Hope House is a specialist Dialectical Behaviour Therapy (DBT) service for women, offering a fixed twelve-month therapy programme with strict adherence to the full DBT programme.
More information about Hope House & Isla House
Isla & 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 programme. 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
3 Month Pre-Commitment Phase
Offers a service for women with a diagnosis of EUPD who would benefit from the intensive DBT programme but are currently ambivalent about committing to a twelve month programme. The service offers therapeutic preparatory work and allows patients to immerse themselves in DBT culture, develop DBT skills, and work on motivation and commitment levels.
12 Month DBT programme and 3 month Consolidation Phase
Provides a service for women with a diagnosis of EUPD who are committed to completing an intensive 15 month programme.
Hope Apartments provide a service for women who are progressing well in the intensive 12 month DBT programme and who are preparing for 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 pathway 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 Dialectal Behaviour 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 service user. Each individual sets their own incentives, providing motivation and structure and reinforces skilful behaviour.
The BIP supports service users 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 service user 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 skilful use of a behavioural incentive scheme allows staff to enhance safety whilst promoting independence and empowerment
Hope House Dialectical Behaviour Therapy – Elysium Healthcare
Hope House & Isla House CQC Report
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