000010030 001__ 10030 000010030 005__ 20240516171543.0 000010030 0247_ $$2DOI$$a10.6083/2b88qc97p 000010030 037__ $$aETD 000010030 245__ $$aImplementing staff education in dialectical behavior training to improve staff response to client self-harm 000010030 260__ $$bOregon Health and Science University 000010030 269__ $$a2023 000010030 336__ $$aFinal project 000010030 502__ $$bD.N.P. 000010030 520__ $$aDirect-care staff at a residential treatment center in Oregon require evidence-based training so that they can respond to dysregulated clients at high risk of Non-Suicidal Self-Harm (NSSI) in a way that is effective, patient-centered and trauma-informed. Dialectical Behavioral Therapy (DBT) has been implemented in similar settings and client populations to the project site, is trauma-informed and focuses on development of skills that staff can use to coach clients. Project aims included direct-care staff?s acquisition and understanding of DBT skills via in-person and pre-recorded video training sessions. Measures of the intervention's success included percentage of staff trained and rate of perceived change in acquisition, knowledge and utility of DBT skills. In order to assess unintentional outcomes of the intervention, staffing levels and frequency of turnover were analyzed. Data was limited due to a high rate of survey non-response but showed modest improvements in skills acquisition and perceived utility following in-person training. This project adds to an under-represented topic in the literature, and which could benefit from future improvement efforts. 000010030 542__ $$fIn copyright - single owner 000010030 650__ $$aSelf-Injurious Behavior$$029356 000010030 650__ $$aPsychotherapy$$024864 000010030 650__ $$aResidential Treatment$$025343 000010030 650__ $$aWorkforce$$012920 000010030 651__ $$aOregon$$041094 000010030 6531_ $$atrauma-informed care 000010030 691__ $$aSchool of Nursing$$041370 000010030 7001_ $$aSterry, Jean A.$$uOregon Health and Science University$$041354 000010030 7201_ $$aGoddard, Molly$$uOregon Health and Science University$$041354$$7Personal$$eChair 000010030 8564_ $$9723dc9ea-c367-4f56-a29f-f6071b3de4be$$s2128567$$uhttps://digitalcollections.ohsu.edu/record/10030/files/Sterry.Jean.2023.pdf 000010030 905__ $$a/rest/prod/2b/88/qc/97/2b88qc97p 000010030 909CO $$ooai:digitalcollections.ohsu.edu:10030$$pstudent-work 000010030 980__ $$aTheses and Dissertations