ERIC Number: EJ796807
Record Type: Journal
Publication Date: 2007-Nov
Pages: 9
Abstractor: Author
ISBN: N/A
ISSN: ISSN-1077-7229
EISSN: N/A
Effectiveness of Dialectical Behavior Therapy in a Community Mental Health Center
Comtois, Katherine Anne; Elwood, Lynn; Holdcraft, Laura C.; Smith, Wayne R.; Simpson, Tracy L.
Cognitive and Behavioral Practice, v14 n4 p406-414 Nov 2007
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.)
Descriptors: Personality Problems, Mental Health Programs, Injuries, Mental Health, Behavior Modification, Suicide, Therapy, Outcomes of Treatment, Measures (Individuals), Psychiatric Hospitals, Comparative Analysis, Benchmarking, Validity, Self Destructive Behavior
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Publication Type: Journal Articles; Reports - Evaluative
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A