CBT@Home webinar series
From little things big things grow – supporting DBT sustainability service and sector wide
Ms Natasha Briffa, Life Worth Living Psychology
This approx. 52min CBT@Home webinar was recorded in August 2022. AACBT members can view for free. Non-members may purchase here.
This is a practical presentation on a combination of (a) sustaining DBT groups in practice from experiences of working in the public sector on a DBT specific project, and (b) DBT treatment for BPD.
Natasha will provide a brief overview of her previous experience being involved in the implementation of DBT programs within the public mental health and NGO sectors and will talk to factors which are pertinent to increasing accessibility and sustainability of DBT services. Natasha will also provide an overview of the DBT treatment approach and will overview the core skills for working well with Borderline Personality Disorder (BPD).
Biographical notes: Natasha has previously worked in the public sector in the adult and child and youth services, specialising in providing evidence-based intervention to consumers with Borderline Personality Disorder (BPD), in the community. Natasha has facilitated comprehensive DBT groups and provided individual DBT therapy since 2013, to adults. She has also provided several abridged DBT programs to adults (i.e., 10-week standalone skills group) and young people and their families (i.e., abridged adolescent and family program). Natasha is an intensively trained DBT therapist, through Dr Marsha Linehan’s training school Behavioral Tech and has gone on to train intensively in the trauma protocol for BPD, DBT-PE. Natasha is also an approved train-the-trainer as part of the National BPD Training Strategy. Natasha has adapted DBT using practice-informed evidence to increase the utility of DBT in a public metal health service for settings such as Logan inpatient services and Logan Continuing Care Unit (CCU). Natasha also has a special interest in treating consumers presenting with complex trauma and eating disorders, trained in several evidence-based therapies to cater to these conditions. Natasha has also worked previously as a workforce development officer – assisting staff cross public mental health services and non-government organisations to work better with people who have borderline personality disorder. Natasha now works in private practice.
Key Learning Objectives:
- General DBT information – structure of a DBT program and core modules
- Practical application when implementing DBT across the sector
- Pitfalls and practical handy hints
Select readings:
- Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder; MM Linehan, KA Comtois, AM Murray, MZ Brown, RJ Gallop, HL Heard,…; Archives of general psychiatry 63 (7), 757-766
- A biosocial developmental model of borderline personality: Elaborating and extending linehan’s theory.; SE Crowell, TP Beauchaine, MM Linehan; Psychological bulletin 135 (3), 495
- Dialectical behavior therapy with suicidal adolescents; AL Miller, JH Rathus, MM Linehan; Guilford Press
- Cognitive-behavioral treatment of borderline personality disorder; MM Linehan; Guilford Publications
- DBT Skills Training Manual, Second Edition; MM Linehan; Guilford Press
- Stoffers-Winterling, J., Storebø, O., Kongerslev, M., Faltinsen, E., Todorovac, A., Sedoc Jørgensen, M., . . . Simonsen, E. (2022). Psychotherapies for borderline personality disorder: A focused systematic review and meta-analysis. The British Journal of Psychiatry, 1-15. doi:10.1192/bjp.2021.204
- Toms, G., Williams, L., Rycroft-Malone, J., Swales, M., & Feigenbaum, J. (2019). The development and theoretical application of an implementation framework for dialectical behaviour therapy: a critical literature review. Borderline personality disorder and emotion dysregulation, 6, 2.
- Pasieczny, N., & Connor, J. (2011). The effectiveness of dialectical behaviour therapy in routine public mental health settings: An Australian controlled trial. Behaviour research and therapy, 49(1), 4-10.
- Swales, M. A., Taylor, B., & Hibbs, R. A. (2012). Implementing dialectical behaviour therapy: Programme survival in routine healthcare settings. Journal of Mental Health, 21(6), 548-555.
- King, J. C., Hibbs, R., Saville, C. W., & Swales, M. A. (2018). The survivability of dialectical behaviour therapy programmes: a mixed methods analysis of barriers and facilitators to implementation within UK healthcare settings. BMC psychiatry, 18(1), 1-11.
- Quetsch, L. B., Herschell, A. D., Kogan, J. N., Gavin, J. G., Hale, G., & Stein, B. D. (2020). Community-based behavioral health administrator perspectives on sustainability of Dialectical Behavior Therapy: a qualitative evaluation. Borderline personality disorder and emotion dysregulation, 7(1), 1-11.
- Popowich, A. D., Mushquash, A. R., Pearson, E., Schmidt, F., & Mushquash, C. J. (2020). Barriers and facilitators affecting the sustainability of dialectical behaviour therapy programmes: A qualitative study of clinician perspectives. Counselling and Psychotherapy Research, 20(1), 68-80.
- Bloom, J. M., Woodward, E. N., Susmaras, T., & Pantalone, D. W. (2012). Use of dialectical behavior therapy in inpatient treatment of borderline personality disorder: a systematic review. Psychiatric Services, 63(9), 881-888.
- Harvey, L. J., Hunt, C., & White, F. A. (2019). Dialectical behaviour therapy for emotion regulation difficulties: A systematic review. Behaviour Change, 36(3), 143-164.