Introduction
Dialectical Behavior Therapy (DBT) is a well-recognized evidence-based treatment that addresses suicidal behaviors and self-injury, especially in adolescents. The study "Efficacy and sustainability of dialectical behavior therapy for inpatient adolescents: a follow-up study" by Tebbett-Mock et al. explores the efficacy and sustainability of DBT in an inpatient setting for adolescents. This blog will delve into the key findings of the study and discuss how practitioners can enhance their skills by implementing these outcomes or pursuing further research.
Key Findings from the Study
The study conducted a follow-up analysis of adolescents receiving DBT in an inpatient setting, comparing two groups (DBT Group 1 and DBT Group 2) with a historical control group that received Treatment as Usual (TAU). The research aimed to determine if DBT Group 2 maintained the efficacy of DBT Group 1 and how it compared to TAU.
- DBT Group 2 was comparable to DBT Group 1 in terms of constant observation hours for self-injury, restraints, and days hospitalized.
- However, DBT Group 2 had a significantly higher number of suicide attempts and self-injury incidents compared to DBT Group 1 and TAU.
- The study highlighted staff turnover and lack of training as potential barriers to the sustainability and efficacy of DBT.
Implications for Practitioners
For practitioners, the study underscores the importance of maintaining a well-trained and stable staff to ensure the sustainability and efficacy of DBT in inpatient settings. Here are some practical steps practitioners can take:
- Invest in Continuous Training: Regular training sessions and workshops can help maintain staff skills and adherence to DBT protocols.
- Focus on Staff Retention: Implement strategies to reduce staff turnover, such as offering competitive benefits and creating a supportive work environment.
- Utilize Online Training: Consider online training modules as a flexible and cost-effective way to keep staff updated on DBT techniques.
- Monitor Treatment Fidelity: Regularly assess the fidelity of DBT implementation to ensure that treatment protocols are being followed correctly.
Encouraging Further Research
While the study provides valuable insights, it also highlights areas where further research is needed. Practitioners and researchers are encouraged to explore the following:
- Randomized Controlled Trials: Conduct trials to rigorously assess the efficacy of DBT in various inpatient settings.
- Staff-Level Variables: Investigate the impact of staff training, turnover, and burnout on treatment outcomes.
- Innovative Training Models: Explore new training models that can effectively prepare staff for implementing DBT in diverse settings.
By addressing these areas, practitioners can contribute to the ongoing improvement of DBT implementation and outcomes for adolescents in inpatient settings.
To read the original research paper, please follow this link: Efficacy and sustainability of dialectical behaviour therapy for inpatient adolescents: a follow-up study.
