Treatment DBT

Clinicians, Case Managers, Supervisors, and line staff facilitate DBT Skills Training Classes. All 5-C staff are trained in the delivery of Dialectical Behavior Therapy.

TREATMENT PLAN/DBT DIARY CARDS

Residents complete and turn in DBT Diary Cards on a weekly basis to their clinical therapist. Diary Cards record all skills practiced and target behaviors that are being addressed. DBT Diary Cards are individualized for each resident. Primary and Secondary Problems are identified from an initial assessment and their Service Implementation Plan (Treatment Plan). Idaho Department of Juvenile Corrections contract residents complete (O&A) Observation and Assessment prior to being placed at Five County. 5-C Center Psychiatrist/Psychologist Dr. Kelly Palmer, and Clinical Therapists provide additional assessment.

Clinicians work with juveniles and identify primary, secondary problems, and treatment goals for all Federal Bureau of Prisons contract residents. An Initial Service Implementation Plan/Individual Treatment Plan is completed within the first 30 days of a juveniles' placement. Bi-monthly and Quarterly Progress Treatment Updated Reports are provided to contract providers, parents/legal guardians, and juveniles. Juveniles continue to address all areas identified in their treatment plan.

DBT Diary Cards reflect individual problems or "Targeted Behaviors", and the Drivers’ (underlying issue or behavior driving the targeted behavior). The Primary Clinical Therapist work to address specific treatment targets in order of importance in individual weekly counseling. Clinicians, 5-C Linestaff, and residents use Behavior Chain Analysis Forms (B.C.A.s’) to identify solutions to behavioral problems using DBT Skills. These aid residents in precisely defining or identifying problem behaviors, what is influencing the behavior, and identify what may interfere with changing the behavior.

TREATMENT DBT SKILLS

Module: Core Mindfulness Skills

“Wise mind” (states of mind)

“What Skills” (observe, describe, and participate)

“How Skills”(don’t judge, focus on one thing mindfully, do what works)

Module: Emotion Regulation Skills

*Observing and describing emotions

*Reducing vulnerability to emotion mind: PLEASE MASTER (treat PhysicaL illness, balance Eating avoid mood-Altering drugs, balance Sleep, get Exercise, build MASTERy)

*Increasing positive emotions Mindfulness of current emotion

Module: Interpersonal Effectiveness Skills

*DEAR MAN (Describe, Express, Assert, Reinforce, stay Mindful, Appear confident, Negotiate)

* GIVE (be Gentle, act Interested, Validate, use an Easy manner)

*FAST (be Fair, no Apologies, Stick to values, be Truthful)

Module: Distress Tolerance Skills

*Distracting with “Wise mind ACCEPTS” (Activities, Contributing, Comparisons, Emotions, pushing, away, Thoughts, Sensations)

* Self-soothing the five senses vision, hearing, smell, taste, touch)

*Pros and cons

* IMPROVE the moment (Imagery, Meaning, Prayer, Relaxation, One thing in the moment, Vacation, Encouragement)

* Radical acceptance

Turning the mind Willingness

Module: Walking the Middle Path Skills Employing behavioral principles:

*Self and other Validation: Self and other Thinking dialectically Acting dialectically