Dialectical Behavior Therapy Training and Desired Resources for Implementation: Results From a National Program Evaluation in the Veterans Health Administration.

Context: Little is known about nonresearch training experiences of providers who implement evidence-based psychotherapies for suicidal behaviors among veterans.Evidence Acquisition: This national program evaluation identified the history of training, training needs, and desired resources of clinicia...

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Detalles Bibliográficos
Publicado en:Military Medicine Vol. 181; no. 8; pp. 747 - 753
Autores principales: Landes, Sara J., Matthieu, Monica M., Smith, Brandy N., Trent, Lindsay R., Rodriguez, Allison L., Kemp, Janet, Thompson, Caitlin
Formato: research Journal Article
Publicado: Oxford University Press / USA Aug2016
Acceso en línea:Ver este registro en EBSCOhost
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Sumario:Context: Little is known about nonresearch training experiences of providers who implement evidence-based psychotherapies for suicidal behaviors among veterans.Evidence Acquisition: This national program evaluation identified the history of training, training needs, and desired resources of clinicians who work with at-risk veterans in a national health care system. This sequential mixed methods national program evaluation used a post-only survey design to obtain needs assessment data from clinical sites (N = 59) within Veterans Health Administration (VHA) facilities that implemented dialectical behavior therapy (DBT). Data were also collected on resources preferred to support ongoing use of DBT.Results: While only 33% of clinical sites within VHA facilities reported that staff attended a formal DBT intensive training workshop, nearly 97% of participating sites reported having staff who completed self-study using DBT manuals. Mobile apps for therapists and clients and templates for documentation in the electronic health records to support measurement-based care were desired clinical resources.Conclusion: Results indicate that less-intensive training models can aid staff in implementing DBT in real-world health care settings. While more training is requested, a number of VHA facilities have successfully implemented DBT into the continuum of care for veterans at risk for suicide.