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Implementation of Dialectical Behavior Therapy in Residential Treatment Programs: A Process Evaluation Model for a

Amber M Holbrook1, Susan R Hunt2, Mary Renata See3

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Summary

Implementing dialectical behavior therapy (DBT) in residential programs is challenging. This study presents a low-cost evaluation model to assess DBT training effectiveness and sustainability, focusing on staff and organizational factors.

Keywords:
Community researchCommunity-based organizationsDialectical behavior therapyEvidence-based practiceImplementation researchProgram evaluation

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Area of Science:

  • Mental Health
  • Psychotherapy Research
  • Healthcare Management

Background:

  • Dialectical Behavior Therapy (DBT) implementation faces challenges in community-based and residential settings.
  • Limited guidance exists for evaluating training and implementation efforts of evidence-based practices.
  • Residential programs can benefit from evidence-based practices but encounter unique implementation hurdles.

Purpose of the Study:

  • To present a low-cost process evaluation model for assessing Dialectical Behavior Therapy (DBT) training.
  • To evaluate the effectiveness and sustainability of DBT training piloted in residential programs.
  • To identify key staff and organizational factors crucial for successful evidence-based practice implementation.

Main Methods:

  • Development of a process evaluation model tailored for DBT training in residential settings.
  • Focus on assessing staff and organizational factors influencing implementation.
  • Data collection aligned with the four stages of the DBT training model.

Main Results:

  • The proposed model offers a feasible approach to evaluating DBT training in challenging environments.
  • Identified critical staff and organizational factors for successful DBT implementation.
  • The evaluation framework is adaptable to the distinct phases of DBT training.

Conclusions:

  • A low-cost process evaluation model can effectively assess DBT training in residential programs.
  • The model aids in understanding and improving the implementation of evidence-based practices.
  • Further research should explore the model's broader applicability and long-term impact.