Last year the British Isles DBT training team (biDBT) celebrated 25 years of delivering training to mental health professionals in the UK and beyond. The only UK providers affiliated with Behavioral Tech Institute, the team has grown from Michaela Swales and Heidi Heard booking their own venues and stapling binders to an office of 10 staff and 14 trainers. DBT in the UK is mostly delivered by mental health professionals under our National Health Service (NHS), and from the start biDBT held the standard that training would only be provided to teams. The early trainings were just two Intensive Trainings a year in spring and autumn as well as some two-day skills workshops. Despite being a fledgling service, the training team held the highest standard. To do an intensive, the delegates had to provide no fewer than four people who could meet together weekly with a clinical psychologist on the team. Skills workshops were more open access, and the reputation of the trainings grew. Being a DBT trainer in the early 2000s meant being on the road a lot. In comparison with the USA, we may have a small geographical area, but we are densely populated. Demand was springing up in each of the nations in the UK: England, Northern Ireland, Scotland and Wales.ย The Republic of Ireland invited us to train the teams for their national implementation of DBT as a means of reducing suicide, with excellent results (Flynn et al, 2020). A DBT patient in the UK will most likely receive their care from one of 5 places:
- Through the NHS, paid for out of taxation and free to the patient at the point of delivery.
- In a private hospital. Although these are profit-making entities, many will have beds commissioned by the NHS and paid for out of government funding. This makes sense if the local NHS hospitals are approaching capacity, as it is cheaper than building new hospitals to meet demand.
- The charitable or voluntary sector. These are not-for profit organisations that plough the money received back into patient care.
- Prison and forensic services. These may be private or government-funded.
- Educational establishments. Universities, like Bangor in North Wales, provide some aspects of DBT, and skills training groups are being seeded in some schools or colleges.
Michaela Swales, PhD, is a Consultant Clinical Psychologist and Professor in Clinical Psychology on the North Wales Clinical Psychology Programme, Bangor University. Professor Swales is the Director of the British Isles Training Team, an International Affiliate of the Linehan Institute. She has trained more than a thousand professionals in DBT, seeding over 400 programmes, in both the UK and further afield. Read her full bio here. Christine Dunkley, DClinP has a doctorate in Clinical Practice from the school of health sciences at the University of Southampton, and a certificate of qualification in Social work. She practiced as a medical social worker prior to working in psychological therapies, and is a senior accredited practitioner with BACP. She is a Vice President of the Society for DBT. Read her full bio here. Disclaimer: The Behavioral Tech Institute blog is designed to facilitate the sharing of ideas, experiences, and insights related to Dialectical Behavior Therapy (DBT). The content and views expressed in the articles, comments, and linked resources are those of the individual authors and do not necessarily reflect the views, policies, or positions of Behavioral Tech Institute or staff. Content is provided for information and discussion purposes only and is not intended as professional advice. Contributors to the Behavioral Tech Institute blog are independent, and their participation does not represent an endorsement by Behavioral Tech Institute.