Systems Training for Emotional Predictability and Problem Solving (STEPPS) Group Treatment for Offenders With Borderline Personality Disorder

2013 ◽  
Vol 201 (2) ◽  
pp. 124-129 ◽  
Author(s):  
Donald W. Black ◽  
Nancee Blum ◽  
Brett McCormick ◽  
Jeff Allen
Keyword(s):  
Borderline Personality Disorder ◽  
Problem Solving ◽  
Personality Disorder ◽  
Group Treatment ◽  
Borderline Personality

Systems Training for Emotional Predictability and Problem Solving for Borderline Personality Disorder

2017 ◽  
Keyword(s):  
Borderline Personality Disorder ◽  
Problem Solving ◽  
Personality Disorder ◽  
Group Treatment ◽  
Behavioral Therapy ◽  
Health Care Systems ◽  
Skills Training ◽  
National Registry ◽  
Borderline Personality ◽  
Wide Range

This edited, multi-authored text brings together all that is known about Systems Training for Emotional Predictability and Problem Solving (STEPPS), a group treatment program for outpatients with borderline personality disorder. The book describes the program, the evidence that is supportive of STEPPS, and its implementation in a variety of settings and countries. Created at the University of Iowa in 1995, STEPPS combines cognitive-behavioral therapy, skills training, and psychoeducation with a systems component for family, friends, and significant others. The 5-month-long program is easily learned and delivered by therapists from a wide range of theoretical orientations. Data show that STEPPS is effective and produces clinically important improvement. The program is well accepted by patients and therapists. STEPPS is listed in the US Substance Abuse and Mental Health Services Administration (SAMSHA) National Registry of Evidence-based Practices (NREPP). The program is embraced by the health care systems in the United Kingdom and The Netherlands and is used in correctional settings.

STEPPS: Systems Training for Emotional Predictability and Problem Solving in Women Offenders with Borderline Personality Disorder in Prison—A Pilot Study

CNS Spectrums ◽  
2008 ◽  
Vol 13 (10) ◽  
pp. 881-886 ◽  
Author(s):  
Donald W. Black ◽  
Nancee Blum ◽  
Leanne Eichinger ◽  
Brett McCormick ◽  
Jeff Allen ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Pilot Study ◽  
Problem Solving ◽  
Personality Disorder ◽  
Women Offenders ◽  
Group Treatment ◽  
Negative Affectivity ◽  
Borderline Personality ◽  
Successful Implementation ◽  
Women's Prison

ABSTRACTIntroduction:An uncontrolled pilot study of SystemsTraining for Emotional Predictability and Problem Solving (STEPPS) was conducted with incarcerated women offenders. STEPPS is a promising new cognitive-behavioral group treatment for persons with borderline personality disorder (BPD).Methods:Twelve women offenders withDiagnostic and Statistical Manual of Mental Disorders, Fourth EditionBPD were enrolled in the 20-week program at an Iowa prison. Efficacy assessments included the Borderline Evaluation of Severity overTime, the Positive and Negative Affectivity Scale, and the Beck Depression Inventory. Data were collected at baseline, and weeks 4, 8, 12, 16, and 20. A prison therapist was trained to deliver the STEPPS program.Results:The 12 volunteers had a mean age of 34.8±8.5 years. Two women discontinued early because they were released from prison; the others attended all sessions. The analysis showed significant improvements in BPD-related symptoms, negative affectivity, and depression. The Borderline Evaluation of Severity over Time total score was highly significant at week 20 (P=.009), indicating overall improvement in BPD-related symptoms. Effect sizes for the efficacy measures were moderate to large. The prison therapist showed excellent adherence to the model.Conclusion:This study demonstrated the successful implementation of the STEPPS program in a women's prison. Participants achieved “real-world” benefits, including a reduction in the negative thoughts and behaviors associated with BPD, negative affectivity, and depression. Implications of the findings are discussed.

Effects of a modified DBT Skills Group for military personnel and Veterans with OSIs and borderline personality disorder or traits

2021 ◽  
pp. e20190067
Author(s):  
Pamela L. Holens ◽  
Jeremiah N. Buhler ◽  
Stephanie Yacucha ◽  
Alyssa Romaniuk ◽  
Brent Joyal
Keyword(s):  
Mental Health ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Military Personnel ◽  
Group Treatment ◽  
Stress Disorder ◽  
Borderline Personality ◽  
Behaviour Therapy ◽  
Negative Thoughts ◽  
Skills Group

LAY SUMMARY This study looked at the use of a group treatment known as dialectical behaviour therapy skills group (DBT-SG) to see if it was helpful for military personnel and veterans who had a variety of mental health disorders related to their service. The results of the study showed improvements in symptoms of borderline personality disorder, reductions in negative thoughts and feelings, and reductions in unhelpful behaviours. Results also showed improvements in all examined areas of functioning among participants, with the largest change occurring in the area of social functioning. The presence of posttraumatic stress disorder (PTSD), depression, or chronic pain did not impact results, but the presence of a substance abuse disorder did. Overall, the results provide preliminary support for DBT-SG as an intervention for borderline personality disorder symptoms among military and veterans, and perhaps particularly for persons who also have other mental health challenges, or persons considered inappropriate for other treatment.

Executive dysfunction in bipolar disorder and borderline personality disorder

2015 ◽  
Vol 30 (8) ◽  
pp. 959-964 ◽  
Author(s):  
H.Z. Gvirts ◽  
Y. Braw ◽  
H. Harari ◽  
M. Lozin ◽  
Y. Bloch ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Borderline Personality Disorder ◽  
Problem Solving ◽  
Personality Disorder ◽  
Executive Functioning ◽  
Neuropsychological Test ◽  
Executive Dysfunction ◽  
Borderline Personality ◽  
Healthy Controls ◽  
Strategy Formation

AbstractObjectiveThe boundary between bipolar disorder (BD) and borderline personality disorder is a controversial one. Despite the importance of the topic, few studies have directly compared these patient groups. The aim of the study was to compare the executive functioning profile of BD and BPD patients.MethodExecutive functioning (sustained attention, problem-solving, planning, strategy formation, cognitive flexibility and working memory) was assessed in BD (n= 30) and BPD outpatients (n= 32) using a computerized assessment battery (Cambridge Neuropsychological Test Automated Battery, CANTAB). The groups were compared to one another as well as to healthy controls.ResultsBD patients showed deficits in strategy formation and in planning (indicated by longer execution time in the ToL task) in comparison to BPD patients and healthy controls. BPD patients showed deficits in planning (short deliberation time in the ToL task) in comparison to BD patients and in comparison to healthy controls. In comparison to healthy controls, BPD patients displayed deficits in problem-solving.ConclusionsDifferences in executive dysfunction between BD and BPD patients suggest that this cognitive dimension may be relevant for the clarification of the boundary between the disorders.

Sign in / Sign up

Export Citation Format

Share Document