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

Article


Marwood, Hayley, Chinn, Deborah, Gannon, K. and Scior, Katrina 2017. The experiences of high intensity therapists delivering cognitive behavioural therapy to people with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities. 31 (1), pp. 76-86.
AuthorsMarwood, Hayley, Chinn, Deborah, Gannon, K. and Scior, Katrina
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.

JournalJournal of Applied Research in Intellectual Disabilities
Journal citation31 (1), pp. 76-86
ISSN13602322
Year2017
PublisherWiley
Accepted author manuscript
License
Digital Object Identifier (DOI)doi:10.1111/jar.12328
Web address (URL)https://doi.org/10.1111/jar.12328
Publication dates
Online24 Jan 2017
Publication process dates
Deposited22 Jan 2018
Accepted28 Nov 2016
Accepted28 Nov 2016
Copyright informationThis is the peer reviewed version of the following article: Marwood, et. al. 2017, The experiences of high intensity therapists delivering cognitive behavioural therapy to people with intellectual disabilities, which has been published in final form at https://doi.org/10.1111/jar.12328. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
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