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Community Mental Health Journal
Erschienen in: Community Mental Health Journal 1/2013

01.02.2013 | Original Paper

Utilization of Evidenced Based Dialectical Behavioral Therapy in Assertive Community Treatment: Examining Feasibility and Challenges

verfasst von: Tracee Burroughs, Jacqueline Somerville

Erschienen in: Community Mental Health Journal | Ausgabe 1/2013

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Abstract

Assertive Community Treatment (ACT) programs have been treating individuals with chronic and severe mental illness since the 1970s. While ACT programs were developed to address the treatment needs of severely mentally ill persons traditionally suffering from chronic mental illnesses, ACT programs are seeing a growing number of persons with co-morbid personality disorders. The efficacy of traditional ACT programs in treating individuals with co-occurring personality disorders is uncertain, in particular individuals with co-morbid Borderline Personality Disorder (BPD). Dialectical Behavior Therapy (DBT) has been proposed as an effective approach to treating clients with BPD in this setting. The purpose of this paper is to examine the value of DBT for individuals with BPD in ACT programs. The writers discuss the prevalence of Borderline Personality Disorders in ACT populations, briefly review the literature on DBT in ACT, address the feasibility of implementing DBT in an ACT model, examine potential barriers to this implementation, and highlight potential areas for future research.
Literatur
Aarons, G. A. (2004). Mental health providers’ attitudes toward adoption of evidenced-based practices: The evidenced-based practice attitude scale (EBPAS). Mental Health Services Research, 6(2), 61–74.PubMedCrossRef
Aarons, G. A., & Palinkas, L. A. (2007). Implementation of evidenced based practice in child welfare: Service provider prospective. Administration and Police in Mental Health & Mental Health Services Research, 34, 411–419.CrossRef
Adams, N., & Grieder, D. M. (2005). Treatment planning for person-centered care: The road to mental health and addiction recovery. Burlington, MA: Elsevier Academic Press.
Allness, D., & Knoedler, W. (2003). National Program Standards for ACT Teams. Arlington, VA: National Alliance for the Mentally Ill.
Black, D., Blum, N., Pfohl, B., & Hale, N. (2004). Suicidal behavior in borderline personality disorder: Prevalence, risk factors, predictions, and prevention. Journal of Personality Disorders, 18(3), 226–239.PubMedCrossRef
Bohus, M., Haaf, B., Stiglmayer, C., Pohl, U., Boehme, R., & Linehan, M. (2000). Evaluation of inpatient dialectical behavior therapy for borderline personality disorder—A prospective study. Behavior Research and Therapy, 38(9), 875–887.CrossRef
Bond, G., Drake, R., Mueser, K., & Latimer, E. (2001). Assertive community treatment for people with severe mental illness: Critical ingredients and impact on patients. Disease Manage Health Outcomes, 9(3), 141–159.CrossRef
Bond, G. R., Witheridge, T. F., Dincin, J., Wasmer, D., Webb, J., & De Graaf-Kaser, R. (1990). Assertive community treatment for frequent users of psychiatric hospitals in a large city: A controlled study. American Journal of Community Psychology, 18, 865–891.PubMedCrossRef
Borland, A., McRae, J., & Lycan, C. (1989). Outcomes of five years of continuous intensive case management. Hospital & Community Psychiatry, 40, 369–376.
Burns, T. (2010). The rise and fall of assertive community treatment? International Review of Psychiatry, 22(2), 130–137.PubMedCrossRef
Corrigan, P. W. (1994). Differences between clinical and nursing inpatient staff: Implications for training in behavioral rehabilitation. Journal of Behavioral Therapy and Experimental Psychiatry, 25, 311–316.CrossRef
Corrigan, P. W., McCracken, S. G., Kommana, S., Edwards, M., & Simpatico, T. (1997). Changing staff attitudes about behavioral rehabilitation programs. Psychiatric Services, 48, 1336–1338.PubMed
Corrigan, P. W., Steiner, L., McCracken, S. G., Blaser, B., & Barr, M. (2001). Strategies for disseminating evidence-based practices to staff who treat people with serious mental illness. Psychiatric Services, 52(12), 1598–1606.PubMedCrossRef
Cunningham, K., Wolbert, R., & Lillie, B. (2004). It’s about me solving my problems: Clients’ assessments of dialectical behavior therapy. Cognitive and Behavioral Practice., 11, 248–256.CrossRef
Davidson, D. (1999). Assertive outreach: Making sense of models. Mental Health Review, 4, 20–23.CrossRef
Deegan, P. (1997). Recovery and empowerment for people with psychiatric disabilities. Social Work in Mental Health Care, 25(3), 11–24.CrossRef
