Effectiveness of Dialectical Behavior Therapy in a Community Mental Health Center

Autor/inn/en	Comtois, Katherine Anne; Elwood, Lynn; Holdcraft, Laura C.; Smith, Wayne R.; Simpson, Tracy L.
Titel	Effectiveness of Dialectical Behavior Therapy in a Community Mental Health Center
Quelle	In: Cognitive and Behavioral Practice, 14 (2007) 4, S.406-414 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1077-7229
DOI	10.1016/j.cbpra.2006.04.023
Schlagwörter	Personality Problems; Mental Health Programs; Injuries; Behavior Modification; Suicide; Therapy; Outcomes of Treatment; Measures (Individuals); Psychiatric Hospitals; Comparative Analysis; Benchmarking; Validity; Self Destructive Behavior + Suchen Sie Ihr Suchwort? Behaviour modification; Verhaltensänderung; Selbstmord; Therapie; Messdaten; Phsychiatric institution; Psychiatrische Einrichtung; Gültigkeit; Self destrucive behaviour; Selbstzerstörung
Abstract	Dialectical behavior therapy (DBT) has been shown to be effective in randomized controlled trials with women with borderline personality disorder and histories of chronic self-inflicted injury including suicide attempts. The present study is a pre-post replication of a comprehensive DBT program in a community mental health center for individuals who chronically injure themselves and/or have experienced multiple treatment failures. Twenty-four subjects were given the Treatment History Interview to obtain information regarding medically treated self-inflicted injuries and the use of crisis services. After 1 year of treatment, DBT showed a significant reduction in the number and severity of self-inflicted injuries, psychiatric-related emergency room visits, psychiatric inpatient admissions and days, and the number of crisis treatment systems engaged. Results are compared to benchmarks from 3 other clinical trials of DBT. While this pre-post comparison has threats to internal validity, it supports the feasibility of DBT when fully implemented in a community mental health clinic. (Contains 2 tables.) (Author).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10