Dialectical behavior therapy (DBT) is an effective intervention for treating adults with emotional and behavioral dysregulation. The National DBT Project, Ireland was established in 2013 to coordinate the implementation of DBT across public community mental health settings at a national level. This study describes the implementation and evaluation of DBT across multiple independent sites in adult mental health services (AMHS). The Consolidated Framework for Implementation Research was used to guide this national implementation where barriers and facilitators to DBT implementation were considered. Nine AMHS teams completed DBT training and delivered the standard 12-month program. One hundred and ninety-six adults with borderline personality disorder participated in the program, and outcome measures were recorded at four time points. Significant reductions on outcome measures, including frequency of self-harm and suicidal ideation, were observed. This study highlights that DBT can be successfully implemented in community mental health settings as part of a coordinated implementation.

中文翻译：

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公共社区环境中12个月标准辩证行为疗法的多站点实施和评估。

辩证行为疗法（DBT）是治疗成年人情绪和行为失调的有效干预措施。爱尔兰国家DBT项目成立于2013年，旨在协调DBT在国家一级跨公共社区精神卫生机构的实施。这项研究描述了成人心理健康服务（AMHS）中多个独立站点之间DBT的实施和评估。实施研究综合框架用于指导这一国家实施，其中考虑了实施DBT的障碍和促进因素。9个AMHS团队完成了DBT培训，并交付了标准的12个月计划。196名患有边缘性人格障碍的成年人参加了该计划，并在四个时间点记录了结果指标。观察到成果指标的显着降低，包括自残和自杀意念的发生率。这项研究强调，作为协调实施的一部分，DBT可以在社区精神卫生环境中成功实施。