Citation

Zalewski M, Walton CJ, Rizvi SL, White AW, Gamache Martin C, O'Brien JR, Dimeff L. Cogn. Behav. Pract. 2021; 28(4): 573-587.

Copyright

(Copyright © 2021, Association for Advancement of Behavior Therapy, Publisher Elsevier Publishing)

DOI

10.1016/j.cbpra.2021.02.005

PMID

unavailable

Abstract

Given the severity and suicide risk of patients typically treated by Dialectical Behavior Therapy (DBT) and the absence of guidelines regarding delivery of DBT via telehealth, it is crucial that the DBT treatment community gather and rapidly disseminate information about effective strategies for delivering DBT via telehealth. The current study surveyed DBT providers (N = 200) to understand challenges and lessons learned as they transitioned to conducting DBT via telehealth during the COVID-19 pandemic. Open-ended responses to challenges and lessons-learned were coded. Most frequently noted challenges were Therapy-Interfering Behaviors and elements related to the provision of Individual Therapy and Skills Training Group. The majority of providers offered advice for implementing group skills training, avoiding or overcoming therapist burnout, and emphasized continued adherence to treatment principles, even in the context of this new treatment modality. Overall, this qualitative study marks a starting point on identifying best practices delivering DBT via telehealth for which it is anticipated that clinical recommendations in this area will evolve, informed by clinician, researcher, and consumer input. © 2021 Association for Behavioral and Cognitive Therapies

Language: en

Keywords

United States; Australia; Canada; human; Lessons learned; COVID-19; New Zealand; Israel; United Kingdom; burnout; pandemic; validation study; Telehealth; telehealth; Ireland; content analysis; major clinical study; controlled study; consultation; behavior disorder; Russian Federation; problem solving; patient compliance; health care personnel; staff training; dialectical behavior therapy; Article; health care survey; DBT; face validity; coronavirus disease 2019; life threatening behavior