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Metro South Addiction and Mental Health Services
Dialectical Behaviour Therapy (DBT) Therapy Capability Framework (TCF)
Foundation Practitioner Practice-Informed Practitioner DBT Therapist Advanced DBT Therapist
Domain 1
Basic knowledge of Borderline
General knowledge of DBT concepts and Good knowledge of DBT practice In-depth Knowledge of DBT theory
Therapy
Personality Disorder (BPD) and how to incorporate these into current competencies for assessment and and skills, contemporary techniques
Knowledge and
clinical practice. intervention. and practice competencies.
core treatment principles;
Practice Skills
understanding of evidence-based
Awareness of DBT structures, modules Frequent independent application Able to provide consultation to
practice (EBP) in the area of
(CM, ER, IE, DT) and DBT specific of a DBT practice framework and service leaders on therapeutic
treating BPD, including but not
interview skills. specific therapy techniques. frameworks for complex clinical
limited to Dialectical Behaviour
practice.
Therapy (DBT).
Practice framework influenced by a Participation in DBT programs as
Basic knowledge of treatment and
general knowledge of the DBT model available. Advanced knowledge of best
referral options for Borderline
and core practice skills. available evidence for DBT,
Personality Disorder (BPD) and
including its strengths and
Comprehensive understanding of
DBT.
limitations.
Knowledge of DBT in relation to DBT in relation to the best available
evidence-based practice. evidence.
Basic knowledge of DBT principles
Leads application of recovery-
and connection to recovery-
oriented and social inclusion
Awareness of DBT in the context of Application of recovery-oriented
oriented and person-centred
practices in the evaluation of DBT.
recovery-oriented and social inclusion and social inclusion practices to
practice.
practices. enhance therapy outcomes.
Facilitates the evaluation and
reporting of therapy program
Has completed the foundation level DBT Ability to evaluate and refine DBT
Has completed the foundation
outcomes.
interventions to improve therapy
online training module and attended an
level DBT online training module –
outcomes with regular supervision.
introductory one-day training – or
or equivalent.
Has completed DBT intensive
equivalent.
Training offered through
Has completed formal DBT training
Basic core skills in building a
Able to evaluate and modify care plans
Behavioural Tech – or equivalent.
of at least four days duration – or
therapeutic alliance including a
according to individual needs and DBT
equivalent.
shared understanding, history
Able to complete a complex DBT
principles.
taking, risk assessment and
formulation in collaboration with
formulation in the context of the
consumers and carers.
Application of recovery-oriented
DBT therapeutic framework
Provide appropriate and tailored
and social inclusion practices to
psychoeducation at the right time on the
enhance therapy outcomes.
V1 Effective: March 2021 Review: March 2022
Able to deliver basic education and Bio Social Model and DBT core concepts Able to complete a DBT Provide high-level consultation and
formulation in collaboration with intervention to colleagues/teams
therapeutic support for consumers and skills in individual work.
consumers and carers with for consumer’s experiencing BPD
with BPD.
Can co-facilitate a DBT skills focused
supervision from more experienced related difficulties.
group or program with a DBT therapist.
staff.
Leads promotion and guidance on
Use referral pathways and support
Looks for and engages in
DBT strategies.
consumers to access relevant and
opportunities in the workplace to
appropriate services and supports for
Provides consultation to other staff
promote DBT.
recovery, including internal and external
around longer-term support for
services, information and resources.
consumers with more complex care.
Can explain the Bio Social Model
and DBTs formulation of BPD to
Engages in opportunities to
consumers, carers and other
promote and provide education and
stakeholders in a way that is
information to external agencies
reassuring, fosters hope and is
about DBT (e.g., NGOs, GPs, QAS,
practical and relevant to the
QPS, private practitioners).
consumer’s situation.
Leads evaluation of individual and
Engages in providing education and
group therapy programs.
information to other supports for
DBT involved clients (e.g., Family / Proficient in skills to communicate
carers, NGOs, GPs, QAS, QPS, and train staff on DBT strategies
private practitioners). and therapy.
Leads by example and ensures
consumer safety and emergency
plans (e.g. AMP) including a focus
on safety and stabilization
strategies that assist consumers to
regain control, ensuring plans
remain current and accessible.
