Mailing List Sign-Up for Black, Indigenous, and People of Color (BIPOC) Clinicians in DBT
Hello!! The ISIT DBT Anti-racism committee is interested in creating a space for Black, Indigenous, and People of Color (BIPOC) clinicians doing DBT for the purposes of networking, brainstorming, and connecting with other people who may have shared some of our experiences and are doing similar work! We recognize that there is limited visibility of clinicians of color in many DBT spaces and it would be meaningful to gather together to create a community of therapists addressing a variety of issues that we may not necessarily have the space or opportunity to express wherever we work.

If you are interested in receiving future communications about this effort, please complete the questionnaire below. We will create an email list based on interest and availability, with the hope that this new community will meet regularly throughout the year.

By submitting the below information, you agree to receive emails with details about upcoming networking and informational events specifically for clinicians in the DBT community who identify as Black, Indigenous, and/or a Person of Color.

Thank you for your participation, and we look forward to meeting you and bringing together a community of BIPOC clinicians providing DBT!
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Email *
Please provide your name. *
Please provide your personal and/or practice website.
Are you of Hispanic or Latino Origin? *
Which of the following best describes your racial and/or ethnic identity? (Select all that apply.) *
Required
Please list any languages you speak.
Please provide any additional information about your racial and/or ethnic identity/identities that you'd like to share that would help us better understand your background.
What best describes your gender identity?
On which continent do you live? *
Where do you live? (City, State/Region, Country)
In which settings have you implemented DBT? (Select all that apply.)
With which age groups do you work? (Select all that apply.)
Please list any specific populations with whom you work?
What best describes your profession?
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Please identify any previous DBT training you have completed. (Select all that apply.) *
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Which modes of DBT do you currently provide?
Do you currently participate in a DBT consultation team?
Clear selection
Do you currently accept insurance?
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Is there anything else you would like to share with the anti-racism committee at this time?
A copy of your responses will be emailed to the address you provided.
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