigated factors influencing the continuation of DBT treatment programs.

Main Results:

• Team and managerial commitment are primary drivers of program survival.
• Strong organizational embedding, team cohesion, and support for the DBT model are crucial.
• Positive team dynamics and shared belief in the treatment approach foster sustainability.

Conclusions:

• A functional consultation team is vital for DBT program continuity.
• Independent external supervision is essential for maintaining team alertness and awareness of current trends.
• Sustaining DBT programs requires both internal team strength and external support structures.