This 3-day virtual live workshop is designed to provide therapists with training in how to improve their adherence and competence when delivering DBT individual therapy. DBT is a comprehensive, principle-driven treatment that requires therapists to learn and apply many strategies. Some strategies are needed in all sessions, whereas other strategies are context-dependent. Adherent treatment delivery requires therapists to know which strategies are needed when and how to apply them effectively. In this workshop, we will review the core therapeutic strategies that are used to evaluate adherence in DBT individual therapy sessions. Participants will learn about the DBT Adherence Checklist for Individual Therapy (DBT AC-I) that has been developed to help therapists evaluate and improve their own and others’ delivery of DBT. Emphasis will be placed on when and how to apply the strategies in the DBT AC-I as well as how to avoid common adherence pitfalls. Instructors will use lecture, live demonstrations, and video review to provide examples of adherent versus non-adherent application of DBT. This workshop assumes participants have general and applied knowledge of DBT treatment strategies and will not include a basic review of DBT. It is also not intended to provide the training needed to become a reliable coder on the DBT AC-I, but it will help participants learn to use the measure as a quality improvement tool. This workshop will be particularly valuable to therapists planning to pursue certification in DBT as well as those who provide supervision in DBT.

As a result of this training, participants will be able to:

1. Describe reasons why it is important to deliver DBT adherently.

2. Use the DBT Adherence Checklist for Individual Therapy as a quality improvement tool.

3. Explain how to structure DBT individual therapy sessions in an adherent manner.

4. Explain how to conduct adherent chain analyses.

5. Identify adherent application of DBT problem-solving strategies.

6. Explain how to use DBT validation strategies adherently.

7. Explain how to deliver DBT dialectical strategies adherently.

8. Explain how to use DBT stylistic strategies adherently.

9. Explain how to use DBT case management strategies adherently.

10. Identify common ways in which core DBT strategies are applied non-adherently.

11. Determine areas for improvement in your own delivery of DBT individual therapy.

12. Provide adherence-related feedback to others in supervision and/or consultation team.

13. Deliver DBT individual therapy with greater adherence and competence.

This advanced workshop is intended for mental health professionals who:

• Have previously been trained in DBT (ideally the equivalent of DBT Intensive or Foundational training),

• Are currently providing DBT individual therapy,

• Are active members of DBT consultation teams,

• Want to advance their ability to provide DBT to the level of adherence, and

• Agree to review the DBT AC-I and read the DBT AC-I manual prior to the training (available at www.dbtadherence.com)

Melanie Harned, PhD, ABPP is a Psychologist and Coordinator of the DBT Program at the VA Puget Sound Health Care System, Seattle Division as well as an Associate Professor in the Department of Psychiatry and Behavioral Sciences and Adjunct Associate Professor in the Department of Psychology at the University of Washington. Dr. Harned has previously worked as the Research Director of Dr. Marsha Linehan’s Behavioral Research and Therapy Clinics at the University of Washington (2006-2018), Director of Research and Development for Behavioral Tech, LLC (2014-2017), and Director of Behavioral Tech Research, Inc. (2013-2016). Dr. Harned’s research has focused on the development and evaluation of the DBT Prolonged Exposure protocol for PTSD as well as methods of disseminating and implementing evidence-based treatments into clinical practice. As part of this work, she co-developed the DBT Adherence Checklist for Individual Therapy (DBT AC-I) and the DBT Program Fidelity Checklist (DBT PFC). She regularly provides training and consultation nationally and internationally in DBT and DBT PE and has published extensively on these treatments. She is a DBT-Linehan Board of Certification, Certified Clinician, a certified PE therapist and consultant, is certified in Behavioral and Cognitive therapy by the American Board of Professional Psychology, and is licensed as a psychologist in the state of Washington.

Sara Schmidt, PhD is a licensed clinical psychologist in the state of Washington, where she is in private practice, and a DBT-Linehan Board of Certification, Certified Clinician™. Until 2021, she served as the Associate Director of the Trauma and Suicide Treatment Research Lab at the Seattle Institute for Biomedical and Clinical Research, part of the VA Puget Sound Health Care System, where she was a Co-Investigator on NIMH-funded research focused on the evaluation and implementation of DBT and the DBT Prolonged Exposure (DBT PE) protocol for PTSD. As part of this work, she co-developed the DBT Adherence Checklist for Individual Therapy (DBT AC-I), a tool that can be used by DBT therapists to evaluate the degree to which they are delivering DBT in a way that is consistent with the treatment manual. Dr. Schmidt received her BA in Psychology from Wesleyan University, and her MA and PhD in Clinical-Community Psychology from the University of South Carolina. She com¬pleted her pre-doctoral internship at Westchester Jewish Community Services in Hartsdale, NY., and her postdoctoral training with Dr. Melanie Harned at the University of Washington’s Behavioral Research and Therapy Clinics (BRTC). Following her postdoctoral fellowship, she remained at the BRTC as a Research Scientist, where she directed the graduate training program in DBT. She currently maintains a Clinical Instructor position through the Department of Psychology supervising advanced doctoral students. Dr. Schmidt regularly provides professional trainings and consultation in DBT and DBT PE nationally and internationally and has published several peer reviewed articles and book chapters on these topics.

Workshop Fee:

• Early Bird Discount: for registrations received and paid by September 1, 2022 – $1,095 per person

• Standard Price: for registrations received and paid by November 1, 2022 – $1,195 per person

This fee covers the cost of the workshop and supporting materials, which will include electronic copies of the slide handouts and additional training materials that will be emailed to you prior to the workshop.

Optional Add-On Service:

• Session Review with Adherence Feedback – $350 per session

Participants may opt to submit one DBT individual therapy session to be reviewed and coded for adherence by a trainer. The DBT Adherence Checklist for Individual Therapy (DBT AC-I) will be used to code the session and provide written feedback. Video- or audio-recordings of sessions must be received within one month after the training and must be in English (or have English subtitles). Once your session is received, you will be given an estimate of when to expect to receive your feedback report (timing will depend on how many people request this service). Please note that this service does not include meeting with a trainer to discuss the feedback report, although this may be available for an additional fee upon request. Sessions submitted for review cannot be submitted to the DBT-Linehan Board of Certification for the purpose of attaining certification as a DBT therapist. You will also be required to attest that you have your client’s authorization to share their recorded session with us for adherence coding purposes.

Five scholarships (typically a 50% discount) are available for clinicians who: (1) cannot afford to pay the full registration fee, and (2) work primarily with NIH-designated health disparity populations. Scholarship applications are due by September 1, 2022 and can be downloaded here.

Continuing Education (CE) credits are being offered for this workshop by Antioch University Seattle as described below.

Washington State – 16.5 CE credits will be available to licensed marriage and family therapists, licensed mental health counselors, licensed social workers, and psychologists within Washington State. Late arrivals or early departures will NOT receive CE credit.

Workshops offered by Antioch University Seattle are recognized as continuing education activities under the rules adopted by the Washington State Examining Board of Psychology (WAC 246-924-240) and the Licensed Counselors Advisory Committee (WAC 246-809-620).

Outside of Washington State - CE credit policy can vary from state to state. Participants licensed outside of Washington state should check with their state licensing board and/or professional affiliation boards to determine if this workshop qualifies for CE credit.

All participants are expected to attend the full course in order to receive credit. Participants are required to sign in online at the beginning and conclusion of the course and participate fully in the course, Q&A and any assessments given by the presenters.

Questions about the CE credits for this event can be directed to Ingrid Ingerson: iingerson@antioch.edu