Understanding Engagement and Compliance in DBT
Key Points
- Illness perceptions are the greatest indicator of compliance with professional recommendations.
- Illness perceptions are relevant at different stages of change, and influence each other.
- Each concept can be explored in combination.
- Change is about the balance of action and inaction.
- Understand how illness perceptions affect clients, and create a plan based on reality.
- Guard against, “This is so threatening that I want everything to change.” Changing everything isn’t sustainable.
- Look at meaningful engagement points that lead to desired outcomes.
- Create an action plan that takes illness perceptions into account and explores the balance between risk and reward.
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Transcript
Let’s go over predictors of compliance.
One of the primary predictors if somebody is going to be adherent or compliant is illness perceptions, and this is by Leonard Sperry. This is a prime tool and a frame of understanding for us as professionals that can help us generate more effective engagement patterns toward treatment adherence. But also toward treatment planning, functioning, quality of life, meaningful engagement in therapy. So, even though the header of this module is treatment adherence, we’re talking about meaningful engagement all the way through the process.
Broadbent, E., Petrie, K. J., Main, J., & Weinman, J. (2006). The brief illness perception questionnaire. Journal of Psychosomatic Research, 60(6), 631–637.,Sperry, L. (2014). Behavioral health: Integrating individual and family interventions in the treatment of medical conditions. Routledge.
So let’s get into some of the primary predictors if somebody is going to follow treatment suggestions, follow the course of treatment, and follow the map of treatment. So, core concepts: identity, timeline, consequences, cause, control or cure, and illness coherence.
Broadbent, E., Petrie, K. J., Main, J., & Weinman, J. (2006). The brief illness perception questionnaire. Journal of Psychosomatic Research, 60(6), 631–637.,Sperry, L. (2014). Behavioral health: Integrating individual and family interventions in the treatment of medical conditions. Routledge.