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Oré CE, Fong‐Gurzinsky J, Marshall C, Parker M. Developing an Indigenous systems alignment framework: A call for direct funding. Health Serv Res 2024; 59:e14292. [PMID: 38403810 PMCID: PMC11063094 DOI: 10.1111/1475-6773.14292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/27/2024] Open
Affiliation(s)
- Christina E. Oré
- Seven Directions, A Center for Indigenous Public Health, Department of Psychiatry and Behavioral Sciences, Center for the Study of Health and Risk BehaviorsUniversity of Washington, School of MedicineSeattleWashingtonUSA
| | - Jacob Fong‐Gurzinsky
- Seven Directions, A Center for Indigenous Public Health, Department of Psychiatry and Behavioral Sciences, Center for the Study of Health and Risk BehaviorsUniversity of Washington, School of MedicineSeattleWashingtonUSA
| | - Carly Marshall
- Seven Directions, A Center for Indigenous Public Health, Department of Psychiatry and Behavioral Sciences, Center for the Study of Health and Risk BehaviorsUniversity of Washington, School of MedicineSeattleWashingtonUSA
| | - Myra Parker
- Seven Directions, A Center for Indigenous Public Health, Department of Psychiatry and Behavioral Sciences, Center for the Study of Health and Risk BehaviorsUniversity of Washington, School of MedicineSeattleWashingtonUSA
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Tan MYL, Saw YE, Keng S, Lim DSH. The impact of dialectical behaviour therapy training on therapists in Singapore: A mixed‐methods study. COUNSELLING & PSYCHOTHERAPY RESEARCH 2023. [DOI: 10.1002/capr.12626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2023]
Affiliation(s)
- Michelle Yan Ling Tan
- Department of Psychology Institute of Mental Health Singapore Singapore
- Department of Psychology James Cook University Singapore Singapore
| | | | - Shian‐Ling Keng
- Monash University Malaysia, Department of Psychology, Jeffrey Cheah School of Medicine and Health Sciences Subang Jaya Selangor Malaysia
| | - Denise Su Hui Lim
- Department of Psychology Institute of Mental Health Singapore Singapore
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King LM, Zori G, Collins SL, Lewis C, Hack G, Dixon BN, Hart M. What does community resilience mean in the context of trauma-informed communities? A scoping review. JOURNAL OF COMMUNITY PSYCHOLOGY 2022; 50:3325-3353. [PMID: 35322432 DOI: 10.1002/jcop.22839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Revised: 02/16/2022] [Accepted: 03/02/2022] [Indexed: 06/14/2023]
Abstract
UNLABELLED Several communities are implementing trauma-informed, community-level approaches focused on addressing/preventing adverse childhood experiences (ACEs), yet most community resilience definitions from published articles are based on acute traumas. This scoping review aims to determine how community resilience is defined and operationalized within the context of chronic/complex traumas. METHODS We performed a rigorous, comprehensive literature search using multiple databases. RESULTS The 38 included articles addressed multiple types of chronic traumas, including historical trauma, poverty, minority stress, mass incarceration, and ACEs. A variety of definitions of community resilience were cited, several of which stressed the ability to thrive despite risk factors and the safety and wellbeing of residents. Few articles operationalized community resilience within the context of ACEs, suggesting significant gaps in the literature. CONCLUSION This review can serve as an important building block to develop expanded definitions of community resilience for chronic traumas and assist communities in promoting community-wide responses to ACEs.
