DBT Consultation and Skills Training Quiz

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Questions and Answers

What is one of the primary goals of consultation meetings among DBT therapists?

  • To conduct individual therapy sessions
  • To determine client eligibility for programs
  • To share information and enhance treatment (correct)
  • To teach new therapeutic techniques to clients

What should therapists avoid during DBT skills training sessions?

  • Explaining the rationale behind skills
  • Interrupting skills training for individualized feedback
  • Encouraging clients to discuss individual issues
  • Mixing their roles as skills trainers and therapists (correct)

How often should DBT therapists meet for consultation according to the guidelines?

  • Monthly
  • Daily
  • Weekly (correct)
  • Bi-weekly

What role do skills trainers sometimes hold in addition to their training duties?

<p>Individual therapists or case managers (D)</p> Signup and view all the answers

Which of the following is emphasized during DBT skills training sessions?

<p>Teaching and practicing specific skills (D)</p> Signup and view all the answers

What is a significant risk if communication between DBT providers and skills trainers is poor?

<p>The two treatments may not enhance each other (D)</p> Signup and view all the answers

What is vital for maintaining the effectiveness of DBT according to the provided guidelines?

<p>Regular review of expectations between providers (C)</p> Signup and view all the answers

What is one function of the skills trainers during the consultation meetings?

<p>To update team on current skills being taught (B)</p> Signup and view all the answers

What is the purpose of clients bringing up crises in DBT skills training?

<p>To facilitate more effective problem-solving (C)</p> Signup and view all the answers

Why is consistency and conformity between treating agents noted as useful in DBT skills training?

<p>It decreases confusion among clients (A)</p> Signup and view all the answers

What is a key component missing when DBT skills training is conducted outside of the standard DBT framework?

<p>Individual therapy integration (C)</p> Signup and view all the answers

What method may skills trainers utilize more heavily when individual therapists are not present?

<p>E-mail and text coaching (A)</p> Signup and view all the answers

What may be emphasized more when DBT skills training lacks an individual therapist component?

<p>Use of DBT smartphone coaching apps (D)</p> Signup and view all the answers

What aspect of DBT skills training is enhanced by the weekly meetings among treatment teams?

<p>Improving communication among all therapists (D)</p> Signup and view all the answers

What can be a consequence of clients focusing heavily on crises during DBT skills training?

<p>Decreased learning of new skills (B)</p> Signup and view all the answers

During DBT, what may clients' primary providers take into account when planning individual treatment?

<p>Challenges faced by clients in applying skills (B)</p> Signup and view all the answers

What is the main purpose of DBT skills training?

<p>To teach clients general skills for current problems in living (C)</p> Signup and view all the answers

Why is consultation between therapists essential in DBT?

<p>To coordinate treatment for clients with informed consent (A)</p> Signup and view all the answers

What should an individual therapist avoid during crisis interventions?

<p>Relying on skills trainers for crisis interventions (B)</p> Signup and view all the answers

In what situation might a skills trainer offer individual consultations?

<p>When group members are in crisis and need more coaching (B)</p> Signup and view all the answers

What role does the DBT consultation team play?

<p>To support individual therapists with highly suicidal clients (C)</p> Signup and view all the answers

What is the role of skills training in DBT when addressing suicidal behaviors?

<p>It focuses on teaching skills rather than direct intervention (D)</p> Signup and view all the answers

What is critical for the success of DBT skills training?

<p>Regular collaboration and consultation among therapists (D)</p> Signup and view all the answers

How should therapists handle crisis calls during DBT skills training?

<p>They must remain available for crises instead of deferring to skills trainers (B)</p> Signup and view all the answers

What is a key consideration for non-DBT therapists when referring clients to DBT skills training?

<p>Non-DBT therapists should not rely on DBT skills training for suicidal clients. (C)</p> Signup and view all the answers

In which scenario is an exception to the policy of referring to DBT skills training made?

<p>When a client is highly suicidal and requires immediate intervention. (C)</p> Signup and view all the answers

What should individual therapists be advised regarding crisis calls?

<p>DBT skills trainers are not available for crisis calls from clients. (D)</p> Signup and view all the answers

What misconception might non-DBT therapists have about DBT skills trainers?

<p>They are not trained in suicide management. (D)</p> Signup and view all the answers

What is a requirement for a client to effectively use DBT skills in everyday life?

<p>The individual therapist must coach the client in using these skills. (A)</p> Signup and view all the answers

What can happen if a non-DBT therapist underestimates the role of DBT skills trainers?

