Abstract:
BACKGROUND: There is a paucity of research investigating psychosocial treatments for youth receiving long-term residential care. OBJECTIVE: This study describes the implementation and impact of dialectical behavioural therapy (DBT) in a long-term psychiatric hospital located in the United States of America. METHOD: Changes in overall functioning, number of psychotropic medications prescribed, non-suicidal self-injurious behaviour (NSIB), and locked seclusions were investigated in 106 consecutive unique adolescent patients who received DBT. In addition, a comparison group of historical controls was used to examine the effect of DBT in youth with the highest rates of NSIB. RESULTS: A statistically significant increase in overall functioning, as well as a decrease in number of psychotropic medications and non-suicidal self-injurious behaviour (NSIB) was observed within the DBT group. A decrease in locked seclusions was not observed. Accounting for the effects of age, gender, length of stay, and time, youth who received DBT were less likely to engage in NSIB relative to historical controls. CONCLUSIONS: These preliminary data suggest that DBT is beneficial for youth with NSIB in long term inpatient psychiatric care.
journal_name
Child Adolesc Ment Healthjournal_title
Child and adolescent mental healthauthors
McDonell MG,Tarantino J,Dubose AP,Matestic P,Steinmetz K,Galbreath H,McClellan JMdoi
10.1111/j.1475-3588.2010.00569.xsubject
Has Abstractpub_date
2010-11-01 00:00:00pages
193-196issue
4eissn
1475-357Xissn
1475-3588journal_volume
15pub_type
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