International dissemination

The B4DT is a practical, evidence-based, focused and deliberate exposure based treatment. It builds on four decades of empirical research and theories about the most effective approach to OCD treatment. The innovation and strength of the work is how it combines the most effective elements of proven treatment into one of the most profound, rapid, and robust treatment approaches that we have seen in recent years.

The demand for the B4DT is immense from clinics from all over the world, and we have now started the venture of making the B4DT accessible internationally, beginning with OCD.


The developers of the B4DT, Drs. Gerd Kvale and Bjarne Hansen were acknowledged by Time Magazine to be among The 50 most influential in Health Care in 2018

The B4DT is an ultra-concentrated exposure-based treatment delivered during four consecutive days. It can best be described as an individual treatment in a group setting since it is typically delivered simultaneously to 3-6 patients by the same number of therapists. The 1:1 ratio between therapists and patients ensures individually tailored and therapist assisted exposure treatment, while simultaneously taking advantage of being part of a group with others going through the same process of change.

For further description, please refer to The B4DT format.

The B4DT builds on four decades of empirical research and theories about the most effective approach to OCD treatment. The innovation and strength of the work is how it combines the most effective elements of proven treatment into one of the most profound, rapid, and robust treatment approaches that we have seen in recent years.

The demand for the B4DT is immense from clinics from all over the world, and thanks to the Kavli Trust have now started the venture of making the B4DT accessible internationally. During a five-year period, staring in 2019, the goal is to establish B4DT on all continents. 

The current status

Norway Currently approximately 35 B4DT teams in Norway are certified to offer the B4DT, or currently being trained.

Iceland  Kvíðameðferðarstöðin (KMS), Reykjavik, Island is certified for treatment of adults as well as adolescents and a pilot study on OCD has been performed

Sweden Karolinska Sjukhuset, the Anxiety Unit, Stockholm is one of the Sweden's foremost institutions in treatment of OCD. A B4DT team has been trained in Bergen, and pilot groups are running

 
In order to overcome language barriers during the hands-on training, the plan is to establish national training site in each new country. The first international training center is established in Houston, where the training will be delivered in English. The head of the Houston training site is Professor Thröstur Björgvinsson, McLean Hospital/ Harvard Medical School.


The B4DT: The hallmark of high quality treatment 

Dissemination of effective treatment is a major challenge in mental health care.
The Bergen group has developed a model for dissemination that ensures that the effectiveness of the B4DT is maintained and that the patients are offered the same high quality B4DT wherever they are receiving the treatment.

The key features of the dissemination model are the following: 
1.    Hands-on supervision and model learning by participating in B4DT groups
2.    Certification based on demonstrated clinical competency
3.    The B4DT has to be delivered in accordance to protocol and procedures
4.    The clinical outcomes have to be routinely assessed by an independent expert
5.    The outcomes needs to be comparable to the already established norms
6.    As long as you deliver the B4DT you are part of the B4DT network, where benchmarking is an integrated part.


What does the training consist of?

The core features of our model for dissemination are hands-on training and certification of therapist/group leaders, combined with an integrated quality- and outcome assessment that allows for benchmarking. It is now possible to establish "an expected outcome" where over 90% the patients reliably improve after the 4 days. If the treatment outcomes with a particular team fail to deliver optimal results, this elicits hands-on supervision and re-certification of the team and/or clinic. This integrated assessment is an essential part of the B4DT, and is an ongoing requirement for any clinic or team that wants to deliver the B4DT.


How to enroll as a B4DT team?

Clinics or teams, who wants to be considered, are asked to submit an application, and we will contact you.




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