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Psychological Therapies and People Who Have Intellectual Disabilities

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The purpose of this report on psychological therapies and people who have intellectual disabilities is to inform professionals, managers, commissioners, carers and service users as to what is available, what intervention may best help with, and what the likely outcomes are.

 

Contents

List of contributors

Acknowledgements

Executive summary

Foreword

Chapter 1: Identifying and meeting the emotional and mental health needs of people who have intellectual disabilities through psychological therapies - Mandy Irvine and Nigel Beail

  • Failure to recognise mental health needs
  • Risk factors for the development of mental health difficulties
  • Prevalence of mental health problems
    • Population studies
    • Significant life events
  • Relationship between mental health and challenging behaviour
  • Developments in provision of psychological therapies
  • References

Chapter 2: Psychodynamic psychotherapy - Nigel Beail

  •  Introducing psychodynamic psychotherapy
  • Adaptations to psychodynamic psychotherapy for clients with ID
  • The evidence base for psychodynamic psychotherapy
    • Case studies/description
    • Case studies with outcome data and single.case experimental designs
    • Case series reporting outcome data
    • Open trials (i.e. group studies, reporting pre/post data
    • Controlled trials (i.e. group studies reporting comparison of intervention with a waiting list or routine therapy control group)
  • User views
  • References

Chapter 3: Cognitive behavioural therapy - Andrew Jahoda

  • Introducing cognitive behavioural therapy
  • Adaptations to cognitive behavioural therapy for clients with ID
    • Deficits and distortions
    • Cognitive challenges
    • Agency
    • Therapeutic bond
    • Facing real challenges
    • Self-monitoring
    • Real life change
  • Evidence base for cognitive behavioural therapy
    • Case studies and series
    • Controlled trials
    • Randomised controlled trials
  • User views
  • References

Chapter 4: Cognitive analytic therapy - Kieron Beard, Beth Greenhill and Julie Lloyd

  • Introducing cognitive analytic therapy
  • Adaptations of CAT for clients with ID
    • Adaptations to CAT tools for people with ID
    • Adaptations to the process of CAT for people with ID
    • Adaptations to the focus of CAT for people with ID
  • Evidence base for CAT
    • Case studies
    • User views
    • Service example
  • References

Chapter 5: Mindfulness and acceptance-based therapies - Nick J. Gore and Richard P. Hastings

  • Introducing mindfulness and acceptance-based therapies
    • Mindfulness-based stress reduction (MBSR)
    • Mindfulness-based cognitive therapy (MBCT)
  • Acceptance commitment therapy (ACT)
  • Mindfulness adaptations and developments for people with ID
    • Adaptations to the therapy
  • 'Soles of the feet' meditation
  • Evidence base for mindfulness and acceptance-based therapies
    • Group-based mindfulness interventions
    • Acceptance and commitment therapy evidence
    • 'Soles of the feet' mindfulness evidence
    • Evidence summary
  • User views
  • References

Chapter 6: Dialectical behaviour therapy - Tessa Lippold

  • Introducing dialectical behaviour therapy
  • Adaptions to dialectical behaviour therapy for people with ID
  • Evidence base for dialectical behavioural therapy
  • Case studies
  • User views
  • References

Chapter 7: Solution-focused brief therapy - Helen F. Lloyd, Alasdair Macdonald and Lauren Wilson

  • Introduction to solution-focused brief therapy
  • Common features of SFBT interventions
    • Language
    • Exceptions, pre-treatment change and problem-free talk
    • Hypothetical future
    • Rating scales
    • Goals
    • Breaks, tasks and compliment
  • Adaptations to SFBT in services for people with ID
    • Face-to-face therapeutic work
    • SFBT with support staff or parents
    • SFBT with people with ID who have little or no language
  • The evidence base for using SFBT in services for people with ID
    • Case studies/descriptions/qualitative research on process
    • Case studies with outcome data and single case experimental designs
    • Case series reporting outcome data
    • Controlled trials
  • User views
  • Conclusions
  • References

Chapter 8: Systemic psychotherapy - Sandra Baum and Henrik Lynggaard

  • Introducing systemic psychotherapy
  • Specific adaptations
  • The evidence base for systemic psychotherapy
    • Case studies
    • Case series
  • User views
  • References

Chapter 9: Group interventions - Rowena Rossiter, Celia Heneage, Nicky Gregory and Layla Williams (with thanks to Paul Willner and John Rose)

  • Introduction to group interventions
  • Practical organisation of groups
    • Recruitment and preparation
    • Establishing group 'structures'
    • The role of the group facilitator
  • Psychological therapies and people who have intellectual disabilities
  • Addressing the meaning of ID to individuals
  • Specific adaptations for groups with people with ID
  • Evidence base for the use of group therapy with clients with ID
    • Case studies/descriptions of groups
    • Case series reporting outcome data (including descriptions of series of groups)
    • Open trials (i.e. group studies reporting pre- and post-group data
    • Controlled trials (i.e. group studies reporting comparison of intervention with a waiting list or routine treatment control group)
  • User views
  • Summary
  • References

Chapter 10: Art, drama and music therapies - Simon Hackett, Kate Rothwell, Chris Lyle, Jane Bourne, Lorna Downing and Cindy-Jo Morison

  • Art psychotherapy
    • Introduction to art therapy
    • Specific adaptations for people with ID
  • Dramatherapy
    • Introduction to dramatherapy
    • Adaptions for people with ID
  • Music therapy
    • Introducing music therapy
  • Evidence base for arts therapies
    • Case studies and series
  • References

Chapter 11: Delivering psychological therapies: Managing referrals, pathways  and stepped care - Tom Jackson and Nigel Beail

  • Service example
    • Referral process
    • Triage
    • Service delivery
    • Quality and performance
  • Summary
  • References

Chapter 12: Measurement of outcome in psychological therapies for people with ID - Allan Skelly

  • Routine assessment
  • Defining outcome
  • Choosing best quality measures
  • A methodology for service-level evaluation
  • The future
  • Summary
  • References

Chapter 13: A systematic review of the outcome measures used in psychological therapies with adults with ID - Nikolaos Vlissides, Laura Golding and Nigel Beail

  • Review process
  • Method
    • Search strategy
    • Quality appraisal
    • Analysis
  • Results
    • Reliability
    • Validity
    • Responsiveness
    • Acceptability
    • Feasibility
    • Precision
  • Discussion
    • Limitations
  • Conclusions
  • References

Conclusions: Innovation, adaptation and reasonable adjustments to ensure equality 140 of access to psychological therapies - Nigel Beail

 

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SKU: PUB-CAT-1823

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