DBT CITI: Comprehensive Implementation & Training Intensive

An Immersive Two Part Experience
Part I: November 3-5 & 9-10, 2020 | Virtual Training
Part II: To Be Determined

Dialectical Behavior Therapy is a comprehensive psychosocial treatment that has been repeatedly proven to be effective for hard-to-treat clients with numerous serious problems. This includes people with borderline personality disorder who are chronically suicidal and/or who are addicted to drugs.  Since the inception of DBT, researchers and clinicians have broadened its use to new types of problems and clients including: suicidal and depressed adolescents, women with binge eating disorder and/or bulimia, depressed elderly patients, couples with severe marital conflict, and inmates in correctional facilities.  Research and clinical experience show that DBT is more effective for the treatment of intense emotion dysregulation, which can lead to impulsive self-destructive behaviors (e.g. suicide, self-injury, dropping out of treatment, crises and conflicts with treatment staff, substance abuse, etc) than treatment as usual.

Two-Part, Immersive DBT Experience

  • CITI Part I: Getting Started (Five Days)
    This five-day (one three-day, followed by one two-day training) will provide an immersive experience into all elements of DBT’s theoretical, structural, and clinical content, including DBT skills. Learning will include: didactic presentations, experiential exercises, review and discussion of video and audio tapes, and small-group practice exercises. We will apply an active learning method in our overall approach that includes: learn it (trainees learn fundamental content elements); see it (trainees see the clinical strategy modelled for them), do it (trainees practice what they just learned and observed).
  • Applying and Building What You’ve Learned
    At the conclusion of Part I, trainees will receive detailed instructions for practicing elements of DBT and building their DBT program. Additionally, trainees will also receive a DBT examination intended to help them prepare for the DBT Certification tests and to further strengthen their mastery of concepts. Trainees will first take the exam closed book, then open book. Assignments completed during this interim period will be presented at Part II.
  • CITI Part II: Strengthening Core Competencies and Refining Program Direction
    The intent of Part II is to refine and receive feedback on DBT clinical skills and to ensure that each DBT program is headed in a direction of building a DBT program to fidelity. Specifically, each team will present a clinical DBT case, a clinical sample, and their DBT program. PDBTI trainers will highlight those elements that are “on-model” and will work with the team on those elements that are “off-model.” We will drill down further on concepts and strategies that require further refinement and practice.

DBT Skills
As part of the DBT CITI training, trainees will participate in a two-day training devoted to learning DBT skills and effective strategies for coaching on the fly. While a requirement for those participating in the DBT CITI program, this training will also be open to others in the system who wish to attend and are authorized by their supervisor to do so.

DBT CITI Prerequisites

  • All team members should have read both books and the skills manual prior to the first day of the Part I session.
    • Linehan, M. M. (1993). Cognitive Behavioral Treatment of Borderline Personality Disorder. New York, Guilford Press
    • For Adolescent Teams: Rathus, J and Miller A, (2014) DBT Skills Manual for Adolescents, New York, Guilford Press
    • For Adult Teams: Linehan, M. M. (2014).  DBT Skills Training Manual, Second Edition.  New York, Guilford Press