Predictors of Adoption and Reach Following Dialectical Behavior Therapy Intensive Training™
Abstract
Dialectical behavior therapy (DBT) is an evidence-based treatment for borderline personality disorder. The DBT Intensive Training™ is widely used to train community clinicians to deliver DBT, but little is known about its effectiveness. This study prospectively evaluated predictors of adoption and reach of DBT among 52 community teams (212 clinicians) after DBT Intensive Training™. Pre-post training questionnaires were completed by trainees and a follow-up survey by team leaders approximately 8 months later. Overall, 75% of teams adopted all DBT modes and delivered DBT to an average of 118 clients. Lower training and program needs, fewer bachelor's-level clinicians, and greater prior DBT experience predicted adoption of more DBT modes. More prior DBT experience, smaller team size, more negative team functioning, and staff with lower job satisfaction, growth, efficacy, and influence predicted greater DBT reach. DBT Intensive Training™ appears effective in promoting DBT adoption and reach in routine clinical practice settings.
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Adoption of more modes of DBT was predicted by lower training needs and program needs, fewer bachelor's-level clinicians, and greater prior DBT experience.
“The adoption of more modes of DBT was predicted by lower training needs and program needs, fewer bachelor’s-level clinicians, and greater prior DBT experience.”
From The use of CAMS and DBT to effectively treat patients who are suicidal (2024) · cites this paper as [57]
In a study on adoption of DBT following intensive training with 52 teams, 75% of the teams adopted all four DBT modes by 8 months after training.
“A study on the adoption of DBT following intensive training with 52 teams found that 75% of the teams adopted all four DBT modes by 8 months after training (57).”
From The use of CAMS and DBT to effectively treat patients who are suicidal (2024) · cites this paper as [57]
Programs or teams with more resources and fewer stressors can more readily adopt the full model of DBT.
“This study suggests that programs/teams with more resources and fewer stressors can more readily adopt the full model of DBT.”
From The use of CAMS and DBT to effectively treat patients who are suicidal (2024) · cites this paper as [57]
DBT team size was not associated with the number of DBT components adopted and was negatively associated with reach.
“In contrast, another study found that DBT team size was not associated with the number of DBT components adopted and was negatively associated with reach, suggesting reach may reflect high workloads [72].”
From Teamwork and implementation of innovations in healthcare and human service settings: a systematic review (2024) · cites this paper as [72]
Reach may reflect high workloads.
“DBT teams with more negative functioning had greater reach, suggesting that reach may reflect high workloads; positive functioning was not associated with reach [72].”
From Teamwork and implementation of innovations in healthcare and human service settings: a systematic review (2024) · cites this paper as [72]
Positive functioning was not associated with reach in DBT teams.
“DBT teams with more negative functioning had greater reach, suggesting that reach may reflect high workloads; positive functioning was not associated with reach [72].”
From Teamwork and implementation of innovations in healthcare and human service settings: a systematic review (2024) · cites this paper as [72]
Neither positive nor negative team functioning was associated with the number of DBT modes adopted.
“In a study of DBT teams, neither positive nor negative team functioning was associated with the number of DBT modes adopted [72].”
From Teamwork and implementation of innovations in healthcare and human service settings: a systematic review (2024) · cites this paper as [72]
DBT teams with more negative functioning had greater reach.
“DBT teams with more negative functioning had greater reach, suggesting that reach may reflect high workloads; positive functioning was not associated with reach [72].”
From Teamwork and implementation of innovations in healthcare and human service settings: a systematic review (2024) · cites this paper as [72]
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- Authors
- Navarro-Haro, M. V., Harned, M. S., Korslund, K. E., DuBose, A., Chen, T., Ivanoff, A., & Linehan, M. M.
- Affiliations
- University of Washington (US)
- Behavioral Tech (US)
- Venue
- Community Mental Health Journal
- Published
- 2018-03-05
- Volume
- 55
- Issue
- 1
- Pages
- 100-111
- ISSN
- 0010-3853 (ISSN-L)
- 1573-2789
- OpenAlex
- W2792998461
- Cited by
- 25
- References
- 10
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 7 · 2023: 5 · 2022: 1 · 2021: 4 · 2020: 2
- FWCI
- 1.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Community Mental Health Journal (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Linehan Institute
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- dialectical behavior therapy, borderline personality disorder, treatment adoption, community mental health teams, clinician training, team functioning, job satisfaction
- MeSH terms
- Social Workers, Counselors, Dialectical Behavior Therapy, Attitude of Health Personnel, Borderline Personality Disorder, Female, Health Personnel, Humans, Male, Psychology, Surveys and Questionnaires, United States
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