Description
Being young can be hard, especially when young people have to worry about relationships, family, school, and social media. Now the COVID-19 pandemic has become a chronic toxic stressor impacting the wellness of youth. Youth and their families have been facing more mental health challenges. In March of this year, the Center for Disease Control and Prevention released data which showed that more than a third of high school students reported poor mental health including persistent feelings of depression, hopelessness, suicidal thoughts, and suicide attempts. Suicidality and non-suicidal self-injurious behaviors are common presentations for inpatient psychiatric hospitalizations. Dialectical Behavior Therapy (DBT) is an effective treatment for children and adolescents with these presentations. As such, DBT has been adapted as a treatment modality on inpatient units for adolescents. Researchers have observed that creating a supportive environment by incorporating the DBT treatment model into the acute inpatient care milieu decreases constant observation hours, incidents of suicide attempts, incidents of self-injury, restraints, the number of medications prescribed at the time of discharge, and length of stay, compared to the standard treatment as usual model. To adapt DBT for an acute inpatient setting and maintain this culture, it requires interactive team training, collaboration, and support for each other. Our session will navigate the DBT culture on the child and adolescent inpatient psychiatric units at Children’s National Hospital in DC and introduce the process of DBT implementation. During our session, our multidisciplinary treatment team members including a clinical psychologist, nurse personnel practice specialist, and psychology and psychiatry trainees will share their experiences in implementing DBT in the inpatient setting. Specifically, we will discuss the structure of DBT on the unit, methods for training staff and trainees, as well as the outcomes, lessons learned, and challenges. We will then discuss future directions and projects including increasing the accessibility of DBT by making it available for Spanish speaking patients and families, increasing opportunities for family member engagement in DBT, and how to make cultural and developmental adaptions.
Format
Recorded webinar.
This content was recorded during the APA 2023 Annual Meeting.
Learning Objectives
- Describe the development and implementation of a dialectical behavior therapy (DBT) program on child and adolescent inpatient units at Children’s National Hospital.
- Explain the various interdisciplinary approaches to DBT implementation on the units.
- Discuss cultural considerations, barriers to treatment, lessons learned, and future directions of the DBT program.
Target Audience
Residents/Fellows, Psychiatrists, Psychologists
Estimate Time to Complete
Estimated Duration: 1.5 hours
Program Start Date: May 1, 2025
Program End Date: May 1, 2028
How to Earn Credit
Participants who wish to earn AMA PRA Category 1 Credit™ may do so after completing all sections of the course including the evaluation. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the completion date and hours earned.
Continuing Education Credit
In support of improving patient care, the American Psychiatric Association is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
The APA designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Faculty and Planner Disclosures
The American Psychiatric Association adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CME activity — including faculty, planners, reviewers or others — are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.
Instructors
- Deborah Zlotnik, PhD
- Alexandra Yoon, MD
- Reginald Bannerman, RN, MSN, MBA, NE-BC
- Stefania Pinto, PhD
Planners
- Vishal Madaan, MD, Chief of Education and Deputy Medical Director at the American Psychiatric Association.
Accessibility for Participants with Disabilities
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Technical Requirements
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- Internet Explorer 11+
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