Linking Native American Tribal Policy to Practice in Mental Health Care

Kinsey, Kathy S.; Reed, Pamela G.

doi:10.1177/0894318414558616

Cited by 9 publications

(20 citation statements)

References 13 publications

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“…Furthermore, the decision to include only published literature biased the review towards considering effective DBT implementations as most trials and programme descriptions reported positive results. In particular the literature reviewed, with the exception of a DBT implementation with Native Americans [43], cannot inform how DBT implementation is achieved with marginalised and particularly high risk populations, such as cultural minority groups. When more information about DBT implementations with such populations become available, the framework may require refinement.…”

Section: Discussionmentioning

confidence: 99%

“…As seen in Table 2, nine papers collected retrospective ( [23][24][25][26][27][28][29][30][31]) and five papers ( [32][33][34][35][36]) collected prospective implementation data. There were 16 programme descriptions ( [37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52]) and 19 trial process analyses ( [53][54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69][70][71]). The majority (N = 38) of papers were from the United States (US), and most implementations of DBT we...…”

Section: Critical Literature Reviewmentioning

confidence: 99%

“…Champions needed to have influencing skills (e.g. [51]), cultural sensitivity, a willingness to undertake tasks, such as, securing funding [43], and an ability to model DBT skills [46]. In many cases the DBT consultation team seemed to undertake championing tasks through generating interest (e.g.…”

Section: Leadershipmentioning

confidence: 99%

“…Evidence of clinical improvement can reinforce implementation attempts [24], although only 7% of respondents in one survey agreed that improved patient outcomes were an implementation facilitator [31]. Sometimes demonstrating good patient outcomes generated interest in DBT [37] and led to further funding [43]. However, there were only five examples of services routinely evaluating outcomes ( [37,39,42,47,48]).…”

Section: Local Knowledge and Evaluationmentioning

confidence: 99%

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The development and theoretical application of an implementation framework for dialectical behaviour therapy: a critical literature review

Toms

Williams

Rycroft-Malone

et al. 2019

bord personal disord emot dysregul

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BackgroundDialectical behaviour therapy (DBT) is a third wave behaviour therapy combining behaviour based components with elements of mindfulness. Although DBT effectiveness has been explored, relatively little attention has been given to its implementation. Frameworks are often the basis for gathering information about implementation and can also direct how the implementation of an intervention is conducted. Using existing implementation frameworks, this critical literature review scoped the DBT implementation literature to develop and refine a bespoke DBT implementation framework.Method and resultsThe initial framework was developed by consolidating existing implementation frameworks and published guidance on DBT implementation. The critical literature review retrieved papers from Medline, CINAHL, PsycInfo, PubMed, and the reference lists of included papers. Framework elements were used as codes which were applied to the literature and guided the synthesis. Findings from the synthesis refined the framework.The critical literature review retrieved 60 papers but only 14 of these explicitly focused on implementation. The DBT implementation framework captured all the execution barriers and facilitators described in the literature. However, the evidence synthesis led to a more parsimonious framework as some elements (e.g., research and published guidance) were seldom discussed in DBT implementation.ConclusionTo our knowledge this is the first published review exploring DBT implementation. The literature synthesis suggests some tentative recommendations which warrant further exploration. For instance, if DBT implementation is not pre-planned, having someone in the organisation who champions DBT can be advantageous. However, as the literature is limited and has methodological limitations, further prospective studies of DBT implementation are needed.Electronic supplementary materialThe online version of this article (10.1186/s40479-019-0102-7) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Critical Literature Reviewmentioning

confidence: 99%

Section: Leadershipmentioning

confidence: 99%

Section: Local Knowledge and Evaluationmentioning

confidence: 99%

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The development and theoretical application of an implementation framework for dialectical behaviour therapy: a critical literature review

Toms

Williams

Rycroft-Malone

et al. 2019

bord personal disord emot dysregul

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“…During training, teams and team leads should consider who has the necessary skills for the role. Team leads will need to have sufficient skill and organisational connections to effectively liaise with the wider organisation to ensure the team has necessary resources, including funding (Kinsey & Reed, 2015) and to protect the team as far as possible from wider organisational pressures. Ideally, team leads have a more senior position in the wider system combined with influencing skills.…”

Section: A Further Fifth Function Structuring the Environment Becommentioning

confidence: 99%

Reducing suicidal behaviour in people with complex needs: Addressing the challenge of implementing dialectical behaviour therapy

Swales¹

2019

Suicid.

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Dialektisk atferdsterapi (DBT) er en evidensbasert psykoterapimetode som opprinnelig ble utviklet som en behandling for mennesker med emosjonelt ustabil personlighetsforstyrrelse med særlig fokus på selvmords- og selvskadingsatferd. Denne artikkelen beskriver hvordan DBT spesifikt behandler både vedvarende risikofaktorer som bidrar til selvmords- og selvskadingsatferd, og akutte selvmordskriser når de oppstår. Til tross for at Dialektisk atferdsterapi har betydelig effekt i behandlingen av selvmords- og selvskadeatferd, byr DBT på noen utfordringer for implementering i daglig klinisk praksis. Artikkelen diskuterer disse utfordringene og hvordan de kan løses.

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The impact of dialectical behaviour therapy training on therapists in Singapore: A mixed‐methods study

Tan

Saw

Keng

et al. 2023

Couns and Psychother Res

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Background: While dialectical behaviour therapy (DBT) has much empirical support for treating borderline personality disorder (BPD) and other conditions, little research has examined the dissemination of DBT in Southeast Asia. Aims: This study evaluated training outcomes following a 5-day intensive DBT training programme in a group of psychologists in Singapore, who were in the process of implementing DBT as part of the training's objectives. Methodology: A mixed-methods design was employed. Fourteen psychologists from a public psychiatric hospital in Singapore were recruited. Seven self-selected into DBT training, and the remaining were matched controls who were not attending the training programme. The latter served as a nonrandomised control group. Prior to and 3 months after training, all participants completed measures of stigma towards BPD patients, burnout and therapeutic alliance. DBT training participants additionally attended a focus group discussion assessing their experiences and challenges implementing DBT in Singapore's context.Findings: Quantitative analyses using mixed ANOVA showed that, compared with controls, DBT-trained participants demonstrated significantly greater increases in acceptance towards BPD patients. No between-group differences were found on changes in burnout or therapy alliance with patients. Analyses of qualitative data using thematic analysis revealed that DBT training impacted the way participants conceptualised and delivered therapy for BPD patients, and highlighted several challenges in implementing DBT in the local hospital context. Conclusion:The findings demonstrate the potential of DBT training in improving clinicians' attitudes towards BPD patients and support a need for policymakers to prepare organisations for DBT implementation to ensure programme sustainability.

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Linking Native American Tribal Policy to Practice in Mental Health Care

Cited by 9 publications

References 13 publications

The development and theoretical application of an implementation framework for dialectical behaviour therapy: a critical literature review

The development and theoretical application of an implementation framework for dialectical behaviour therapy: a critical literature review

Reducing suicidal behaviour in people with complex needs: Addressing the challenge of implementing dialectical behaviour therapy

The impact of dialectical behaviour therapy training on therapists in Singapore: A mixed‐methods study

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