Date of Conferral

2-25-2025

Degree

Ph.D.

School

Health Services

Advisor

Delinda Mercer

Abstract

This study investigated the challenges and experiences of mental health professionals implementing Dialectical Behavior Therapy (DBT) within forensic populations in the United States, filling a significant gap in research that primarily focused on DBT in non-forensic contexts. Utilizing qualitative methods, data were collected through semi-structured interviews with practitioners from various correctional settings, emphasizing their perceptions of DBT's efficacy, adaptation strategies to meet the cultural and institutional demands of their unique environments, and resultant behavioral outcomes for incarcerated individuals. Thematic analysis revealed key challenges, including resource limitations, institutional resistance, and the necessity for extensive cultural adaptations of therapeutic techniques. Participants highlighted the transformative impact of DBT on clients' emotional regulation and behavioral improvement while stressing the importance of ongoing professional development and institutional support for sustaining DBT programs. This research underscores the critical need for tailored training, increased resource allocation, and collaborative policy efforts to enhance mental health interventions in correctional settings, establishing a foundation for future research and best practice guidelines in forensic mental health care.

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