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Affiliation(s)
- Lindsey M King
- Department of Health Services Research, Management & Policy, College of Public Health & Health Professions, University of Florida, Gainesville, Florida, USA
- Social and Behavioral Sciences, College of Public Health & Health Professions, University of Florida, Gainesville, Florida, USA
| | - Gaia Zori
- Social and Behavioral Sciences, College of Public Health & Health Professions, University of Florida, Gainesville, Florida, USA
| | - Sarah L Collins
- Social and Behavioral Sciences, College of Public Health & Health Professions, University of Florida, Gainesville, Florida, USA
| | - Carol Lewis
- Department of Psychiatry, College of Medicine, University of Florida, Gainesville, Florida, USA
- Cofounder, Peace4Gainesville, Gainesville, Florida, USA
| | - George Hack
- Department of Occupational Therapy, College of Public Health & Health Professions, University of Florida, Gainesville, Florida, USA
| | - Brittney N Dixon
- Department of Health Services Research, Management & Policy, College of Public Health & Health Professions, University of Florida, Gainesville, Florida, USA
- Social and Behavioral Sciences, College of Public Health & Health Professions, University of Florida, Gainesville, Florida, USA
| | - Mark Hart
- Central Administration Office, Sanford School of Public Policy, Duke University, Durham, North Carolina, USA
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Toms G, Williams L, Rycroft-Malone J, Swales M, Feigenbaum J. The development and theoretical application of an implementation framework for dialectical behaviour therapy: a critical literature review. Borderline Personal Disord Emot Dysregul 2019; 6:2. [PMID: 30805193 PMCID: PMC6373034 DOI: 10.1186/s40479-019-0102-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2018] [Accepted: 02/05/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Dialectical behaviour therapy (DBT) is a third wave behaviour therapy combining behaviour based components with elements of mindfulness. Although DBT effectiveness has been explored, relatively little attention has been given to its implementation. Frameworks are often the basis for gathering information about implementation and can also direct how the implementation of an intervention is conducted. Using existing implementation frameworks, this critical literature review scoped the DBT implementation literature to develop and refine a bespoke DBT implementation framework. METHOD AND RESULTS The initial framework was developed by consolidating existing implementation frameworks and published guidance on DBT implementation. The critical literature review retrieved papers from Medline, CINAHL, PsycInfo, PubMed, and the reference lists of included papers. Framework elements were used as codes which were applied to the literature and guided the synthesis. Findings from the synthesis refined the framework.The critical literature review retrieved 60 papers but only 14 of these explicitly focused on implementation. The DBT implementation framework captured all the execution barriers and facilitators described in the literature. However, the evidence synthesis led to a more parsimonious framework as some elements (e.g., research and published guidance) were seldom discussed in DBT implementation. CONCLUSION To our knowledge this is the first published review exploring DBT implementation. The literature synthesis suggests some tentative recommendations which warrant further exploration. For instance, if DBT implementation is not pre-planned, having someone in the organisation who champions DBT can be advantageous. However, as the literature is limited and has methodological limitations, further prospective studies of DBT implementation are needed.
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Affiliation(s)
- Gill Toms
- Gill Toms, School of Healthcare Sciences, Bangor University, Fron Heulog, Bangor, Gwynedd LL57 2EF UK
| | - Lynne Williams
- Gill Toms, School of Healthcare Sciences, Bangor University, Fron Heulog, Bangor, Gwynedd LL57 2EF UK
| | - Jo Rycroft-Malone
- Gill Toms, School of Healthcare Sciences, Bangor University, Fron Heulog, Bangor, Gwynedd LL57 2EF UK
| | - Michaela Swales
- North Wales Clinical Psychology Programme, School of Psychology, Brigantia Building, Bangor University, Bangor, Gwynedd LL57 2DG UK
| | - Janet Feigenbaum
- Research Department of Clinical, Education and Health Psychology, University College London, Gower Street, London, WC1E 6BT UK
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Kohrt BK, Lincoln TM, Brambila AD. Embedding DBT Skills Training Within a Transactional-Ecological Framework to Reduce Suicidality in a Navajo Adolescent Female. Clin Case Stud 2016. [DOI: 10.1177/1534650116668271] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
American Indian/Alaska Native (AI/AN) youth have higher rates of suicidality than any other ethnic or cultural group in the United States. Dialectical behavior therapy (DBT) is an evidence-based treatment that has been found to reduce suicidality in adolescents, but there is little literature speaking to its efficacy with the AI/AN population. The transactional-ecological model of suicidality helps identify protective factors that can be bolstered at the individual, familial, community, and spiritual levels to reduce suicidality and suicidal contagion in AI/AN youth. The current study examines a case where DBT was culturally adapted and embedded within a transactional-ecological framework to treat a 14-year-old Navajo female with Major Depressive Disorder with psychotic features who presented to a psychiatric inpatient facility following a suicide attempt. The patient’s wish to die was motivated by her belief that her death could lead to positive changes in an extended family system plagued by historical trauma, alcoholism, suicide, and domestic violence. Ongoing assessment was conducted using the Suicide Status Form (SSF), Suicide Probability Scale (SPS), Reasons for Living Scale for Adolescents (RFL-A), and the DBT diary card. Navajo healing traditions were used in conjunction with DBT skills training and enhancement of ecological protective factors. Initial reduction in depression and suicidality was complicated by an increase in homicidal ideation. A comprehensive psychiatric evaluation was completed, and treatment was modified through medication changes, increased mindfulness practice, bolstering support systems, and engagement in a Navajo healing ceremony. Implications for clinicians treating suicidality in Navajo youth are discussed.
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