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A comparison of the emotional and behavioural problems of intellectual disability offenders in medium and low security
- Authors:
- ASHWORTH Sarah, MOONEY Paul
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 7(3), 2016, pp.109-115.
- Publisher:
- Emerald
Purpose: There are few reliable psychometric measures of the psychopathology of offenders with ID. However, previous research has indicated that the Emotional Problems Scale (EPS) is useful in identifying a range of treatment needs and in predicting risk to self and others. The current study aims to compare the severity of the emotional and behavioural problems of a small sample of offenders with ID in medium and low secure services, as assessed by EPS. Additionally, the data are tentatively compared with those reported in previous research to precipitate discussion regarding the changes in clinical populations in secure care over time. Design/methodology/approach: The study collected demographic and EPS data for patients with ID (N=25) on medium secure and a low secure wards. Data were collected as part of routine clinical practice, with EPS forms being completed by nursing and other multi-disciplinary staff. Findings: It was found that there was no statistically significant difference in EPS scores between medium and low secure patients with ID. The authors also highlight differences between the current sample and the normative data collected by previous research. Originality/value: The data regarding the psychopathology of medium and low secure patients with ID provides insight into the ever changing resourcing needs and risk profiles of this complex patient group. In addition, there is a dearth of empirical research that comments on the clinical differences observed over time in forensic populations. As the current data differs from pre-existing normative data, the potential shift in populations and also implications for the accuracy of clinical decision making based on the assessment are discussed. (Edited publisher abstract)
Adapted DBT programme for individuals with intellectual disabilities and problems managing emotions: staff awareness training
- Authors:
- ASHWORTH Sarah, MOONEY Paul, TULLY Ruth J.
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 10(3), 2016, pp.185-198.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to present the development and evaluation of an original training package for staff members on an awareness of an adapted Dialectical Behaviour Therapy programme, the “I Can Feel Good” programme (Ingamells and Morrissey, 2014) designed for individuals with intellectual disabilities (ID) and problems managing emotions. The quality and effectiveness of the training was assessed and is reported in this paper. Design/methodology/approach: The training was delivered for staff working with individuals with ID in a UK medium-secure psychiatric hospital and was attended by nursing staff. The workshop consisted of six modules: “Introduction to the programme”, “Mindfulness”, “Managing feelings”, “Coping in Crisis”, “People skills” and “Application and summary”. Level of self-reported knowledge, confidence and motivation regarding seven aspects of the training was measured by an evaluation questionnaire completed pre and post training. Findings: The results of this study showed that following the training there was a significant increase in self-reported knowledge, confidence and motivation regarding the seven aspects of the training. When perceptions of staff behaviours are observed, although in the right direction, this change was found not to be significant. Originality/value: This study highlights the potential for staff training to increase awareness of newly adapted therapeutic programmes for individuals with ID. The staff training may increase their ability and willingness to facilitate the running of such programmes and ability to support learning transfer in group members. (Publisher abstract)
Relaxation therapy and anxiety, self-esteem, and emotional regulation among adults with intellectual disabilities: a randomized controlled trial
- Authors:
- BOUVET Cyrille, COULET Aurelie
- Journal article citation:
- Journal of Intellectual Disabilities, 20(3), 2016, pp.228-240.
- Publisher:
- Sage
- Place of publication:
- London
This pilot study is a randomised controlled trial on the effects of relaxation on anxiety, self-esteem, and emotional regulation in adults with intellectual disabilities (ID) working in a centre of supported employment in France. A total of 30 adults with mild or moderate ID who were split at random into a relaxation group (RG, 15 subjects), who completed 10 sessions of relaxation therapy, and a control group (CG, 15 subjects), who were on a waiting list. The method used is the pretest and posttest. Variables were assessed by the State-Trait Anxiety Inventory form Y scale, the Rosenberg Self-Esteem scale, and the Emotion Regulation Questionnaire. We found that in the RG, relaxation significantly reduced state anxiety, improved self-esteem and cognitive reappraisal, while the CG showed no change for these variables. The authors conclude that relaxation seems to be an interesting therapeutic option for reducing anxiety in people with ID in a supported employment setting. (Edited publisher abstract)
Creative ways of talking: a narrative literature review concerning emotional support for adults with mild or moderate learning difficulties
- Author:
- MacDONALD Dee
- Journal article citation:
- British Journal of Learning Disabilities, 44(3), 2016, p.233–239.
- Publisher:
- Wiley
Background: Adults with mild or moderate learning difficulties identified a need for more opportunities to access appropriate emotional support. Materials and Methods: A narrative literature review was undertaken. Factors associated with dealing with emotional unrest, such as self-esteem/self-awareness, a person's attitude to having learning difficulties, emotional competency and friendship issues are discussed. Results: The review provides evidence that emotional unrest exists but receives little attention from supporters due to an emphasis on practical issues associated with an inclusion agenda. The review highlights a lack of research on emotional support for adults and explores reasons for this. Conclusion: The value that people with learning difficulties place on support from others with learning difficulties, that is peer support, emerges as a theme and an argument is presented for further inclusive research in this area. (Publisher abstract)
Friends for life: building resilience and emotional wellbeing
- Author:
- FOUNDATION FOR PEOPLE WITH LEARNING DISABILITIES
- Publisher:
- Foundation for People with Learning Disabilities
- Publication year:
- 2016
- Pagination:
- 40
- Place of publication:
- London
- Edition:
- 2nd ed.
Revised guide summarising the learning to date from the Foundation for People with Learning Disabilities experience of adapting FRIENDS for Life programme to help children and young people with learning disabilities to manage their feelings better. The programme, often used in schools, teaches children and young people techniques to cope with anxiety and promotes well-being and social and emotional skills by using a cognitive behavioural therapy framework. The guide includes tips on getting started and organising sessions; activities used in the groups; advice on keeping momentum in the groups; example structures sessions; examples of three sensory stories; and useful resources. It is aimed at all professionals working with children and young people with learning disabilities and parents in education; health and mental health; parents and parenting groups; and the voluntary and community sector. (Edited publisher abstract)
Critical literature review: effectiveness of individual psychodynamic psychotherapy for adults with intellectual disabilities
- Author:
- MCINNIS Erica E.
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 10(4), 2016, pp.233-247.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to report the evidence base for the practice of individual psychodynamic psychotherapy with adults with intellectual disabilities (IDs). Design/methodology/approach: Literature review. Findings: In total, 14 papers were reviewed. From these, one existing review and seven individual papers provided enough evidence to support effectiveness of individual psychodynamic psychotherapy for people with IDs. Research limitations/implications: This research indicates individual psychodynamic psychotherapy to be of benefit. Indeed, all studies reviewed supported individual psychodynamic psychotherapy, but methodological shortcomings weakened the confidence placed in findings for some studies. Limitations of this review include methodological shortcomings of studies reviewed, a small number of existing studies and reliance on case studies. Practical implications: Therapists and commissioners of services should routinely make individual psychodynamic psychotherapy available as part of a spectrum of therapies available to people with IDs who experience emotional and behavioural problems. This is because it is needed for some clients and they benefit. Social implications: Individual psychodynamic psychotherapy for people with IDs adds to the range of therapies available to alleviate emotional distress and enhance well-being. These are necessary to provide a foundation for meaningful contribution to society, particularly for those who have experienced psychological trauma (Frankish, 2016). Originality/value: This review includes more relevant studies than previous reviews and adds to a limited number of reviews in this area. (Publisher abstract)