Dialectical Behavior Therapy in College Counseling Centers: Current Trends and Barriers to Implementation

ABSTRACT The purpose of this study was to examine trends and barriers in implementation of dialectical behavior therapy (DBT) programs in college counseling centers (CCCs). Participants were 107 CCC employees who participated in an electronic survey. One third of respondents endorsed use or planned use of DBT at their centers. The most prevalent primary mode of DBT offered was group skills training. Highly endorsed barriers to implementation included productivity demands and lack of individual therapists, time for team consultation, and willingness to offer phone coaching. Suggested implementation strategies include developing community partnerships, use of virtual teams, supporting programs with campus data, and adapting DBT strategically.

[1]  Michelle L. Olandese,et al.  Beyond Borderline Personality Disorder: Dialectical Behavior Therapy in a College Counseling Center , 2015 .

[2]  R. McMahon,et al.  Pilot Randomized Controlled Trial of Dialectical Behavior Therapy Group Skills Training for ADHD Among College Students , 2015, Journal of attention disorders.

[3]  J. Kirchner,et al.  A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project , 2015, Implementation Science.

[4]  Renee M. Poulin,et al.  The use of dialectical behavior therapy skills training as stand-alone treatment: a systematic review of the treatment outcome literature. , 2015, Journal of clinical psychology.

[5]  R. P. Gallagher.  National Survey of College Counseling Centers 2014 , 2015 .

[6]  M. Linehan,et al.  Dialectical behavior therapy skills for transdiagnostic emotion dysregulation: a pilot randomized controlled trial. , 2014, Behaviour research and therapy.

[7]  J. Kogan,et al.  Evaluation of an implementation initiative for embedding Dialectical Behavior Therapy in community settings. , 2014, Evaluation and program planning.

[8]  M. Linehan,et al.  A pilot randomized controlled trial of Dialectical Behavior Therapy with and without the Dialectical Behavior Therapy Prolonged Exposure protocol for suicidal and self-injuring women with borderline personality disorder and PTSD. , 2014, Behaviour research and therapy.

[9]  Shireen L. Rizvi,et al.  A Pilot Study of 2 Brief Forms of Dialectical Behavior Therapy Skills Training for Emotion Dysregulation in College Students , 2014, Journal of American college health : J of ACH.

[10]  A. Fruzzetti,et al.  Barriers and Solutions to Implementing Dialectical Behavior Therapy in a Public Behavioral Health System , 2014, Administration and Policy in Mental Health and Mental Health Services Research.

[11]  C. Chugani,et al.  Effectiveness of Short Term Dialectical Behavior Therapy Skills Training in College Students with Cluster B Personality Disorders , 2013 .

[12]  P. Hasking,et al.  Coping and Regulating Emotions: A Pilot Study of a Modified Dialectical Behavior Therapy Group Delivered in a College Counseling Service , 2013, Journal of American college health : J of ACH.

[13]  Erin Engle,et al.  Dialectical Behavior Therapy for a College Population: Applications at Sarah Lawrence College and Beyond , 2013 .

[14]  J. Turner,et al.  Causes of Mortality Among American College Students: A Pilot Study , 2013, Journal of college student psychotherapy.

[15]  Katherine M. Iverson,et al.  Dialectical behavior therapy (DBT) applied to college students: a randomized clinical trial. , 2012, Journal of consulting and clinical psychology.

[16]  J. Kogan,et al.  Understanding community mental health administrators' perspectives on dialectical behavior therapy implementation. , 2009, Psychiatric services.

[17]  R. Gallop,et al.  Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder. , 2006, Archives of general psychiatry.

[18]  Carol T Mowbray,et al.  Campus mental health services: recommendations for change. , 2006, The American journal of orthopsychiatry.

[19]  H Schmidt,et al.  Dialectical behavior therapy for patients with borderline personality disorder and drug-dependence. , 1999, The American journal on addictions.

[20]  W. Agras,et al.  Dialectical behavior therapy for Binge-Eating Disorder. , 2001, Journal of clinical psychology.

[21]  M. Linehan.  Treating Borderline Personality Disorder. The Dialectical Approach. Videotape and Program Manual. New York (Guilford) 1995. , 1995 .