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Regulate emotions. Maximize potential.

The Skills System is a user-friendly set of emotion regulation skills, designed to help people of various ages and abilities, manage emotions. It helps us be aware of our current moment, think through the situation, and take goal-directed actions that align with our values.

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Skills System Textbook

AVAILABLE FOR PRE-ORDER

The Emotion Regulation Skills System for Clients with Cognitive Challenges
Second Edition
A DBT-Informed Approach

Now in a fully revised second edition, this authoritative manual presents the only dialectical behavior therapy (DBT) informed approach designed specifically for people of all ages with learning and mental health challenges. Used in a wide range of clinical and community settings, the Skills System teaches essential emotion regulation and adaptive coping skills in a motivating, structured framework. It allows clinicians to provide comprehensive treatment for individuals who have had difficulty engaging in traditional therapeutic services. In a convenient large-size format, the manual features ideas for scaffolding learning, a sample 12-week group curriculum, and practical tools, including a reproducible/downloadable lesson planning worksheet. Client handouts and worksheets are not included in the second edition, but are provided in the companion workbook designed to optimize client learning, available separately in print or fillable e-book formats: The Emotion Regulation Skills System Workbook, Second Edition.

Available at Guilford Press

Available at Amazon

Skills System Workbook

AVAILABLE FOR PRE-ORDER

The Emotion Regulation Skills System Workbook
Second Edition
A DBT-Informed Approach

In a convenient large-size format, this user-friendly workbook gives Skills System participants a wealth of tools for learning how to manage feelings, navigate the ups and downs of life, and reach goals. Designed for learners of all ages and abilities, the volume includes nearly 200 reproducible handouts and worksheets, though not all of them are used in every skills program. The Skills System is grounded in dialectical behavior therapy (DBT), a proven approach that has helped millions of people around the world cope with complex mental health difficulties and build a life worth living. Worked examples show how to fill out the worksheets for adults; the companion website provides worked examples for elementary and high-school age youth. Note: The e-book edition of this title contains fillable versions of the reproducible tools.

Mental health professionals, see also the authoritative manual: The Emotion Regulation Skills System for Clients with Cognitive Challenges, Second Edition.

Available at Guilford Press

Available at Amazon

Skills System Textbook + Workbook

AVAILABLE FOR PRE-ORDER

ORDER TOGETHER AND SAVE

Special package offer: The Emotion Regulation Skills System for Clients with Cognitive Challenges, Second Edition, is the authoritative Skills System manual for professionals. The Emotion Regulation Skills System Workbook, Second Edition, is written expressly for clients.

Available at Guilford Press

Skills System Textbook

The Emotion Regulation Skills System for the Cognitively Challenged Client: A DBT™-Informed Approach (2016) by Julie F. Brown, PhD, is available through Guildford Press and Amazon. This book provides a comprehensive presentation of the Skills System curriculum materials, and allows the purchaser to download an additional 150 pages of supplementary handouts. The Skills System is a highly effective treatment tool that has been used successfully in a multitude of settings with a myriad of individuals who have diverse behavioral and learning profiles.

Available at Guilford Press

Training Data

Individuals who participated in 2-Day Instructor’s trainings have an opportunity to complete a survey 3-8 months after the training. The charts below summarize the participants’ follow-up reflections about the Skills System and their training experience. The data includes information about who is using the Skills System, how the Skills System helps people, clinical utility of the model, and observed outcomes.

Section 1: Who is Using the Skills System.

See more Training Data

Read about the Skills System and Staff Retention

What is the Skills System?

The Skills System is a user-friendly set of emotion regulation skills, designed to help people of various ages and abilities, manage emotions. Learning how to regulate emotions enables us to be present in the moment and be more effective–even in stressful situations. Over- and under-reacting can cause more stress and problems. The Skills System helps us be aware of our current moment, think through the situation, and take goal-directed actions that align with our values.

A key benefit of the Skills System is that it helps us co-regulate—allowing us to work collaboratively with other people to manage emotions. When we, and the people around us, know the Skills System, we share a common language. We are able to connect. We are able to give and receive effective skills coaching. These types of interactions often lead to growth and development for ourselves and the people around us.

Unfortunately in many settings, co-regulation happens less often than co-dysregulation—when we find ourselves working against each other, rather than together, to manage emotions. Connections become strained, potentially leading to higher stress levels and environmental conflict.

