ABSTRACT
Uniquely, DBT applies the treatment strategies utilized with patients to structure the treatment environment in which the DBT programme operates. In implementing a new psychotherapy or treatment programme, healthcare managers and therapists alike frequently assume that the organization planning to host the new development provides a relatively benign context for implementation. This assumption frequently proves to be false. Consistent with the research on implementation (Fixsen, Naoom, BlaseÂ, Friedman, & Wallace, 2005), by identifying a speci®c function of ``structuring the environment'', DBT recognizes that successful implementation of treatment interventions requires organizational effort. Multi-function treatments, such as DBT, may require greater organizational effort and, because of their complexity, may be harder to implement with ®delity (Yeaton & Sechrest, 1981).
