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Skills for DBT Team Leaders to Promote Team Adherence

Live, Remote, Instructor-led
December 12 – December 15, 2022

Trainers: Michaela Swales, PhD and Christine Dunkley, DClinP

Training Description

Course Description

A DBT team leader is crucial to the success of any program. Team leaders must combine skills in leadership, organizational negotiation, and enhanced clinical acumen to effectively lead their team. This training course is the only training specifically designed for DBT Team leaders. As such, it requires that participants must currently be a member of a DBT team applying comprehensive DBT. It assumes that all participants are comprehensively trained in DBT (Intensive or Foundational training). It is also suitable for those aspiring to develop the skills to take on the role of a DBT team leader.

The training will use multiple instructional methods, including lecture, demonstrations, practice exercises, and small group feedback to achieve its aims. Topics addressed include developing relevant leadership skills and shaping adherence in multiple modes of DBT. The training will also build on specific consultation questions submitted by participants.

This live remote instructor-led training will be delivered via video conference embedded in a learning management system (LMS) for a total of 13 instructor-led hours. This course has been developed by Prof. Michaela Swales and Dr. Christine Dunkley, who look forward to working with participants to pass on the skills that they have learned in how to lead an effective DBT team.

Learning Objectives:

As a result of this training, participants will be able to:

  1. Describe how the role of team leaders assists in structuring the DBT environment.
  2. Explain the importance of the liaison between the DBT Team Lead and the wider organizational context.
  3. Describe organizational goals and how these relate to the DBT team.
  4. Assess the assets, and address the deficits, of the DBT team.
  5. Utilize authority strategically in shaping the organizational relationship.
  6. Identify the dialectics of the team leader role.
  7. Shape their DBT program structure in the service of treatment fidelity.
  8. Identify areas of strengths and areas for development of the DBT program.
  9. Describe features of an adherent consultation team.
  10. Describe common behaviors pulling teams off adherence.
  11. Identify behaviors that enhance the effectiveness of consultation team.
  12. Develop a systematic strategy to address consultation interfering behaviors.
  13. Enhance team leader skills in shaping target hierarchies on team.
  14. Describe common problems in target hierarchy construction.
  15. Rectify common problems in DBT programs.
  16. Provide feedback to colleagues about target hierarchies.
  17. Enhance team leader skills in shaping adherence in individual therapy.
  18. Develop skills in identifying common problems in behavioral and solution analysis
  19. Identify solutions to common problems.
  20. Identify features of behavior chain analyses and solution analyses that need shaping.
  21. Develop skills in providing feedback to colleagues.
  22. Develop skills to shape adherence in Skills training group.
  23. Describe features of an adherent skills training classes.
  24. Describe common behaviors interfering with effective teaching of DBT skills.
  25. Describe common behaviors interfering with effective homework review.
  26. Develop skills to shape generalization of skills learned to the natural environment.
  27. Describe pathways and resources for advancement of programs and team leaders.

Faculty Disclosure:

  • Michaela Anne Swales, PhD, co-developed the training, Skills for DBT Team Leaders to Promote Team Adherence, and receives training fees and royalties from DBT trainings and from publications written on these and related subjects.
  • Christine Anne Dunkley, DClinP, co-developed the training, Skills for DBT Team Leaders to Promote Team Adherence, and she receives training fees and royalties from DBT trainings and from publications written on these and related subjects

Schedule

8:15am – 12:00pm Central Time / 6:15am – 10:00am Pacific Time / 9:15am – 1:00pm Eastern Time
Sign-in from 8:00am – 8:15am Central Time / 6:00am – 6:15am Pacific Time / 9:00am – 9:15am Eastern Time

Trainers

Michaela Swales, PhD

Michaela Swales, PhD Michaela Swales, PhDColwyn Bay (United Kingdom) Michaela Swales, PhD, is a Consultant Clinical Psychologist and Professor in Clinical Psychology on the North Wales Clinical Psychology Programme, Bangor University.  She trained in Dialectical Behaviour Therapy in Seattle in 1994 / 95 with Marsha Linehan and for twenty years ran a clinical programme for suicidal young people in an inpatient service.  Professor Swales is the Director of the British Isles Training Team, an International Affiliate of the Linehan Institute.  She has trained more than a thousand professionals in DBT, seeding over 400 programmes, in both the UK and further afield.  She co-authored, Dialectical Behaviour Therapy: Distinctive Features (2009; 2017) and Changing Behavior in DBT: Problem-Solving in Action (2015).  She is the Editor of the Oxford Handbook of DBT (2019).  Her primary research interest is the effective implementation of evidence-based psychological therapies in routine clinical practice. Professor Swales was a member of the Working Group on Classification of Personality Disorders, reporting to the World Health Organisation (WHO) International Advisory Group for the Revision of ICD-10 Mental and Behavioural Disorders.