Thankfully, the Skills System provides an integrated skill-set that makes us better able to self-regulate and co-regulate.

Who can the Skills System help?

The Skills System can be taught to and used by:

Young and old;
People with and without mental health and learning challenges;
In personal and professional parts of our lives.

Committing to learn the Skills System concepts helps us Use, Coach and Teach Skills.

In therapeutic settings, the Skills System offers practitioners and their clients a tangible skills-set that is accessible to people with diverse mental health and learning profiles. It is a therapeutic tool that can be used in conjunction with comprehensive treatments such as DBT, Motivational Interviewing, Positive Behavior Supports, and Trauma-Informed therapies.

Skills Coaches and Co-Regulation

Collateral support people, such as staff, teachers, or family members can learn the Skills System and function as in-vivo Skills Coaches in an individual’s natural environment. Having information about emotion regulation strategies allows the support person to help the individual manage emotions, versus suppress, avoid or react behaviorally to them. Ineffective supports can exacerbate behavioral dysregulation, resulting in transactions involving co-dysregulation versus co-regulation between people. The Skills System becomes a common language that may (1) improve the clients’ generalization of emotion regulation strategies and (2) foster attunement in relationships.

The experience of supporting an individual with complex behavioral health issues can evoke emotional escalation for the support person. When collateral support providers understand the Skills System, they have tools to help them engage in self-regulation strategies so they remain effective even in high stress situations. When the coach is regulated, the individual is able to access the coach’s supports more readily, reducing conflict and co-dysregulation.

How do we learn the Skills System?

There are multiple resources that help us learn the Skills System.

E-Learning: The Skills System Course 1, Skills Basics, teaches the nine core skills and System Tools of the Skills System. Course 2, Skills Coaching Strategies, helps staff and others learn how to provide skills coaching for the people they work or live with. Both courses have short, fun videos, practice exercises, and many visual aids to make learning engaging. Each course takes approximately 2.5 hours to complete. Click below to learn more.

E-Learning

Consultation: There are two types of Skills System consultation:

Consultation Community: On the first Friday of each month at noon EST there is a 1-hour live online group consultation with Dr. Brown called the Consultation Community. A wide range or relevant topics associated with application, instruction, and implementation are addressed. Join us!
Team consultation: Teams can purchase 1-hour remote consultations to support their organizations to implement the Skills System.

Consultation

Skills System Text: The Skills System textbook (2016) contains a detailed 12-week group for clinicians who want to run skills groups for vulnerable learners, as well as, 150 downloadable and printable Skills System handouts. The handouts can be used in conjunction with the e-learning to enhance that learning experience. Here is a link to Guilford Press to buy the Skills System text.

Skills System Textbook

Training: The treatment developer, Dr. Julie Brown, provides 2-Day live online Skills System Instruction Trainings that help practitioners learn how to teach skills to individuals who experience behavioral health and learning challenges.

Training

Skills System Program Implementation

The Skills System is used with many populations, in various types of settings. The model is used by individuals, families and by treatment providers. People with and without mental health/learning challenges use the Skills System model to improve emotion regulation capacities. It is implemented with youth who experience behavioral control problems, transitional-aged youths, adults, and geriatric populations. The model is designed to be accessible to diverse populations, such as people with severe mental illness, intellectual disabilities, and/or autism spectrum disorder. Practitioners providing treatment in the areas of substance abuse, forensic services, and crisis supports also use the model.

The Skills System can be implemented in short- and long-term treatment programs that offer:

Out-patient
Community-based
School-based
Community residences
Residential
Inpatient Services

Model Integration: When implementing the Skills System, it is necessary to integrate the skills concepts with other models that an agency uses. The Skills System plays well with others! Although the Skills System was specifically designed to be used within DBT, it can offer a tangible emotion regulation skill-set within motivational interviewing, trauma-informed approaches, and positive behavioral supports.

Click in the Implementation button to learn more about the 3-Stage Skills System Implementation Process and to download resources designed to help your team begin the implementation process.

Implementation

Sample of the Skills System Handouts

See the Sample Skills System Handouts.

View Sample Handouts PDF

Sample of the E-Learning

Watch this video to sample the Skills System e-learning Skills Basics course.

