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Administration and Policy in Mental Health and Mental Health Services Research

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01-09-2014 | Original Article

Barriers and Solutions to Implementing Dialectical Behavior Therapy in a Public Behavioral Health System

Authors: Adam Carmel, Monica Leila Rose, Alan E. Fruzzetti

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 5/2014

Abstract

Dialectical behavior therapy (DBT) is an evidence-based treatment that is considered to be the standard of care in treating individuals with BPD, however there have been few published studies to identify the challenges and solutions for implementing DBT in community-based settings. The current study identified the barriers and solutions within a system-wide roll-out of DBT within a large, urban public health system encompassing both mental health and substance abuse treatment settings. Qualitative interviews were conducted with 19 clinicians receiving DBT training over a period of 13 months. A content analysis revealed three themes that were identified as challenges to the DBT implementation process including program development and recruitment of patients, a lack of administrative support or organizational investment in DBT, and time commitment of DBT. In order to transfer DBT into a public behavioral health system, investment from both clinic- and system-level administrators is required. Strategies to prevent drift, such as incorporating a train-the-trainer model, are discussed.

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Title: Barriers and Solutions to Implementing Dialectical Behavior Therapy in a Public Behavioral Health System
Authors: Adam Carmel
Monica Leila Rose
Alan E. Fruzzetti
Publication date: 01-09-2014
Publisher: Springer US
Published in: Administration and Policy in Mental Health and Mental Health Services Research / Issue 5/2014
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-013-0504-6

At a glance: The STEP trials

Springer Medicine

Barriers and Solutions to Implementing Dialectical Behavior Therapy in a Public Behavioral Health System

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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