<p>They could neglect necessary assessments of suicidal risk. (D)</p> Signup and view all the answers

What should DBT skills trainers ideally be trained in?

<p>Crisis intervention and management of suicidal behaviors. (D)</p> Signup and view all the answers

What is a potential issue with giving clients DBT skills handouts?

<p>Clients may misuse the handouts if unsupervised. (B)</p> Signup and view all the answers

What is the main focus of the consultation-to-the-patient strategy?

<p>Promoting patients as credible sources of information. (B)</p> Signup and view all the answers

Why might some individual psychotherapists refuse to incorporate skills coaching into therapy?

<p>They see skills coaching as treating symptoms rather than the illness. (D)</p> Signup and view all the answers

What issue can arise when therapists insist on making clinical decisions during a crisis?

<p>Patients may receive conflicting messages about therapy. (A)</p> Signup and view all the answers

What challenge is mentioned regarding crisis clinics that staff volunteers?

<p>Volunteers may have minimal formal clinical training. (D)</p> Signup and view all the answers

How can skills trainers adapt their approach to help clients facing difficulties in using new skills?

<p>By establishing additional skills training meetings. (A)</p> Signup and view all the answers

What is a commonly experienced misconception among clients with therapists who do not take after-hours calls?

<p>That their individual therapy is less important. (A)</p> Signup and view all the answers

What does the experience in the clinic suggest about individual therapists and skills groups?

<p>Most agree to stipulations to enable client participation. (A)</p> Signup and view all the answers

What can occur if therapists do not prioritize skills coaching for their clients?

<p>Clients may neglect the importance of learned skills. (A)</p> Signup and view all the answers

What is the primary responsibility of the individual provider for a client in DBT skills training?

<p>To assume full clinical responsibility for the client (D)</p> Signup and view all the answers

What should be provided to manage client clinical emergencies?

<p>Backup services from another professional (D)</p> Signup and view all the answers

What document is necessary for a client to participate in the DBT Skills Training Program?

<p>A regular individual treatment session plan (A)</p> Signup and view all the answers

What is one of the responsibilities of the primary provider during DBT skills training sessions?

<p>To be available by phone or provide a backup contact (B)</p> Signup and view all the answers

What must the primary individual provider agree to maintain for their client?

<p>The Crisis Plan and Information from the Primary Therapist (C)</p> Signup and view all the answers

In which situation would the primary provider need to ensure immediate intervention?

<p>When the client is at high suicide risk (C)</p> Signup and view all the answers

Which of the following is NOT a responsibility of the primary provider in DBT skills training?

<p>To conduct practice sessions without attending the group (A)</p> Signup and view all the answers

What role does coaching play in the context of skills training similar to basketball?

<p>Coaches conduct both practice sessions and attend games (B)</p> Signup and view all the answers

Flashcards

DBT Consultation Team Meetings

Regular meetings between DBT therapists to share information and ensure adherence to DBT principles.

DBT Consultation Team Strategies

Strategies used in DBT to ensure effective collaboration between individual therapists and skills trainers.

Skills Trainer as Individual Therapist

When skills trainers also act as individual therapists or case managers for some of their clients.

Keeping Roles Clear in DBT

Maintaining clear boundaries between teaching skills and providing individual therapy.

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Communication between DBT Providers

The importance of therapists understanding each other's roles and expectations.

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Enhancing DBT Treatments

Ensuring that individual therapy and skills training enhance each other.

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Reviewing DBT Skills Focus

Skills trainers reviewing with the team which skills are being emphasized in group sessions.

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Skills Trainers Teaching Team Members

Skills trainers teaching other members of the DBT team about specific skills.

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Collaboration between skills trainer and primary provider

A situation where a skills trainer collaborates with the client's primary provider to discuss the client's progress in applying skills. This is crucial for ensuring consistency and effective coordination of treatment.

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Weekly meetings between therapists and skills trainers

Regular meetings between individual therapists and skills trainers to discuss individual client progress, challenges, and strategies. These meetings are like checkpoints to ensure everyone is on the same page.

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Consultation-to-the-­­patient strategies in DBT

In Dialectical Behavior Therapy (DBT), therapists try to balance providing the individual client with direct guidance and support, while simultaneously encouraging the client to develop their own problem-solving skills. It's like coaching someone to learn how to fish, rather than just giving them a fish.

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Standard DBT

A type of therapy where skills training is combined with individual therapy or intense case management. This involves a blend of skills development and personal support.

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Skills training

The process of teaching a new skill. This can involve various methods like lectures, demonstrations, and practice exercises. It's like learning a new dance step – practice makes perfect!

