DBT is used in my facility, but only a few people are trained in. The downfall with this therapy is that it is designed for clients in a out-patient setting. My facility uses it in an in-patient setting and from my opinion it is not that useful. From my understanding of a Borderline Personality Disorder client, it is better to discharge them as quickly as you can out of a in-patient setting. If not, then this type of client tends to become dependant on the system and will do anything....including hurt themselves very violently....to stay in an in-patient setting. Trust me, I've seen many Borderline clients over a 8 year span. Many of these clients that do leave tend to become repeat clients that come back to the in-patient setting.
What also gets to be difficult is dealing with 5 or more on a unit....while you also have 20 other clients as well. Borderline clients burn out your staff and they all want so much attention....positive or negative....it does not matter. When you have more than 1 client on your unit, they tend to be buddies often, and they also compete against one another for staff's attention. If one gets more attention than the other, then you will often see the other act out purposely to harm themselves to attain attention....and this competion continues. These type of clients tend to be on close observation often. Treatment teams try and devise special plans for these clients, which only works temporarily. These clients are well aware of what they are doing, because remember it is a personality disorder they have. They tend to split staff often and tend to lie often about staff. Sometimes their lies get staff in trouble, and they have no remorse for their actions. They cannot stand being alone....and will converse with anyone...whether they like them or not just so they can have company....and will try and do anything to get on 1:1. Many other characteristics also occur, but I could go on and on. Hopefully this gives you some insight to help.