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date: 10 December 2019

Abstract and Keywords

This chapter describes a novel approach to expanding DBT Skills delivery from clinical to school-based settings as a universal preventive intervention among adolescents (DBT STEPS-A). This chapter highlights the adaptation, implementation strategies, and generalization of DBT skills derived from the evidence-based treatments of comprehensive DBT and adolescent DBT skills as a preventive approach to helping adolescents develop a set of emotion regulation, decision-making, and coping strategies for current and future use. It discusses the rationale for creating DBT STEPS-A, curriculum integration issues, implementation strategies, and advantageous lesson structure that aligns with adolescent development. Finally, it examines the preliminary findings from schools that have implemented DBT STEPS-A, and implications of these findings along with future development and guidelines about DBT STEPS-A use in nonclinical settings. Furthermore, it explores the potential to provide adolescents with an upstream approach to reduce emotionally dysregulated behaviour, especially non-suicidal self-injury (NSSI) and suicidal thoughts and behaviours (STB).

Keywords: DBT STEPS-A, DBT Skills, school-based settings, universal preventive intervention, adolescent, emotion dysregulation

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