The experiences of high intensity therapists delivering cognitive behavioural therapy to people with intellectual disabilities

Hayley Marwood; Deborah Chinn; Kenneth Gannon; Katrina Scior

doi:10.1111/jar.12328

The experiences of high intensity therapists delivering cognitive behavioural therapy to people with intellectual disabilities

Hayley Marwood, Deborah Chinn, Kenneth Gannon, Katrina Scior

School of Life and Medical Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: People with intellectual disabilities (ID) should be able to access the Improving Access to Psychological Therapies (IAPT) programme, currently a main provider of mainstream mental health services in England. IAPT offer cognitive behavioural therapy (CBT) to individuals experiencing mental health problems, although its effectiveness for people with ID, when delivered within IAPT, is unclear.

METHOD: Ten high-intensity therapists took part in semi-structured interviews, analysed using thematic analysis, regarding their experiences of delivering CBT to people with ID in IAPT.

RESULTS: The rigidity of the IAPT model appears to offer a poor fit with the needs of people with ID. Therapists appeared uncertain about how to modify CBT and highlighted training and service development needs.

CONCLUSIONS: Findings suggest barriers to accessing IAPT largely remain unaddressed where people with ID are concerned. Services may need to reconsider what constitutes appropriate reasonable adjustments to ensure equitable access.

Original language	English
Pages (from-to)	76-86
Number of pages	11
Journal	Journal of Applied Research in Intellectual Disabilities
Volume	31
Issue number	1
DOIs	https://doi.org/10.1111/jar.12328
Publication status	Published - Jan 2018

Keywords

Cognitive Behavioral Therapy
England
Health Services Accessibility
Humans
Intellectual Disability/psychology
Mental Health Services
Psychotherapy

Access to Document

10.1111/jar.12328

Cite this

@article{d5dc3e94aac44099a27a13b182b7708a,

title = "The experiences of high intensity therapists delivering cognitive behavioural therapy to people with intellectual disabilities",

abstract = "BACKGROUND: People with intellectual disabilities (ID) should be able to access the Improving Access to Psychological Therapies (IAPT) programme, currently a main provider of mainstream mental health services in England. IAPT offer cognitive behavioural therapy (CBT) to individuals experiencing mental health problems, although its effectiveness for people with ID, when delivered within IAPT, is unclear.METHOD: Ten high-intensity therapists took part in semi-structured interviews, analysed using thematic analysis, regarding their experiences of delivering CBT to people with ID in IAPT.RESULTS: The rigidity of the IAPT model appears to offer a poor fit with the needs of people with ID. Therapists appeared uncertain about how to modify CBT and highlighted training and service development needs.CONCLUSIONS: Findings suggest barriers to accessing IAPT largely remain unaddressed where people with ID are concerned. Services may need to reconsider what constitutes appropriate reasonable adjustments to ensure equitable access.",

keywords = "Cognitive Behavioral Therapy, England, Health Services Accessibility, Humans, Intellectual Disability/psychology, Mental Health Services, Psychotherapy",

author = "Hayley Marwood and Deborah Chinn and Kenneth Gannon and Katrina Scior",

note = "{\textcopyright} 2017 John Wiley & Sons Ltd.",

year = "2018",

month = jan,

doi = "10.1111/jar.12328",

language = "English",

volume = "31",

pages = "76--86",

journal = "Journal of Applied Research in Intellectual Disabilities",

issn = "1360-2322",

publisher = "Wiley",

number = "1",

}

TY - JOUR

T1 - The experiences of high intensity therapists delivering cognitive behavioural therapy to people with intellectual disabilities

AU - Marwood, Hayley

AU - Chinn, Deborah

AU - Gannon, Kenneth

AU - Scior, Katrina

PY - 2018/1

Y1 - 2018/1

N2 - BACKGROUND: People with intellectual disabilities (ID) should be able to access the Improving Access to Psychological Therapies (IAPT) programme, currently a main provider of mainstream mental health services in England. IAPT offer cognitive behavioural therapy (CBT) to individuals experiencing mental health problems, although its effectiveness for people with ID, when delivered within IAPT, is unclear.METHOD: Ten high-intensity therapists took part in semi-structured interviews, analysed using thematic analysis, regarding their experiences of delivering CBT to people with ID in IAPT.RESULTS: The rigidity of the IAPT model appears to offer a poor fit with the needs of people with ID. Therapists appeared uncertain about how to modify CBT and highlighted training and service development needs.CONCLUSIONS: Findings suggest barriers to accessing IAPT largely remain unaddressed where people with ID are concerned. Services may need to reconsider what constitutes appropriate reasonable adjustments to ensure equitable access.

AB - BACKGROUND: People with intellectual disabilities (ID) should be able to access the Improving Access to Psychological Therapies (IAPT) programme, currently a main provider of mainstream mental health services in England. IAPT offer cognitive behavioural therapy (CBT) to individuals experiencing mental health problems, although its effectiveness for people with ID, when delivered within IAPT, is unclear.METHOD: Ten high-intensity therapists took part in semi-structured interviews, analysed using thematic analysis, regarding their experiences of delivering CBT to people with ID in IAPT.RESULTS: The rigidity of the IAPT model appears to offer a poor fit with the needs of people with ID. Therapists appeared uncertain about how to modify CBT and highlighted training and service development needs.CONCLUSIONS: Findings suggest barriers to accessing IAPT largely remain unaddressed where people with ID are concerned. Services may need to reconsider what constitutes appropriate reasonable adjustments to ensure equitable access.

KW - Cognitive Behavioral Therapy

KW - England

KW - Health Services Accessibility

KW - Humans

KW - Intellectual Disability/psychology

KW - Mental Health Services

KW - Psychotherapy

U2 - 10.1111/jar.12328

DO - 10.1111/jar.12328

M3 - Article

C2 - 28120547

SN - 1360-2322

VL - 31

SP - 76

EP - 86

JO - Journal of Applied Research in Intellectual Disabilities

JF - Journal of Applied Research in Intellectual Disabilities

IS - 1

ER -

The experiences of high intensity therapists delivering cognitive behavioural therapy to people with intellectual disabilities

Abstract

Keywords

Access to Document

Fingerprint

Cite this