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DBT skills training outside standard DBT

Modifications may need to be made to DBT skills training when an individual therapist isn't involved. This might involve using coaching tools like phone calls, texts, or emails to support the client's progress. It's like offering extra support to someone learning a new skill.

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DBT smartphone coaching apps

Apps designed to help people learn and apply DBT skills. They can provide reminders, exercises, and other resources to promote progress in managing emotions and behaviors. Think of a personal assistant in your pocket for DBT.

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Crises management

The use of various strategies to address immediate crises, such as managing intense emotions or difficult situations. It's like having a toolbox full of techniques for coping with challenges.

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DBT Skills Training Focus

The immediate aim of DBT skills training is not to directly reduce suicidal or maladaptive behaviors, but to teach general skills that clients can apply to their everyday life.

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As-Needed Phone Coaching/Crisis Intervention

Regular phone calls or other forms of communication designed to provide support and guidance to clients during times of crisis.

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DBT Consultation Team

A group of professionals who work together to coordinate treatment for a client, often in DBT. They may include therapists, psychologists, and other healthcare providers.

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Skills Trainers' Role in Suicidal Crises

The role of DBT skills trainers is not to directly intervene in suicidal crises. They focus on teaching skills that clients can use to manage their emotions and behaviors.

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Inter-Therapist Consultation in DBT

In DBT, it's important for therapists to communicate and coordinate their efforts, especially when clients are involved in multiple treatment programs. Consent from clients is crucial for collaboration.

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Individual Consultation Sessions in DBT

For clients who are extremely distressed and need more coaching, DBT skills trainers may provide individual consultation sessions in addition to group sessions.

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Individual Therapists' Roles in Suicidal Crises

In DBT, individual therapists remain primarily responsible for addressing suicidal and severely dysfunctional behaviors. The skills trainer's focus remains on skill building.

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DBT Skills Trainer

A therapist who specializes in DBT skills training. They are trained to teach DBT skills to clients, but not necessarily to handle high-risk situations.

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Individual Therapist

The therapist who is primarily responsible for a client's overall treatment. They may refer the client to a skills trainer for specific skills training.

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High-Risk Suicidal Behavior

A situation where a client's suicidal behavior is so severe that they require immediate attention and intervention. This may involve hospitalization or other emergency measures.

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Unintended Reliance on Skills Trainer

A situation where a non-DBT therapist mistakenly relies on a DBT skills trainer to manage high-risk suicidal behavior, even if the skills trainer is not specifically trained for this role.

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Skills Trainer Lacking Full DBT Training

A situation where a skills trainer, not specifically trained in DBT as a whole treatment, may not possess the necessary crisis management skills. They might be relying on the individual therapist for this.

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Skills Trainer Relying on Individual Therapist

A situation where a skills trainer is relying on the individual therapist to handle certain aspects of the client's care, such as crisis management or decision making about hospitalization.

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Coaching with DBT Materials

The process of giving skills training clients additional copies of DBT materials to use for their own reference and practice outside of sessions.

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Coaching on DBT Skills in Everyday Life

The individual therapist must be actively involved in the client's use of DBT skills in their everyday life. This may involve discussions, coaching, and problem-solving.

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Are Individual Therapists Required to Provide Skills Coaching?

Individual therapists should be able to help their clients with skills, but they are not required to provide coaching. The individual therapist's role is to address the "illness," while the skills trainer addresses the "symptoms."

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What Happens When Individual Therapists Don't Take After-hours Calls?

When individual therapists refuse to take after-hours calls and rely on the crisis line, it creates a potential strain on the system and compromises the quality of care.

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Individual Therapists and Crisis Situations

Even if an individual therapist agrees to the stipulations for DBT, they may revert back to their usual practices during a crisis, which can be detrimental to the client's care.

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How Can Skills Coaches Address the Concerns of Individual Therapists?

Skills trainers can adjust their approach to address the concerns of individual therapists, such as incorporating more time for skill practice or addressing concerns about the perceived importance of skills training.

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Why Some Therapists May Resist Skills Coaching

Some individual therapists may not see the value in skills coaching, believing that it only treats the symptoms and not the underlying issues.

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The Client's Perspective on Skills Training

The client's perspective on skills training should be considered, as they may need support in integrating skills into their lives.

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Maintaining Clear Boundaries in DBT

Maintaining clear boundaries between skills training and individual therapy is crucial in DBT, ensuring that both components work together effectively.

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Consultation-to-the-Patient Strategy

The consultation-to-the-patient strategy emphasizes the client's role in actively contributing to their treatment by learning and using skills.