Additional Faculty & Presenters

Christine Dunkely, DClinP

Christine Dunkely, DClinP   Christine Dunkely, DClinPChristine Dunkley, DClinP, is a consultant trainer with the British Isles DBT Training team and honorary lecturer on the Post Graduate Diploma in DBT at Bangor University. She has a doctorate in Clinical Practice from the school of health sciences at the University of Southampton, and an honours degree and certificate of qualification in Social work. She began working as a medical social worker in 1982 and a psychological therapist in 1994. She is an accredited therapist and supervisor with the Society for DBT (UK and Ireland) and a senior accredited practitioner with BACP. She is a Fellow and Vice President of SfDBT. Christine trained in DBT in 2001 and had supervision with Heidi Heard who worked on the original trials with Marsha Linehan. She is trained to calibration in the University of Washington DBT adherence rating scale. She worked in the Winchester DBT team and specialised in seeing the patients who were at the point of being referred into expensive out-of-area placements because of more severe difficulties than could be handled in routine care. She and the team received an award from the Trust for their work on this service. She trained and supervised clinicians on the 5-year Implementation of DBT in Ireland, and was a consultant on the pilot site for a large NHS RCT in RO-DBT. Christine started offering training in DBT internally at Southern Health NHS Trust where she was employed. She joined the British Isles DBT training team in 2006, eventually rising to Consultant trainer.  She has trained on 48 intensives, 26 Foundation courses, and over 200 workshops, making her the most prolific trainer in the British Isles DBT training team, and one of the most experienced trainers worldwide.  She has given an exemplar lecture at the annual DBT trainers meeting in Seattle, and taught on the Linehan Institute induction program for new international trainers. Since writing her books on Mindfulness and Emotion Regulation she has also been in demand as a speaker all over the world, in person and online. As a very experienced trainer she has consulted on difficult cases in every setting imaginable, from prisons, to perinatal units, and from specialist PD services to community treatment teams, with both adolescent and adult clients. She is well recognised for her expertise. She was the first chair of the Society for DBT (UK and Ireland) and awarded a fellowship for her services in 2016. She has written over 20 publications including 3 books, and 3 chapters in the Handbook of DBT edited by Michaela Swales. Her article based on her research into Hearing the Suicidal Patient’s Emotional Pain topped the ‘most read’ chart in Crisis journal for over a year. Her co-authored paper with Michaela Swales on Skills Assessment in DBT was given an honorary mention in the 2021 Psyche awards.

Prerequisites

Applicants must be a member of a DBT Team applying comprehensive DBT*.

Study Resources

  • Cowperthwait et al (2019). Skills training in DBT: Principles and Practicalities. In M. Swales (Ed) Oxford Handbook of DBT: Oxford: OUP.
  • Heard, H. & Swales, M. (2015) Changing behaviour in DBT: Problem-Solving in Action. Guilford. Chapters 2-8.
  • Rizvi, S. & Roman, K.M. (2019). Generalization modalities: taking the treatment out of the consulting room – Using telephone, text and email. In M. Swales (Ed) Oxford Handbook of DBT: Oxford: OUP.
  • Sayrs, J. H. R. (2019). Running and effective DBT Consultation team: Principles and Challenges. In M. Swales (Ed) Oxford Handbook of DBT: Oxford: OUP.
  • Sayrs, J. & Linehan, M. (2019). DBT Teams: Development and Practice. Guilford Press.
  • Schmidt, H & Russo, J.C. (2019). The structure of DBT Programmes. In M. Swales (ED) Oxford Handbook of DBT: Oxford: OUP.
  • Swales, M & Dunkley, C (2019). Structuring the wider environment and the DBT Team: Skills for DBT Team Leads. In M. Swales (ED) Oxford Handbook of DBT: Oxford: OUP.

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Pre-Training Assignment Instructions

  • All participants are required to complete and submit three pre-training assignments by November 21, 2022.
  • Detailed instructions for these assignments can be found on the SurveyMonkey submission portal. Required assignments include:
    • Target Hierarchy / Behavioral and Solution Analysis
    • DBT Program Self-Assessment
    • Focus Area Ranking

Tuition Information

  • Standard Tuition: $700 per participant (U.S. dollars)
  • Registration will close when all seats are sold, or on November 18, 2022 (final cut-off date).

IMPORTANT: Two weeks prior to the training, participants will receive an email from our Online Portal (powered by Thinkific) with a sign-in URL for this training. Please follow the instructions in the email to log in to our Online Portal and set your password, prior to Day 1 of the training.

Participants will retain access to the online course until 1 month after the last training session date. All course requirements must be completed before course access expires.

Please email support@behavioraltech.org if you have any questions about accessing your training.

Cancellations, Substitutions and Refunds
For a complete list of Behavioral Tech policies and limits of liability, see our Sales & Refund Policy page.

Technical Requirements

  • Our Online Portal (powered by Thinkific) will be used to host the live Zoom sessions and share supplemental materials. All Live-Remote Trainings require each participant to have:

Continuing Education

This offering meets the requirements for the following hours by discipline. Licensing and continuing education requirements vary by state. Please contact your state’s regulatory authority to verify if this course meets your licensing or continuing education requirements. Inquiries regarding CE for other disciplines not listed may be directed to Behavioral Tech at (206) 675-8588 or via email to support@behavioraltech.org. And for general CE questions, you can review answers to continuing education FAQs or contact us.

