During that time the mental health programs were facing challenges with reducing turn around rates regarding mental health patient care. “Managed care programs had spread throughout the state, placing pressure on mental health programs to reduce length of stay, rehospitalization rates, and to provide lower cost outpatient alternatives” (Black & Blum, 2015, pg 172). The need for STEPPS came from an increasing demand to find a cost effective and easy access for individuals with BPD. “In addition to establishing a Partial Hospital Program, an Assertive Community Treatment (ACT) program specifically for patients with severe personality disorders, we were motivated to create a treatment program for ambulatory outpatients with BPD that could be delivered conveniently and most cost-effectively in a group therapy setting” (Black & Blum, 2015, pg …show more content…
One group known as Emotion Regulation Treatment provided alternative ways to cope with affective instability, daily stressors and psychological vulnerability (Shuppert, Giesen-Bloo, van Gemer, Wiersema, Minderaa, Emmelkamp & Nauta 2009). ERT was designed specifically for adolescents. This particular training is offered in a shorter time frame and broken down into three phases. This form of training is geared more towards teaching the adolescents’ ways to gain emotional stability. “The adolescents learn that they can take more responsibility for their behavior and realize they have a choice in how to (re)act when emotionally distressed” (Schupper et al., 2009, pg