ICED: A Step-by-Step Approach to Dialectical Behavior Therapy Program Implementation

Friday 2:30 – 3:45 Breakout C4

Presentor: Mathew Ditty DSW, LCSW

Matthew S. Ditty, The Ebright Foundation, LLC; Andrea Doyle, The Ebright Foundation, LLC; School of Social Policy and Practice, University of Pennsylvania; John A. Bickel III, The Ebright Foundation, LLC; Katharine Cristaudo, The Ebright Foundation, LLC



Organizational support has been identified as a key facilitator of Dialectical Behavior Therapy (DBT) implementation.  DBT is a psychosocial treatment that effectively reduces symptoms of Borderline Personality Disorder, suicidality, non-suicidal self-injury, and severe emotional and behavioral dyscontrol.  To increase access to care for those in need, organizations must know how to support DBT.  ICED – an acronym for implementation team, checklist, evaluation and feedback, and DBT skills – is a behaviorally-specific, step-by-step approach for DBT program implementation informed by implementation science.  Each step has been defined and piloted when implementing a DBT practice in Wilmington, Delaware.  Case material is provided to illustrate each step of ICED in action, and future research is recommended for testing ICED across organizations and settings.

The Challenges in Implementing Muliple EBP’s in a Community Mental Health Setting

Friday 2:30 – 3:45 Breakout C4

Presentor: Dan Fox and Sonia Combs, Licensed Mental Health Counselor, who is an LCSNW clinician

Dan Fox, Lutheran Community Services Northwest



Dan Fox, LICSW, is a clinical manager at Lutheran Community Services Northwest in Spokane (LCSNW). His program implements components-based CBT, parent-child interaction therapy, and cognitive processing therapy, among others, with children, families and adults in a community mental health setting. Dan will discuss the unique challenges of maintaining model fidelity, ensuring revolving clinicians are adequately trained in each model, and weaving EBPs into the paperwork and culture of his agency.  In addition, a clinician from his program will discuss the front line creative challenges of implementing each model with a diverse range of clients.

Using EHR to Promote and Support EBT Assessment and Treatment Intervention

Friday 2:30 – 3:45 Breakout C4

Presentor: David Lischner, MD

David Lischner, M.D, Valant Medial Solutions, Inc



1st generation EHR technology was designed for process automation and capturing maximum billing fees. With the 2nd generation, there is an opportunity to utilize extensible big data technologies and a modern and intuitive mobile app-like user experience. This design has the potential to streamline workflows, remove the need for training and make data easy to capture, store, and analyze. The result will be an EHR platform that can be rapidly configured to support EBP service delivery and data analysis and then tuned to make the EBP stick.