Evaluating the Coordinated National Implementation of DBT in Ireland

Personality Disorder, Borderline Clinical Trial

Official title: Evaluation of a Coordinated National Implementation of DBT in Community Mental Health Services in Ireland

Status Completed

Clinical Trial Summary

This study aims to evaluate the coordinated implementation of Dialectical Behaviour Therapy in Community Mental Health Services in Ireland.

There are three main objectives of the current study:

• evaluate the effectiveness of DBT for adults and adolescents attending Community Mental Health Services in multiple sites across Ireland

• conduct an economic evaluation of the coordinated implementation of DBT in community settings in Ireland

• evaluate the implementation initiative by means of quantity, quality and experience of the coordinated implementation

Clinical Trial Description

The National Dialectical Behaviour Therapy (DBT) Project, Ireland was established in the Republic of Ireland in 2013. The aims of the project were twofold: to implement DBT in Community Mental Health Services across Ireland and to evaluate this coordinated implementation of DBT at a national level.

DBT was initially formulated as a treatment for Borderline Personality Disorder (BPD) which is typically characterised by patterns of emotional and behavioural dysregulation that often manifests in self-harm and suicidal ideation. DBT is noted to be an intervention with a growing evidence base that demonstrates its effectiveness in treating individuals with BPD. More than a dozen controlled trials have been completed at multiple independent sites. The results of these trials have reported a reduction in suicidal behaviours, inpatient hospitalisations, depression, hopelessness and suicidal ideation among other constructs which individuals with BPD experience.

While the efficacy of DBT has been demonstrated through multiple controlled trials, few studies have examined the effectiveness of DBT in community mental health settings. In particular, no study has evaluated a coordinated national implementation of DBT across multiple sites in a publicly funded health system. The current study aims to evaluate the the coordinated implementation of DBT in Community Mental Health Services in Ireland ;

Related Conditions & MeSH terms

• Borderline Personality Disorder
• Personality Disorder, Borderline
• Personality Disorders

• NCT number: NCT03180541
• Study type: Interventional
• Source: Health Service Executive, Ireland
• Status: Completed
• Phase: N/A
• Start date: December 2013
• Completion date: March 2018