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date: 23 April 2019

Abstract and Keywords

Dialectical Behaviour Therapy (DBT) has been researched in routine clinical settings in Europe, the US, and Australasia. This chapter reports on those studies, five evaluated outcomes over 12 months of intervention, and eight studies over five or six months. The majority of studies showed a significant reduction in self-injurious behaviour, but significant differences were found in secondary outcomes of depression, quality of life, psychiatric hospital admission days, and general psychiatric symptoms. Adaptations of DBT in routine care settings included briefer phone coaching time, reduced length of skills training, individual skills training, and skills training only. Two studies evaluated an intervention following completion of standard DBT. Overall, the studies reported showed a large difference in the amount of training and supervision received by clinicians and fidelity monitoring was included in only four studies. In addition to quantitative outcomes, this chapter reports on qualitative research describing the experience of DBT participants.

Keywords: Routine clinical settings, standard DBT, effectiveness studies, outcomes, qualitative research

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