NeilRN

Hi! I am an RN who was recently working in western psych in Pittsburgh PA. When I left there they were trying to implement it in house. The problem with DBT in a hospital unit setting is that each problem was seen as individual and of course the plan was different . We tryed it on an adolescent unit. The borderline patients , although not considered borderline because of age, picked out the diffierences in the tx plan and went to town on that. The adult unit was the same. If you get someone on DBT individually, outside the hospital, THEN continue it on the unit it works much better. You also have to have a strong unit structure and enough staff to implement it. If the underlying unit structure is weak, the patients will run amok. I left before it was well started. Contact; Jennifer Matukaitis, RN,MSN, CC at Western Psychiatric for more information. She is the unit manbager and very well versed in this aspect of Psch.