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Table 2 Identified facilitators and barriers to DBT Implementation and examples of participants’ responses

From: Evaluating the national multisite implementation of dialectical behaviour therapy in a community setting: a mixed methods approach

ThemesParticipants response examplesNumberPercent
Facilitators
 Dedication of team members“Motivated clinicians willing to go above and beyond the call of duty”2638.3
 Support from management and wider team“Support from management, understanding of service need for this therapy”1826.5
 Having an effective Team Leader“A strong dedicated team-leader, who is a definite believer and advocate of DBT and generous with her time in supporting the team and project”913.2
 Supervision“...external supervision has increased motivation”710.3
 Training“The two week training provided a strong immersion in DBT”710.3
Barriers
 Lack of support from management“Management not providing infrastructure, fighting for room space to run programme...”2841.2
 Logistical challenges“Difficulty in finding appropriate space to accommodate numbers of DBT clients attending” “Lack of monetary support for equipment and refreshments etc.”1522.1
 Time commitment and balancing of other roles“Lack of cover for caseload while implementing DBT meaning need to carry previous load as well as DBT increasing possibility of burn-out”1217.7
 Staffing resources including attrition“Clinicians who are DBT trained have left the service which has made it more difficult to successfully implement DBT”913.2