{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T08:01:04Z","timestamp":1792569664778,"version":"4.5.0"},"reference-count":55,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"\n Background and objective<\/jats:title>\n War-related mass trauma and large-scale terrorist attacks disproportionately affect clinically vulnerable adolescents, exacerbating self-harm and suicidality while burdening under-resourced public mental health systems. This study evaluated the feasibility and preliminary efficacy of a parent-only Dialectical Behavior Therapy (DBT) skills group within routine care. We hypothesized that the parent-only DBT skills group would be associated with improved parental emotion regulation, decrease helplessness and family conflict, and indirectly reduce adolescent risk behaviors.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A 20-session DBT group was delivered to 41 parents of 32 adolescents aged 12\u201318 presenting with severe emotion dysregulation, self-harm behaviors, and\/or a history of suicide attempts. Parental outcomes were assessed at baseline, post-intervention, and 3-month follow-up; adolescent clinical improvement was rated using the CGI-S 3\u20136 months post-treatment. Adolescent clinical severity was evaluated using the CGI-S, rated by independent clinical assessors fully blinded to participant identity, assessment time points, and duplicate cases.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Of the 43 parents who began the parent-only DBT skills group, 41 (95.3%) completed the intervention. Intervention participation was associated with significant reductions in parental helplessness and family power struggles. These family-level improvements coincided with clinician-rated global clinical improvement among adolescents at 3\u20136 months post-treatment.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Findings support the feasibility and scalability of a targeted, parent-focused DBT adaptation. This model offers a viable clinical model for overburdened public mental health systems treating high-risk adolescents, and may be especially relevant during ongoing war and collective trauma, when clinical needs intensify while resources remain limited.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fpsyt.2026.1888780","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T05:32:15Z","timestamp":1786599135000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Feasibility of a parent-only DBT skills group in public mental health services: a pilot implementation study"],"prefix":"10.3389","volume":"17","author":[{"given":"Shirel","family":"Dorman-Ilan","sequence":"first","affiliation":[{"name":"The Edmond and Lily Safra Children\u2019s Hospital, Sheba Medical Center","place":["Ramat Gan, Israel"]},{"name":"School of Psychological Sciences, Tel Aviv University","place":["Tel Aviv, 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