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ABSTRACT
Treating personality disordered patients in forensic settings is a daunting task for mental health practitioners. Such patients are frequently violent and disruptive to traditional treatment programs. Given this diagnostic group, forensic programs must implement specialized treatment for patients with borderline and antisocial personality disorders that demonstrate effectiveness in reducing violence and assist in preparing patients for potential release back to the community. In addition, treatment programs should enhance institution safety. This paper provides a theoretical backdrop for implementing dialectical behavior therapy in forensic settings. We outline how this treatment provides a core set of skills consistent with the goals of the forensic hospital and the individual patient. Furthermore, we provide a foundation for applying dialectical behavior therapy with insanity acquittees.