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(p. 1) Overview of STEPPS: History and Implementation 

(p. 1) Overview of STEPPS: History and Implementation
(p. 1) Overview of STEPPS: History and Implementation

Nancee S. Blum

, Don St. John

, Bruce Pfohl

, and Donald W. Black

Page of

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date: 02 June 2020

This chapter provides an overview of Systems Training for Emotional Predictability and Problem Solving (STEPPS), a manualized, cognitive-behavioral, skills-based group treatment program, originally developed as an adjunctive treatment for outpatients with borderline personality disorder. STEPPS was developed at the University of Iowa in 1995 in response to patient and provider needs. A detailed manual was developed and training workshops are conducted nationally and internationally. The systems component is unique to the program and refers to providing the client’s support system, (i.e., family members, friends, and key professionals) with an understanding of the STEPPS approach, a common language to communicate clearly about BPD, and ways to reinforce the skills that patients are acquiring. The program has been implemented worldwide and is included in SAMSHA’s NREPP list of evidence-based programs. The program is user-friendly and easily learned and delivered by therapists. A follow-up program, STAIRWAYS, is also described.

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