Advanced Clinical Skills in Dialectical Behaviour Therapy
Advanced Clinical Skills in Dialectical Behaviour Therapy 2022-23
School Of Human And Behavioural Sciences
Module - Semester 1 & 2
The course content reviews in more extensive detail the core change-based and acceptance-based strategies of DBT using clinical case material brought to the course lectures. Students will work with their own and each others material to identify skills and deficits in their case conceptualisations and practical execution of DBT in clinical practice. Students will also review the functioning of their DBT Consultation Team and how they can more effectively use the team to improve their clinical skills and outcomes. Outside of formal teaching students will practice applying their new skills learnt in the classroom to their clinical work and will receive feedback on their progress from a clinical supervisor who will review audio or video tapes of sessions to shape the students clinical skills.
-threshold -Pass 50-59%For two assessments in this module, the live work sample (DVD) and supervision log, the student can only pass or fail. For the live work sample the clinical session will be rated using the DBT Global Adherence scale. The student must demonstrate a 4.0 or above on this scale to pass this assessment. For the supervision log students can only pass of fail. Students actively participating (bringing live samples of work for review to the supervisor) in the requisite number of supervision hours will pass this component.For the case study that accompanies the DVD the student at this level will demonstrate competence in targeting clinical problems and in conducting behavioral and solution analyses. Minor errors may be evident in these procedures but not such as to adversely affect the clinical outcome of the case. A degree of reflection and critical appraisal is evident and evidence of appropriate use of supervision - both individual and peer is evident. -good -Good 60-69%Case studies at this level demonstrate competence and accuracy within the targeting of clinical problems. Behavioural and solution analyses are accurate and show a degree of creativity in breadth in the selection and application of solutions. The student demonstrates the capacity to critically evaluate their work and the impact that they have had from others in supervision on their work. Alternative course of action to address problems are explored and commented upon. -excellent -Excellent 70%+Case studies at this level demonstrate an exceptional level of skill and competence in their conceptualisation of the client's difficulties. In addition to highly accurate targeting and behavioural and solution analyses the student has utilized a wide range of strategies demonstrating a command of the therapy. Critical appraisal indicates that the student has a thorough knowledge of the treatment and its application.
- 1. Demonstrate skills in the clinical execution of DBT in clinical sessions with clients using the full range of DBT strategies
- Critically appraise their clinical work, evaluating its strengths and weaknesses
- Critically evaluate how their clinical intervention was impacted by both the DBT Consultation Team and individual supervision.
- Demonstrate the capacity to formulate a clinical case using the principles of DBT, including accurate targeting of clinical problems and comprehensive behavioural chain and solution analyses.
Logbook Or Portfolio
DBT Supervision Log Book. Students must submit a description and reflection on their supervision sessions
Clinical Practical Assessment
Individual Therapy Work Sample. Students must submit a recording of a clinical session of their individual therapy in DBT which will be marked by a formalised assessment of adherence to model.
DBT Case Study. Student must submit a case study of a client they have treated illustrating all elements of the DBT model: biosocial theory; stages and targets; behavioural and solution analysis (including controlling variables); evaluation of treatment and participation in other modalities of treatment.