A practice-based evaluation of a dialectical behavioural therapy skills group intervention in a secondary care mental health service

Murphy, Donnchadh; Hostick, Mike; Skitt, Sarah Louise; Turner, A. B.

doi:10.7748/mhp.2018.e1254

Cited by 2 publications

(1 citation statement)

References 14 publications

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“…DBT has since been adapted for adolescents (DBT-A; Miller et al, 2007), and it can also include a "Walking the Middle Path" (WTMP) module which focusses on relationships between young people and their caregivers (Rathus and Miller, 2015). There is an increasing body of evidence to support the merit of DBT in reducing symptomatic, behavioural and social impairments (Murphy et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Adolescent inpatient completers of dialectical behaviour therapy

Hancock-Johnson

Staniforth

Pomroy

et al. 2019

JFP

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Purpose Dialectical behaviour therapy (DBT) aims to reduce emotional dysregulation and engagement in less adaptive behaviours for adults with mixed disorders of conduct and emotions (MDCE). However, there is limited evidence available for the effectiveness of DBT skills training for adolescents with MDCE who are resident within a secure impatient setting. The paper aims to discuss these issues. Design/methodology/approach A retrospective study investigated changes in aggressive and self-injurious behaviours in 22 adolescents within a secure inpatient mental health setting with MDCE who had completed one cycle of DBT skills training. Changes in symptomatic problems, behavioural and social impairment were also investigated in 17 of the 22 participants who completed the DBT skills training cycle. Findings There were statistically significant decreases in the frequencies of engagement in total aggressive and deliberate self-harm behaviours after the DBT skills training cycle. There was a significant improvement in symptomatic and behavioural impairment, but not in social impairment. Practical implications The findings of this study suggest that DBT skills training may be beneficial for behavioural and symptomatic outcomes in adolescent inpatients with MDCE. Originality/value This study provides preliminary evidence for the effectiveness of DBT skills training for adolescents with MDCE within a secure inpatient setting. Additional studies are required to investigate the clinical benefits of specific aspects of DBT for individual patients.

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Section: Introductionmentioning

confidence: 99%