Preliminary Outcomes on the Use of Dialectical Behavior Therapy to Reduce Hospitalization Among Adolescents in Residential Care

Dialectical behavior therapy (DBT), a form of cognitive-behavioral therapy, has been shown in clinical trials to be an effective treatment for clients who suffer from borderline personality disorder or borderline-type behaviors. Although originally developed as an outpatient model, DBT is increasing...

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Bibliographic Details
Published in:Residential treatment for children & youth 2004-07, Vol.21 (4), p.59-76
Main Author: Sunseri, Paul A.
Format: Article
Language:English
Subjects:
Adolescent girls
adolescents
Dialectical behavior therapy
Dialectical behaviour therapy
Hospitalization
Prevention
Residential treatment
USA
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Summary:Dialectical behavior therapy (DBT), a form of cognitive-behavioral therapy, has been shown in clinical trials to be an effective treatment for clients who suffer from borderline personality disorder or borderline-type behaviors. Although originally developed as an outpatient model, DBT is increasingly being applied in other settings. This article describes the use of DBT in a residential treatment facility for adolescent girls. Analyses of the time periods before and after the implementation of DBT indicate that DBT was effective in achieving a significant reduction in both premature terminations due to suicidality, and in the number of days clients spent in psychiatric hospitals due to self-injurious behaviors. Overall, DBT has proven to be extremely useful in the treatment of chronically suicidal adolescents placed into residential care.
ISSN:0886-571X
1541-0358
DOI:10.1300/J007v21n04_06