Dialectical Behaviour Therapy (DBT) service for women, offering a therapy programme with strict adherence to the full DBT model.
More information about Hope House
Women’s Dialectical Behaviour Therapy (DBT) Programme
Dialectical Behaviour Therapy (DBT) service for women, offering a therapy programme with strict adherence to the full DBT model. The service meets the needs of women who have a history of serious self-harm as part of their primary diagnosis of Emotionally Unstable Personality Disorder (EUPD). The model has a robust evidence base and has demonstrated success in decreasing risk behaviours, improving relationships and enhancing independent living skills.
The Full Care Pathway
15 Month Intensive DBT Programme
Provides a service for women with a diagnosis of EUPD who are committed to completing an intensive DBT programme.
Hope apartments provide a service for women who are progressing well or are behaviourally stable and working well towards discharge. The apartments enable patients to practice their skills in real life situations before returning to the community or a step-down placement.
The overall aim is to assist patients in enhancing their self-worth and building a life worth living. The service aims to deliver world class DBT interventions within a fixed period of time, during which patients can achieve stability and enhance their quality of life.
The philosophy of care is based on the recognition that an individual has strengths as well as needs. There is a focus on rehabilitating patients via engagement, placing a strong emphasis on generating a sense of belonging through active community involvement and building meaningful social networks.
The DBT Programme has complete fidelity to the evidence-based DBT model as described by Marsha Linehan.
The full DBT programme is supported by a Behavioural Incentive Programme (BIP) that is unique to each patient. Each individual sets their own incentives, providing motivation and structure and reinforces skillful behaviour.
The BIP supports patients to set their own goals that will motivate them to stay safe. Initially their motivation will be external however with increased skill development and abstinence of problem behaviours, motivation will become internalised. The BIP is developed collaboratively by the Multidisciplinary Team and the patient and clearly articulates clinical interventions, progress and a discharge plan. Alongside this each patient has an MDT care plan to address additional needs, including management of problem behaviour. This provides a complete package of care.
The adherence to the DBT programme, combined with the skillful use of a behavioural incentive scheme allows staff to enhance safety whilst promoting independence and empowerment.