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date: 21 April 2019

Abstract and Keywords

International implementation of dialectical behaviour therapy (DBT) faces many challenges, particularly training therapists across cultures. DBT was born out of necessity to help suicidal individuals suffering from severe emotion dysregulation. Due to a growing popularity of the treatment and rising need for transdiagnostic, evidence-based treatments that target suicidal behaviour, DBT implementation has spread globally. The need for increased international DBT implementation is critical, but implementation efforts require careful examination. Due to the resource-intensive framework of DBT, requiring four modes of treatment, in addition to the multiple strategies required of providers, implementation efforts present novel and significant obstacles to consider. This chapter reviews the history of international DBT implementations and outlines important factors to consider in future implementations. Future implementations will also be strongly influenced by findings from the growing field of dissemination and implementation science.

Keywords: dialectical behaviour therapy, implementation, dissemination, evidence-based treatments, therapist training

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