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date: 14 October 2019

Abstract and Keywords

Implementation of Dialectical Behaviour Therapy (DBT) has been studied to a much lesser extent than the effectiveness of DBT. Implementation science is the study of strategies to promote the integration of research evidence into healthcare policy and practice. Implementation strategies for DBT include training, consultation, clinic reorganization, changing billing rates to cover cost of team, etc. When evaluating the implementation of an evidence-based practice such as DBT it can be helpful to focus on acceptability, appropriateness, adoption, feasibility, fidelity, reach, cost, and sustainability. These implementation outcomes can be thought of as DBT “implementation targets.” Client outcomes are the core goal of DBT implementation and to achieve them it is critical to target implementation outcomes first. This chapter discusses each implementation outcome in relation to DBT implementation research and the authors’ practical experience. It highlights key points to consider when newly implementing DBT, consulting with others implementing DBT, or trying to solve implementation problems.

Keywords: dialectical behaviour therapy, implementation, feasibility, acceptability, sustainability, cost, reach, adoption

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