Dissertation/Thesis Abstract

Implementing Dialectical Behavior Therapy for Adolescents in an Acute Inpatient Psychiatric Setting
by Field, Thomas A., Ph.D., James Madison University, 2014, 299; 3620455
Abstract (Summary)

Although evidence-based practices (EBPs) have been identified in the literature, insufficient information exists about how to successfully implement them. As a result, implementation efforts have been met with failures. Little is currently known about what affects the success of implementation efforts for best practices such as Dialectical Behavior Therapy for adolescents (DBT-A) in an acute inpatient psychiatric setting (AIPS). A longitudinal multiphase mixed methods case study examined an implementation effort to provide DBT-A in an AIPS over a 24-month period. The process of implementation was investigated through in-depth interviews, a focus group, and field observations. Six categories were identified that affected the DBT-A implementation in an AIPS: appeal of DBT as a treatment modality, impact on patients, implementer characteristics, the implementation process, organizational dynamics and structure, and staff support. Implications for implementing EBPs within organizational environments are discussed. This study represents the first attempt to use qualitative and mixed methodology to examine the process of DBT implementation in an AIPS.

Indexing (document details)
Advisor: Echterling, Lennie
Commitee: Meixner, Cara, Sturm, Debbie C.
School: James Madison University
Department: Graduate Psychology - Counseling and Supervision
School Location: United States -- Virginia
Source: DAI-B 75/08(E), Dissertation Abstracts International
Source Type: DISSERTATION
Subjects: Mental health, Counseling Psychology, Organizational behavior
Keywords: Adolescents, Dialectical behavior therapy, Inpatient, Psychiatry, Skills training
Publication Number: 3620455
ISBN: 9781303909177
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