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 -