ArticleTranslational behavioral medicine2017
Barriers, facilitators, and benefits of implementation of dialectical behavior therapy in routine care: results from a national program evaluation survey in the Veterans Health Administration.
Article in Translational behavioral medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 38 citations in OpenAlex.
- Case study: The DBT implementation journey of dialectical behaviour therapy in five European countries.Borderline personality disorder and emotion dysregulation · 2026Article
- Cost-effectiveness and acceptability study of the Unified Protocol for the treatment of emotional disorders in brief groups in primary care services of the Spanish National Health System: a study protocol.BMC primary care · 2026Article
- Staff perspectives on implementing dialectical behavior therapy skills groups in the Veterans Health Administration.Psychological services · 2026Article
- Preliminary Feasibility, Acceptability and Referral Efficacy of a Drop-In Dialectical Behavior Therapy (DBT) Skills Group to Promote Enrollment in Standard DBT Skills Group.Cognitive and behavioral practice · 2025Article
- A Descriptive Study of Nonsuicidal Self-Injury Characteristics Among Veterans Meeting Diagnostic Criteria for Nonsuicidal Self-Injury Disorder.Suicide & life-threatening behavior · 2025Article
- Study protocol of a hybrid type 1 effectiveness-implementation multisite trial: Dialectical behavior therapy skills group for Veterans at high-risk for suicide attempt.Contemporary clinical trials · 2025Article
- Needs of Veterans With Personality Disorder Diagnoses in Community-Based Mental Health Care.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025Article
- A scoping review of Dialectical Behavior Therapy with patients with minoritized identity constructs.Counselling and psychotherapy research · 2025Article
- Article
- Factors associated with the implementation of dialectical behavior therapy by Spanish speaking mental health professionals who treat suicide risk.BMC psychiatry · 2024Article
- Mixed-methods formative evaluation of implementing an adapted suicide prevention treatment: Dialectical Behavior Therapy Skills Groups in the Veterans Health Administration.Frontiers in psychiatry · 2024Article
- Dialectical behavior therapy for justice-involved veterans: Changes in treatment targets in a small, pre-post design clinical trial.Psychological services · 2023Article
- Dialectical behavior therapy for justice-involved veterans (DBT-J): Feasibility and acceptability.Psychological services · 2023Article
- Provider perspectives on delivering dialectical behavior therapy via telehealth during COVID-19 in the Department of Veterans Affairs.Psychological services · 2022Article
- Characteristics of inpatients in dialectical behaviour therapy modified for a resource-limited setting.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2022Article
- Reviewing the availability, efficacy and clinical utility of Telepsychology in dialectical behavior therapy (Tele-DBT).Borderline personality disorder and emotion dysregulation · 2021Review
- Sustainability of a biobehavioral intervention implemented by therapists and sustainment in community settings.Translational behavioral medicine · 2021Article
- Challenges and Potential Solutions to Implementing Phone Coaching in Dialectical Behavior Therapy.Cognitive and behavioral practice · 2021Article
- Community-based behavioral health administrator perspectives on sustainability of Dialectical Behavior Therapy: a qualitative evaluation.Borderline personality disorder and emotion dysregulation · 2020Article
- Smartphone applications targeting borderline personality disorder symptoms: a systematic review and meta-analysis.Borderline personality disorder and emotion dysregulation · 2020Article
Corrections and comments
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Authors and funding
7 authors at 6 institutions in 1 country.
Funding
Abstract
National implementation of evidence-based psychotherapies (EBPs) in the Veterans Health Administration (VHA) provides important lessons on the barriers and facilitators to implementation in a large healthcare system. Little is known about barriers and facilitators to the implementation of a complex EBP for emotional and behavioral dysregulation-dialectical behavioral therapy (DBT). The purpose of this study was to understand VHA clinicians' experiences with barriers, facilitators, and benefits from implementing DBT into routine care. This national program evaluation survey measured site characteristics of VHA sites (N = 59) that had implemented DBT. DBT was most often implemented in general mental health outpatient clinics. While 42% of sites offered all four modes of DBT, skills group was the most frequently implemented mode. Fifty-nine percent of sites offered phone coaching in any form, yet only 11% of those offered it all the time. Providers were often provided little to no time to support implementation of DBT. Barriers that were difficult to overcome were related to phone coaching outside of business hours. Facilitators to implementation included staff interest and expertise. Perceived benefits included increased hope and functioning for clients, greater self-efficacy and compassion for providers, and ability to treat unique symptoms for clinics. There was considerable variability in the capacity to address implementation barriers among sites implementing DBT in VHA routine care. Mental health policy makers should note the barriers and facilitators reported here, with specific attention to phone coaching barriers.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.