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Ongoing Individual Therapy

The DBT Skills Training Program requires individuals to attend ongoing individual therapy sessions. This ensures that they receive the necessary support and integrated care.

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Primary Therapist's Role

The primary therapist is responsible for the client's overall clinical management. This includes handling emergencies, providing backup services, and coordinating care with the DBT skills trainer.

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Primary Provider Agreement

The agreement form ensures strong communication and collaboration between the primary therapist and the DBT skills trainer. It outlines responsibilities and clarifies expectations.

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Crisis Plan

A crisis plan details specific steps to take when the client faces emergencies. This includes contact information of resources and potential interventions.

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Applying DBT Skills

The primary therapist should help their client practice DBT skills in real-life situations. This links the skills learned in group therapy to the client's everyday challenges.

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Therapist Availability

The individual therapist's availability is vital for the success of the DBT training program. This ensures the client has support both inside and outside of skills training sessions.

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Backup Provider

A backup provider is a designated professional who can assist the client in case of an emergency when the primary therapist is unavailable.

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Collaboration between Therapists

Effective communication between the primary therapist and DBT trainer is essential for the client's care. They should share information, coordinate strategies, and ensure consistency in treatment approaches.

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Study Notes

Consultation Between DBT Providers and Skills Trainers

  • Communication between individual DBT providers and skills trainers is crucial.
  • Clear expectations and frequent review are essential to avoid hinderance of treatment.
  • DBT consultation team strategies ensure therapists adhere to the framework of DBT.
  • Weekly consultation meetings review current skills focus, potentially training other team members on needed skills.
  • Common language regarding skill application decreases confusion. Consistency, although not a core value in DBT, can be beneficial.
  • Meetings address issues individual clients may have with applying skills or interacting in group settings.
  • Providers consult with trainers, considering this information while planning treatment.
  • Consultation with clients is essential, ensuring client awareness and consent to therapist collaboration.

When the Primary Provider is a Skills Trainer

  • Skills trainers may also be individual therapists or case managers for some clients.
  • Pharmacotherapists may act as skills trainers.
  • Clear role separation when teaching skills versus managing crises is paramount.
  • Focusing on skill learning is more effective than focusing on crises.

DBT Skills Training outside Standard DBT

  • Modifying standard DBT may be necessary when there's no individual provider component.
  • Alternative coaching methods like phone, text, or email are used, highlighting greater emphasis on coaching apps.
  • Additional individual consultations for group members may be needed, especially during severe distress.

Clarifying Individual Therapists' versus Skills Trainers' Roles in Suicidal Crises

  • Standard DBT treatment includes individual therapy, skills training, phone coaching, and a consultation team.
  • Reduction of suicidal behaviors isn't the primary focus in DBT skills training.
  • Skills training focuses on generalizable skills applicable to various life issues.
  • Discussion of self-injury, substance use, and other severely dysfunctional behaviors isn't typically addressed during skills training.
  • Individual therapists are typically responsible for crisis management.
  • Training or experience with suicidal crisis management isn't always guaranteed for skills trainers.
  • Prioritization and clear communication are vital when clients are highly suicidal, and potential crisis needs must be evaluated before referral to skills training group.

Managing Working with Clients of Non-DBT Individual Therapists

  • Collaborative agreements are needed to manage clients of non-DBT therapists in DBT treatment.
  • Individual therapists must take responsibility for crisis management, with skills trainers needing to act as liaisons during crises.
  • It is essential that the individual therapist is contacted and able to respond to crises.
  • The individual therapist will provide consultation for the client to support day-to-day living.
  • Skills trainers are not responsible for crisis calls.

When Individual Psychotherapists Do Not Incorporate Skills Coaching into Psychotherapy

  • Some therapists may not incorporate skills coaching due to specific therapeutic approaches or interpretations.
  • Clients may be instructed to seek additional coaching from other sources.
  • Skills trainers need to help clients with any trouble in applying learned skills into daily living.
  • Additional skills training sessions can help address challenges clients face in applying these skills and finding helpful coping methods.

DBT Skills Training in Other Settings

  • Staff members in inpatient units can learn behavioral skills to provide coaching to clients.
  • Weekly skills consultation meetings can assist clients.
  • In residential treatments and settings, it's beneficial to provide advanced skills groups.
  • Skills generalization is enhanced with involvement of family members in learning skills.
  • Strategies for integrating skills into ongoing therapy are applicable across different therapeutic approaches.
  • Recognizing and understanding the skill associated with the challenge is often needed.

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