Dewe, C., & Krawitz, R. (2007). Component analysis of dialectical behavior therapy skills training. Australasian Psychiatry, 15(3), 222–225.PubMedCrossRef
Dimeff, L. A., & Koerner, K. (2007). Dialectical behavior therapy in clinical practice: applications across disorders and settings. New York: The Guilford Press.
Donat, D., & McKeegan, G. (1997). Behavioral knowledge and occupational stress among inpatient psychiatric caregivers. Psychiatric Rehabilitation Journal, 21, 67–69.
Drake, R. E. (1998). Brief history, current status, and future place of assertive community treatment. American Journal of Orthopsychiatry, 68(2), 172–175.PubMedCrossRef
Drake, R. E., & Deegan, P. E. (2008). Are assertive community treatment and recovery compatible? Commentary on “ACT and recovery: Integrating evidenced-based practices and recovery orientation on assertive community treatment teams”. Community Mental Health Journal, 44, 75–77.PubMedCrossRef
Essock, S. M., Goldman, H. H., Van Tosh, L., Anthony, W. A., Appell, C. R., Bond, G. R., et al. (2003). Evidence-based practices: Setting the context and responding to concerns. Psychiatric Clinics of North America, 26, 919–938.PubMedCrossRef
Feigenbaum, J. (2007). Dialectical behavior therapy: An increasing evidence base. Journal of Mental Health, 16(1), 51–68.CrossRef
Geller, J. L. (1986). In again, out again: Preliminary evaluation of a state hospital’s worst recidivists. Hospital & Community Psychiatry, 37, 386–390.
Gold Award. (1998). Integrating dialectical behavioral therapy into a community mental health program: The Mental Health Center of Greater Manchester. New Hampshire Psychiatric Services, 49, 1338–1340.
Herschell, A. D., Kogan, J. N., Celedonia, K. L., Gavin, J. G., & Stein, B. D. (2009). Understanding community mental health administrators’ perspectives on dialectical behavior therapy implementation. Psychiatric Services, 60, 989–992.PubMedCrossRef
Hesslinger, B., Tebartz van Elst, L., Nyberg, E., Dykierek, P., Richter, H., Berner, M., et al. (2002). Psychotherapy of attention deficit hyperactivity disorder in adults: A pilot study using a structured skills training program. European Archives of Psychiatry and Clinical Neuroscience, 252, 117–184.
Horvitz-Lennon, M., Reynolds, S., Wolbert, R., & Witheridge, T. (2009). The role of assertive community treatment in the treatment of people with borderline personality disorder. American Journal of Psychiatric Rehabilitation, 12, 261–277.PubMedCrossRef
Hysong, S. J., Best, R. G., Pugh, J. A., & Moore, F. I. (2005). Not of one mind: Mental models of clinical practice guidelines in the Veteran’s Health Administration. Health Services Research, 40(3), 829–847.PubMedCrossRef
Jones, A. (2002). Assertive community treatment: Development of the team, selection of clients, and impact on length of hospital stay. Journal of Psychiatric and Mental Health Nursing, 9, 261–270.PubMedCrossRef
Koerner, K., & Linehan, M. (2000). Research on dialectical behavior therapy for patients with borderline personality disorder. Psychiatric Clinics of North America, 23, 151–167.PubMedCrossRef
Koons, C. R., Robins, C. J., Tweed, J. L., Lynch, T. R., Gonzalez, A. M., Morse, J. Q., et al. (2001). Efficacy of dialectical behavior therapy in women veterans with borderline personality disorder. Behavior Therapy, 32, 371–390.CrossRef
Lang, M. A., Davidson, L., Bailey, P., & Levine, M. S. (1999). Clinicians’ and clients’ perspectives on the impact of assertive community treatment. Psychiatric Services, 50, 1331–1340.PubMed
Leiter, M. D. (1991). Coping patterns as predictors of burnout: The function of control and escapist coping patterns. Journal of Organizational Behavior, 12, 123–144.CrossRef
Lieb, K., Zanarini, M. C., Schmahl, C., Linehan, M. M., & Bohus, M. (2004). Borderline personality disorder. Lancet, 364, 453–461.PubMedCrossRef
Linehan, M. M. (1993a). Cognitive behavior treatment for borderline personality disorder. New York: Guilford.
Linehan, M. M. (1993b). Cognitive-behavioral treatment of borderline personality. New York: Guilford Press.
Linehan, M. M., Armstrong, H. E., Suarez, A., Allmon, D., & Heard, H. L. (1991). Cognitive behavior treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48, 1060–1064.PubMedCrossRef
Linehan, M. M., Schmidt, H., Dimeff, L. A., Craft, J. C., Kanter, J., & Comtois, K. A. (1999). Dialectical behavior therapy for patients with borderline personality disorder and drug dependence. American Journal on Addictions, 8, 279–292.PubMedCrossRef
Linehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H. L., Korslund, K. E., Tutek, D. A., Reynolds, S. K., & Lindenboim, N. (2006). Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs. therapy by experts for suicidal behaviors and borderline personality disorder. Archives of General Psychiatry, 63(7), 757–766.PubMedCrossRef
Links, P. (1998). Developing effective services for patients with personality disorders. Canadian Journal of Psychiatry, 43, 251–259.
McGlashan, T. H. (1986). The Chestnut Lodge follow-up study: III. Long-term outcome of borderline personalities. Archives of General Psychiatry, 43(1), 20–30.PubMedCrossRef
McQuillan, A., Nicastro, R., Guenot, F., Girard, M., Lissner, C., & Ferrero, F. (2005). Intensive dialectical behavioral therapy for outpatients with borderline personality disorder who are in crisis. Psychiatric Services, 56, 193–197.PubMedCrossRef
Paris, J. (2002). Chronic suicidality in borderline personality disorder. Psychiatric Services, 53, 482–487.CrossRef
Rathus, J. H., & Miller, A. L. (2002). Dialectical behavior therapy adapted from suicidal adolescents. Suicide and Life Threatening Behaviors, 32, 146–157.CrossRef
Reynolds, S., Wolbert, R., Abney-Cunningham, G., & Patterson, K. (2007). Dialectical behaviroal therapy in assertive community treatment teams. In L. Dimeff & K. Koerner (Eds.), Dialectical behavior therapy in clinical practice (pp. 298–323). New York: The Guilford Publications.
Rosen, A., & Teeson, M. (2001). Does case management work? The evidence and the abuse of evidence-based medicine. Australian and New Zealand Journal of Psychiatry, 35(6), 731–746.PubMedCrossRef
Rosenheck, R. A., & Neale, M. (1998). Intersite variation in the impact of intensive psychiatric community care on hospital use. American Journal of Orthopsychiatry, 68(2), 233–245.CrossRef
Ruberstein, L. V., Mittman, B. S., Yano, E. M., & Mulrow, C. D. (2000). From understanding health care provider behavior to improving health care: The QUERI frameworks for quality improvement. Medical Care, 38(6 Suppl I), I-129–I-141.
Safer, D. L., Telch, C. F., & Agras, W. S. (2001). Dialectical behavior therapy for bulimia nervosa. American Journal of Psychiatry, 158, 632–634.PubMedCrossRef
Stein, L. I., & Santos, A. B. (1998). Assertive community treatment of persons with severe mental illness. New York: Norton.
Stein, L. I., & Test, M. A. (1980). An alternative to mental health treatment I: Conceptual model, treatment program, and clinical evaluation. Archives of General Psychiatry, 142, 392–397.CrossRef
Stone, M. H. (1993). Long-term outcome in personality disorders. British Journal of Psychiatry, 162, 299–313.PubMedCrossRef
Swenson, C., Torrey, W., & Koermer, K. (2002). Implementing dialectical behavior therapy. Psychiatric Services, 53, 171–178.PubMedCrossRef
Swigar, M. E., Astrachan, B., Levine, M. A., Mayfield, V., et al. (1991). Single and repeated admissions to a mental health center: Demographic, clinical and use of service characteristics. International Journal of Social Psychiatry, 37(4), 259–266.PubMedCrossRef
Teague, G. B., Bond, G. R., & Drake, R. E. (1998). Program fidelity in assertive community treatment: Development and use of a measure. American Journal of Orthopsychiatry, 68, 216–232.CrossRef
Test, M. A. (1992). Training in community living. In R. P. Liberman (Ed.), Handbook of psychiatric rehabilitation (pp. 153–170). New York: MacMillan.
Turner, R. M. (2000). Naturalistic evaluation of dialectical behavior therapy-oriented treatment for borderline personality disorder. Cognitive and Behavioral Practice, 7, 413–419.CrossRef
Walrath, C. M., Nickerson, K. J., Crowel, R., & Leaf, P. J. (1998). Serving children with serious emotional disturbance in a system of care: Do mental health and non-mental health agency referrals like the same? Journal of Emotional & Behavioral Disorders, 6(4), 205–213.CrossRef
Weisbrod, B. A. (1983). A guide to benefit-cost analysis, as seen through a controlled experiment in treating the mentally ill. Journal of Health & Politics Policy Law, 7, 808–846.CrossRef
Widiger, T. A., & Frances, A. (1985). Axis II personality disorders: Diagnostic and treatment issues. Hospital & Community Psychiatry, 36(6), 619–627.
Ziguras, S. J., & Stuart, G. W. (2000). Meta-analysis of the effectiveness of mental health case management over 20 years. Psychiatric Services, 51, 1410–1421.PubMedCrossRef
Metadaten
Titel
Utilization of Evidenced Based Dialectical Behavioral Therapy in Assertive Community Treatment: Examining Feasibility and Challenges
verfasst von
Tracee Burroughs
Jacqueline Somerville
Publikationsdatum
01.02.2013
Verlag
Springer US
Erschienen in
Community Mental Health Journal / Ausgabe 1/2013
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-012-9485-2

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