Rights statement: https://www.cambridge.org/core/journals/the-cognitive-behaviour-therapist/article/switching-roles-a-qualitative-study-of-staff-experiences-of-being-dialectical-behaviour-therapists-within-the-national-health-service-in-england/782F62BF67688A585F63EBA57C70C13D The final, definitive version of this article has been published in the The Cognitive Behaviour Therapist, 10 (e6), 2017, © 2017 Cambridge University Press.
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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
TY - JOUR
T1 - Switching roles
T2 - a qualitative study of staff experiences of being dialectical behaviour therapists within the National Health Service in England
AU - Hutton, Rebecca
AU - Hodge, Suzanne Margaret
AU - Tighe, Martin Gerald
N1 - https://www.cambridge.org/core/journals/the-cognitive-behaviour-therapist/article/switching-roles-a-qualitative-study-of-staff-experiences-of-being-dialectical-behaviour-therapists-within-the-national-health-service-in-england/782F62BF67688A585F63EBA57C70C13D The final, definitive version of this article has been published in the The Cognitive Behaviour Therapist, 10 (e6), 2017, © 2017 Cambridge University Press.
PY - 2017
Y1 - 2017
N2 - Many National Health Service (NHS) Trusts in England have invested in dialectical behavioural therapy (DBT) for mental health service users. The experiences of NHS staff delivering DBT were explored using semi-structured interviews with six dialectical behaviour therapists working in secondary mental health services within the NHS. The aim was to consider the impact on staff of adding the DBT therapist role onto their existing job role. Interview data were analysed using thematic analysis. Six themes were inductively generated from the data: DBT as a useful framework; DBT as the most satisfying part of the job; ‘Worzel Gummidge heads’– conflicts in roles; ‘DBT buddies’– the importance of informal support; uncertainty about the future; and recursivity – using DBT skills personally. Interactions between themes, implications for the service and future research directions are discussed. Key findings suggest that the addition of the DBT therapist role, as well as the recursive nature of DBT, has a positive impact professionally and personally. However, the service context within which participants were working can lead this additional role to cause increased demands and therefore stress, reducing that positive impact.
AB - Many National Health Service (NHS) Trusts in England have invested in dialectical behavioural therapy (DBT) for mental health service users. The experiences of NHS staff delivering DBT were explored using semi-structured interviews with six dialectical behaviour therapists working in secondary mental health services within the NHS. The aim was to consider the impact on staff of adding the DBT therapist role onto their existing job role. Interview data were analysed using thematic analysis. Six themes were inductively generated from the data: DBT as a useful framework; DBT as the most satisfying part of the job; ‘Worzel Gummidge heads’– conflicts in roles; ‘DBT buddies’– the importance of informal support; uncertainty about the future; and recursivity – using DBT skills personally. Interactions between themes, implications for the service and future research directions are discussed. Key findings suggest that the addition of the DBT therapist role, as well as the recursive nature of DBT, has a positive impact professionally and personally. However, the service context within which participants were working can lead this additional role to cause increased demands and therefore stress, reducing that positive impact.
KW - mental health
KW - dialectical behaviour therapy
KW - qualitative
KW - DBT
KW - self care
KW - qualitative methods
KW - psychological therapies
KW - personality disorder
KW - cognitive behavioural intervention
U2 - 10.1017/S1754470X17000083
DO - 10.1017/S1754470X17000083
M3 - Journal article
VL - 10
JO - The Cognitive Behaviour Therapist
JF - The Cognitive Behaviour Therapist
SN - 1754-470X
IS - e6
M1 - e6
ER -