CE NOTE: Behavioral Tech calculates the continuing education credits for this training by the start time and end time. 100 percent attendance is required, as is signing IN and OUT each morning and afternoon, to receive CE credits. Only participants with 100% attendance, and who have completed the Post-Event Evaluation and passed their Final Exam with a score of 75% or higher will receive credit. Behavioral Tech cannot offer partial credit. Please remember to sign in and sign out each day to document your attendance. Continuing Education documentation will be emailed to you 4-6 weeks after the last day of training.

Alcohol and Drug Abuse Counselors
Behavioral Tech will apply to NAADAC – the Association for Addiction Professionals, Provider #77431. You will receive a letter via email documenting your attendance upon successful completion of the activity. The allotted contact hours for this activity = 13.

Mental Health Counselors
Behavioral Tech is approved by an NBCC-Approved Continuing Education Provider (ACEP™) and may offer NBCC-approved clock hours for events that meet NBCC requirements. The ACEP solely is responsible for all aspects of the program.
Behavioral Tech will email you a letter documenting your attendance upon the successful completion of the activity. The allocated clock hours for this activity = 13.

Nurses
Behavioral Tech is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Nurses should only claim credit commensurate with the extent of their participation in the activity. Continuing Medical Education is accepted by the ANCC for nursing certification renewal. The maximum AMA PRA Category 1 Credits™ designated by Behavioral Tech for this activity = 13.

Psychiatrists
Behavioral Tech is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Physicians should only claim credit commensurate with the extent of their participation in the activity. The maximum AMA PRA Category 1 Credits™ designated by Behavioral Tech for this activity = 13.

Psychologists
Behavioral Tech is approved by the American Psychological Association to offer continuing education for psychologists. Behavioral Tech maintains responsibility for the program and its content. Behavioral Tech will email you a letter documenting your attendance after the successful completion of the program and homework. The number of hours Behavioral Tech has allocated within APA guidelines = 13.

Psychologists – New York
Behavioral Tech is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists, #PSY-0063. Behavioral Tech will email a certificate of attendance upon 100% completion of this activity. The total contact hour allocated for this activity = 13.

Social Workers- Washington
Behavioral Tech will apply to the NASW, Washington State Chapter, Provider Number 1975-166, to offer continuing education for Certified Social Workers. Behavioral Tech will email a certificate of attendance upon 100% completion of this activity. The hours of CE allocated for this activity = 13.

Social Workers – New York
Behavioral Tech is approved by recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers, #0040. Behavioral Tech will email a letter documenting attendance to participants with 100% completion of the program and homework. The hours allocated for this activity = 13.

General CE/CME Disclosures and Policies

Conflict of interest definition: A conflict of interest may be considered to exist if a continuing education course faculty is affiliated with, or has any significant financial interest, in any organization(s) that may have a direct interest in the subject matter of the presentation or may be co-sponsoring or offering financial support to the course. Situations involving a potential conflict of interest are not inherently bad or wrong, but in accordance with standards for continuing medical education we would like you to be aware of the affiliation/financial interest of your instructors.

Faculty Disclaimer: When an unlabelled use of a commercial product, or an investigative use not yet approved for any purpose is discussed during an educational activity, we shall require the speaker to disclose that the product is not labeled for the use under discussion or that the product is still investigative.

Notice of requirements for successful completion: For all trainings (both in-person and remote), participants must attend 100% of the training and complete the Final Evaluation to receive a certificate of successful completion. This includes signing in and out each day/session of the event. For remote, Instructor-led online training, participants have to pass the Post Assessment(s) with a score of 75% or higher.

Commercial support or sponsorship: There is no commercial company support for this CME/CE event.

Noncommercial Sponsor Support: There is no noncommercial sponsor support for this CME/CE activity.

Non-Endorsement of Products: The Behavioral Tech approval status refers only to continuing education activities and does not imply that there is real or implied endorsement of any product, service, or company referred to in this activity nor of any company subsidizing costs related to the activity.

Off-Label Product Use: This CME/CE activity does not include any unannounced information about off-label use of a product for a purpose other than that for which it was approved by the Food and Drug Administration (FDA).

Disclosure of Relevant Financial Relationships: Faculty members are required to disclose all conflicts of interest and any relevant financial relationships that may affect the training content. Unless specified on Behavioral Tech’s website or on other printed materials/media, none of the individuals in a position to control the content of this CE/CME activity (including planners, editors, CE/CME Review Committee members, faculty presenters, moderators/facilitators, reviewers, etc.) have any relevant financial relationships to disclose.

CE Reprint Policy: For missing/lost CE documentation, an administrative fee of $50 is required for all CE/CME activities after 2017. For CE reprints prior to 2017, please refer to the website or contact support@behavioraltech.org. Please refer to the CE FAQ webpage: https://behavioraltech.org/resources/faqs/continuing-education/.

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