16
Dialectical Behaviour Therapy (DBT) Siobhan Keating, Rebecca Ewing , Nadene O’Loan Colette Caldwell Garvin McKnight

Dialectical Behaviour Therapy (DBT)

  • Upload
    sona

  • View
    100

  • Download
    2

Embed Size (px)

DESCRIPTION

Dialectical Behaviour Therapy (DBT). Siobhan Keating, Rebecca Ewing , Nadene O’Loan Colette Caldwell Garvin McKnight. What is DBT. A cognitive behavioural treatment for difficult to treat mental disorders Originally for suicidal individuals with BPD. Wider evidence base. - PowerPoint PPT Presentation

Citation preview

Page 1: Dialectical Behaviour Therapy (DBT)

Dialectical Behaviour Therapy (DBT)Dialectical Behaviour Therapy (DBT)

Siobhan Keating, Rebecca Ewing , Nadene O’Loan Colette Caldwell Garvin McKnight

Page 2: Dialectical Behaviour Therapy (DBT)

What is DBTWhat is DBT

A cognitive behavioural treatment for difficult to treat mental disorders

Originally for suicidal individuals with BPD

siobhan
Page 3: Dialectical Behaviour Therapy (DBT)

Wider evidence baseWider evidence base

In- patient psychiatric settings (Linehan et al 2006) Eating disorders (Telch et al 2001) Addictions (Linehan et al 2002) In patient adolescents ( Trupin et al 2002) Forensic environment ( Evershed et al 2003) Learning Disability ( Lew et al 2006, Singh et al

2008) Rampton study – evidence from self-report and

transfer to lower security ( Morrissey and Ingamells, 2011)

Page 4: Dialectical Behaviour Therapy (DBT)

Our Service Our Service

Sixmile Low Secure Forensic unit

Males with a learning Disability – IQ 55-70

Complex treatment needs

Page 5: Dialectical Behaviour Therapy (DBT)

The Rampton ProgrammeThe Rampton Programme

Contract with programme developers Catrin Morrissey Bridget Ingamells Provided training and Adapted materials

Page 6: Dialectical Behaviour Therapy (DBT)

Core Skills group modulesCore Skills group modules

In this Moment In this Moment

Managing FeelingsManaging Feelings

People SkillsPeople Skills

Coping in Crisis Coping in Crisis

Page 7: Dialectical Behaviour Therapy (DBT)

DBT In MuckamoreDBT In Muckamore

Skills group

1 – 1 session

DBT consultation meeting

Wider staff training

Page 8: Dialectical Behaviour Therapy (DBT)

Current GroupCurrent Group

Adult males(6) – 21 – 55 years IQ range - 58 – 70 Other MH problems – Bi-polar, ADHD,

Substance misuse Offence History – Violence, sexual violence,

manslaughter, abduction of a child Legal status – both detained and voluntary

Page 9: Dialectical Behaviour Therapy (DBT)

OutcomesOutcomesPsychometrics :

Mindfulness – 5 facets Mindfulness – CAMS – R Emotional regulation – ECQ Emotional recognition – TASIT Emotional control – STAXI Coping skills – CRI Behaviour monitoring – Nurse Observation Scale Goal Attainment Scale – All modules

Weekly Behaviour monitoring

Page 10: Dialectical Behaviour Therapy (DBT)
Page 11: Dialectical Behaviour Therapy (DBT)

What we have learned?What we have learned?

Increased insight into how difficulties impact on day to day lives

Individualised targets on Diary Cards

Visual props more effective

e.g. Sponge and sieve

M & Ms

Page 12: Dialectical Behaviour Therapy (DBT)
Page 13: Dialectical Behaviour Therapy (DBT)
Page 14: Dialectical Behaviour Therapy (DBT)

What we have learned -2 What we have learned -2

Further adaptation of materials / exercises for our client group

Use of metaphors - careful consideration of literal meaning eg “Hot mind”

Mindfulness – difficult concept to grasp - application to everyday lives

All skills need specific work to connect to daily lives

Page 15: Dialectical Behaviour Therapy (DBT)

Plans for the futurePlans for the future

Further training and input from Rampton Team

Evaluation and use of psychometric data and incident recording

Extending programme to include female in-patient population

Page 16: Dialectical Behaviour Therapy (DBT)

ContactContact

[email protected]

[email protected]