NCT03180541

Evaluating the Coordinated National Implementation of DBT in Ireland

Evaluation of a Coordinated National Implementation of DBT in Community Mental Health Services in Ireland

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 210 (estimated)
• Sponsor: Health Service Executive, Ireland · Academic / Other
• Sex: All
• Age: 13 Years
• Healthy volunteers: Accepted

Summary

This study aims to evaluate the coordinated implementation of Dialectical Behaviour Therapy in Community Mental Health Services in Ireland. There are three main objectives of the current study: * evaluate the effectiveness of DBT for adults and adolescents attending Community Mental Health Services in multiple sites across Ireland * conduct an economic evaluation of the coordinated implementation of DBT in community settings in Ireland * evaluate the implementation initiative by means of quantity, quality and experience of the coordinated implementation

Detailed description

The National Dialectical Behaviour Therapy (DBT) Project, Ireland was established in the Republic of Ireland in 2013. The aims of the project were twofold: to implement DBT in Community Mental Health Services across Ireland and to evaluate this coordinated implementation of DBT at a national level. DBT was initially formulated as a treatment for Borderline Personality Disorder (BPD) which is typically characterised by patterns of emotional and behavioural dysregulation that often manifests in self-harm and suicidal ideation. DBT is noted to be an intervention with a growing evidence base that demonstrates its effectiveness in treating individuals with BPD. More than a dozen controlled trials have been completed at multiple independent sites. The results of these trials have reported a reduction in suicidal behaviours, inpatient hospitalisations, depression, hopelessness and suicidal ideation among other constructs which individuals with BPD experience. While the efficacy of DBT has been demonstrated through multiple controlled trials, few studies have examined the effectiveness of DBT in community mental health settings. In particular, no study has evaluated a coordinated national implementation of DBT across multiple sites in a publicly funded health system. The current study aims to evaluate the the coordinated implementation of DBT in Community Mental Health Services in Ireland

Conditions

• Personality Disorder, Borderline

Interventions

Type	Name	Description
BEHAVIORAL	Dialectical Behaviour Therapy	Dialectical Behaviour Therapy (DBT) is a psychological intervention which was originally developed for women with Borderline Personality Disorder. DBT is delivered by a team of multidisciplinary mental health professionals, and comprises of individual therapy sessions for each patient, group skills training sessions, phone coaching and consultation meetings for the clinicians on the DBT team. Group skills are delivered in blocks of three modules which teach mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness. The three modules are delivered over a 24-week period and are then repeated.

Timeline

• Start date: 2013-12-01
• Primary completion: 2017-09-01
• Completion: 2018-03-01
• First posted: 2017-06-08
• Last updated: 2018-07-03