Skills Basics Lesson Preview Video

Skills System Visual Aids PDF

DBT-Informed Treatment

The DBT skills concepts were created for individuals who experienced high levels of emotional, cognitive, and behavioral dysregulation. Unfortunately, the Standard DBT skills curricula are not accessible for people with significant learning challenges. Cognitive load demands are too high to allow for learning, free recall, and generalization in the natural environment. Most specifically:

Language was too complex
Divided into four modules – Difficult to integrate concepts
Hundreds of discreet skills
No mechanism for people to know what skill to use when
No system for linking skills; no connective tissue; lily pads vs. chains
No structure that differentiated skills you use at low/high levels of emotion

Skills System Adaptation of DBT:

The goal in creating the Skills System was to use a DBT-based framework that helped people experience a dialectical synthesis (the ability to be in pain AND be effective at the same time) versus polarization during emotional, cognitive, behavioral, relationship, and self-processes in complex life contexts.

Simultaneously, the framework had to be accessible for (1) Individuals diagnosed with moderate/mild ID (who often have limited reading abilities and impaired executive functioning) and (2) simple enough for collateral support providers to learn given the limited time/resources that are often available for training. Both of these groups had to be able to learn essential concepts, be able to recall them under-pressure, assemble adequate skills chains to manage the span of a dysregulation emotion, and generalize these capacities into diverse, real-life contexts.

The De-construction and Re-construction Process:

This process involved de-constructing essential DBT processes, re-labeling, and reorganizing the concepts in a way that (1) provided effective emotions regulation strategies in the re-constructed form and (2) minimized extraneous cognitive load demands. The work of James Gross, PhD (editor of the Emotion Regulation Handbook, 2007, 2014) was integrated to ensure that all aspects of emotion regulation processes were addressed in the Skills System model; Dr. Gross also reviewed and endorsed the Skills System prior to the publication of this model. The work of Sweller (Cognitive Load Theory, 1988, 2010) guided the design of both the Skills System model and teaching strategies.

The Skills System Design

Framework breaks complex tasks into component parts – Task Analysis
Integrates mindfulness strategies and goal directed thinking that lead the individual to execute goal-directed actions
Provides clear, strategic steps (micro-transitions) to create adaptive chains of behavior
The tools have to be flexible enough to be able to adapt to internal and external changes in the moment
The skills and the “system” function as cognitive scaffolding to help navigation (being present & effective) across the spans of emotions

Endorsements

Scholars Who Endorsed the Skills System Model:

Marsha M. Linehan, PhD, ABPP: Professor and Director, Behavioral Research and Therapy Clinics, University of Washington; Developer of DBT
James J. Gross, PhD: Department of Psychology, Stanford University
Kelly Koerner, PhD: Creative Director, Evidence-Based Practice Institute, Seattle
Robert J. Fletcher, DSW, ACSW: Founder and former CEO of NADD (National Association of Dually Diagnosed)
Alan E. Fruzzetti, PhD: Professor and Director, Dialectical Behavior Therapy and Research Program, Department of Psychology, University of Nevada, Reno
Jill H. Rathus, PhD: Department of Psychology, Long Island University, C.W. Post Campus
Donald Meichenbaum, PhD: Distinguished Professor Emeritus, University of Waterloo, Canada; Research Director, The Melissa Institute for Violence Prevention, Miami, Florida
Alec L. Miller, PsyD: Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine

Read Endorsements

Announcements

Messages from Julie F. Brown, PhD, developer of the Skills System

Meeting the Unique Needs of Individuals with Intellectual Disabilities and Co-Occurring Mental Health Conditions

Over the last five decades, long-term support for individuals with intellectual and developmental disabilities (I/DD) has shifted from institutional care to community-based services, which includes accessing appropriate and effective medical and behavioral health care in the community. For the over 30 percent of adults with I/DD who also have [...]

Vilans – the Dutch Knowledge Center – has recommended Skills System DBT as a National Intervention in the Netherlands for People with IDD

Emotion regulation skills training DBT for persons with mild intellectual disabilities The main objective of the intervention is to reduce self-harmful, suicidal and aggressive behaviors. Purpose The goal of the SS DBT is to reduce or stop self-harming, suicidal and/or aggressive behavior by increasing adaptive emotion regulation skills and [...]

Skills System and Staff Retention

Zachary Harper, the Director, Training and Development of Easterseals, Iowa, shared the following staff retention data and a description of his organizations journey. Staff retention data from Easterseals, Iowa: 2-year general staff retention rate: 53% 2-Year retention rate for staff who complete the Skills System E-Learning: 91% 2-year retention [...]

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