Looks for opportunities to
encourage the same from
colleagues and assists others.
V1 Effective: March 2021 Review: March 2022 Page 2 of 7
Foundation Practitioner Practice-Informed Practitioner DBT Therapist Advanced DBT Therapist
Domain 2
Aware there may be many factors DBT practice is supported by
Independently completes most Independently and holistically
Autonomy and
influencing a consumer’s observation/supervision of interventions complex clinical tasks applying DBT manages complex clinical scenarios
Support
techniques confidently using own in therapy for a multi-disciplinary
presentation and considers how and formulation i.e. Participation in
(required and
judgement. team or across clinical units.
they may benefit from service regular individual and/or group
provided)
wide/available care options. supervision on DBT.
in Therapy
Independently manages Independently goes beyond basic
Ask for guidance from more Supported in supervision to measure
standards, creating interpretations
appropriate collaborative & ethical
senior staff around issues relating outcomes of DBT based interventions
and learning tools for self and other
boundaries when practicing DBT.
to consumer presentations and review these outcomes with self- clinicians across various clinical units
(For supervision
Seeks and provides regular advice
including formulation and reflection. and professions.
requirements
within the multidisciplinary and/or
evaluation of consumer needs to
see Domain 4)
Can work jointly with a DBT therapist in
professional team.
better support recovery. Provides support and mentoring for
applying DBT suitability assessment /
DBT skills within the
Seeks support from line manager groups / interventions.
Participates in leading manualised
multidisciplinary and professional
and discipline supervisor around
DBT groups and individual teams across various clinical units.
Seeks support from more experienced
issues relating to DBT for
interventions/training with
staff on the application of DBT
consumers.
supervision. Provides consultation, supervision
components of practice.
and direct intervention around very
Provides support and mentoring
Able to perform most clinical
complex care needs.
Provides support to consumers to
for DBT skills to other members of
tasks in a safe manner with
manage safety and minimise risk when
the multi-disciplinary or
regular clinical and professional Engages with leaders to promote
providing interventions.
professional team.
reflective practice supervision. organisational focus on the value of
DBT (including the cost-
Promotes discussion around DBT at a
Provides consultation / supervision effectiveness of DBT) and in doing
team meeting level.
and direct intervention around so, influence system change,
simple care needs or to practice- organisational culture, staff
informed practitioners. education, staff access to
supervision, and guidelines for DBT
practice.
Leads promotion of DBT and
supports MSAMHS to make
available DBT and other evidence-
based therapies to consumers who
need this service.
V1 Effective: March 2021 Review: March 2022 Page 3 of 7
Foundation Practitioner Practice-Informed Practitioner DBT Therapist Advanced DBT Therapist
Domain 3
Able to deal with complex clinical Able to identify opportunities and Using a DBT framework, has ability Using DBT, deals with clinical
Dealing with
situations with appropriate provide DBT-informed intervention in to manage complexity through situations considered by the treating
Complexity in
mental health interventions. complex situations with only partial purposeful analysis and reflection team to be highly complex.
Therapy
understanding of therapy frameworks utilising supervision from a more
This is achieved using non- and techniques. proficient therapist on a regular Holistic grasp of complex situations,
specific psychological strategies, basis. moves between intuitive and
without the specific DBT DBT is used as a limited range of analytical approaches with ease.
framework perspective. techniques that can enhance current Sees overall picture and how own
clinical practice. actions contribute to consumer Sees overall picture and alternative
Ask for guidance from more outcomes as a result of approaches; vision of possibilities in
These are applied safely as sub-skills of engagement in therapy. therapy.
senior staff around issues relating
routine treatment.
to consumer presentations
Independently manages more Provides consultation, supervision
including formulation and
Seeks support from more experienced
comprehensive practice, tailoring and direct intervention around very
evaluation of consumer needs to
staff on the application of DBT
DBT to a consumer’s needs, complex care needs.
better support recovery.
components of practice with more
generally those with more complex
complex clients.
care needs.
V1 Effective: March 2021 Review: March 2022 Page 4 of 7
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