title: Dialectical Behavior Therapy Training and Desired Resources for Implementation: Results From a National Program Evaluation in the Veterans Health Administration.
abstract: Little is known about nonresearch training experiences of providers who implement evidence-based psychotherapies for suicidal behaviors among veterans.
  
  
  
  This national program evaluation identified the history of training, training needs, and desired resources of clinicians who work with at-risk veterans in a national health care system. This sequential mixed methods national program evaluation used a post-only survey design to obtain needs assessment data from clinical sites (N = 59) within Veterans Health Administration (VHA) facilities that implemented dialectical behavior therapy (DBT). Data were also collected on resources preferred to support ongoing use of DBT.
  
  
  
  While only 33% of clinical sites within VHA facilities reported that staff attended a formal DBT intensive training workshop, nearly 97% of participating sites reported having staff who completed self-study using DBT manuals. Mobile apps for therapists and clients and templates for documentation in the electronic health records to support measurement-based care were desired clinical resources.
  
  
  
  Results indicate that less-intensive training models can aid staff in implementing DBT in real-world health care settings. While more training is requested, a number of VHA facilities have successfully implemented DBT into the continuum of care for veterans at risk for suicide.
authors.affiliation: National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA 94025.
authors.forename: Sara J
authors.initials: SJ
authors.lastname: Landes
authors.affiliation: Central Arkansas Health Care System, Mental Health Quality Enrichment Research Initiative (QUERI), 2200 Fort Roots Drive, Building 58, North Little Rock, AR 72114.
authors.forename: Monica M
authors.initials: MM
authors.lastname: Matthieu
authors.affiliation: National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA 94025.
authors.forename: Brandy N
authors.initials: BN
authors.lastname: Smith
authors.affiliation: National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA 94025.
authors.forename: Lindsay R
authors.initials: LR
authors.lastname: Trent
authors.affiliation: National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA 94025.
authors.forename: Allison L
authors.initials: AL
authors.lastname: Rodriguez
authors.affiliation: VISN 2 Center of Excellence for Suicide Prevention, Canandaigua VA Medical Center, 400 Fort Hill Avenue, Building 37, Canandaigua, NY 14424.
authors.forename: Janet
authors.initials: J
authors.lastname: Kemp
authors.affiliation: Office for Suicide Prevention, Mental Health Service, Department of Veterans Affairs, 1575 I Street Northwest, Washington, DC 20420.
authors.forename: Caitlin
authors.initials: C
authors.lastname: Thompson
mesh_terms: D001521:Behavior Therapy / Q000379:methods* / Q000592:standards*; D006295:Health Resources / Q000600:supply & distribution*; D006801:Humans; D020380:Needs Assessment; D015397:Program Evaluation / Q000379:methods*; D057566:Self Report; D011795:Surveys and Questionnaires; D014481:United States; D014493:United States Department of Veterans Affairs / Q000458:organization & administration