Search results for ‘Subject term:"learning disabilities"’ Sort:
Results 1 - 6 of 6
Dialectical behaviour therapy in an inpatient unit for women with a learning disability: service users’ perspectives
- Authors:
- ROSCOE Paula, et al
- Journal article citation:
- Journal of Intellectual Disabilities, 20(3), 2016, pp.263-280.
- Publisher:
- Sage
- Place of publication:
- London
There is a general lack of self-report data from service users with an intellectual disability (ID) about their views of psychological interventions. This research explored the views and experiences of female inpatients, with a diagnosis of a personality disorder and an ID, about dialectical behaviour therapy (DBT). Semi-structured interviews were used with 10 women, recruited from two independent mental health hospitals. The interviews were analysed using interpretative phenomenological analysis. Participants showed varying levels of understanding of DBT. Findings highlight the need for a standardized approach with a suitably adapted structure and curriculum to meet the needs of inpatients with an ID. Factors such as the therapeutic relationship were identified as playing a role in participants’ motivation, engagement and participation in DBT. (Publisher abstract)
Journeys into dialectical behaviour therapy (DBT): capturing the staff and service-user experience
- Authors:
- JOHNSON Paula, THOMSON Michaela
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 7(2), 2016, pp.84-93.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore the lived experiences of staff and service-users regarding the introduction of dialectical behaviour therapy (DBT) into an NHS forensic learning disability (LD) service. Design/methodology/approach: Drawing on data from two recent qualitative research studies, the research team used a case-oriented approach to see beyond original findings to capture the shared experiences of the participants’ journeys, thus giving a deeper insight to the commonalities of the participants’ voices which is rarely reported in the literature (Sandelowski, 2011). Findings: A common set of phenomena became apparent when the cases were analysed, these included: trust, intensity and worthwhile. It is intended this paper gives some opportunity for reflection and shared empathetic responses to the similar experiences discussed. Originality/value: The case-orientated analysis adds value to the evidence base by highlighting the importance of the qualitative voice of both the staff and service user. This is important because most available literature reflects the process of setting up a team or DBT service, rather than describing the team experience. Equally, most published literature regarding the effectiveness of DBT is not written from the perspective of the people who receive the therapy. (Edited publisher abstract)
“It put control back onto my family situation”: family experiences of positive behaviour support
- Authors:
- BOTTERILL Sinead, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 13(3/4), 2019, pp.91-101.
- Publisher:
- Emerald
Purpose: Positive behaviour support (PBS) is currently considered best practice for managing challenging behaviour in young people with intellectual and developmental disabilities. A key principle of PBS is that all members of the person’s support network participate in the assessment and intervention. It is, therefore, important to understand what factors act as facilitators or barriers to family engagement; however, research in this area is limited. The purpose of this paper is to conduct a novel piece of qualitative research analysis into experiences of family members of young people who have received family-based PBS. Design/methodology/approach: Eight parents of a young person with an intellectual or developmental disability who had received PBS were interviewed about their experiences and factors they found helpful and hindering in terms of their engagement. Thematic analysis allowed a detailed and robust interpretation of the qualitative data. Findings: Five superordinate themes were identified, namely, PBS is more than just strategies, considering the family context, the therapist/family relationship, acknowledging challenges and the ongoing nature of the problem and supporting family member change. Research limitations/implications: Although research was rigorously conducted, the small sample size mean findings should be considered preliminary. Originality/value: The literature related to family engagement in PBS is limited and largely based on the opinions of professionals. This study identified factors that parents themselves felt were helpful and hindering in terms of their engagement and offers practical suggestions for services and future research. (Edited publisher abstract)
"Nothing about us without us": combining professional knowledge with service user experience in training about mental health and learning disabilities
- Authors:
- HENEAGE Celia, MORRIS Di, DHANJAL Kuljinder
- Journal article citation:
- Mental Health and Learning Disabilities Research and Practice, 7(2), Autumn 2010, pp.120-129.
- Publisher:
- South West Yorkshire Mental Health NHS Trust and University of Huddersfield
Recent policy documents have proposed that people with learning disabilities should be more fully included in generic mental health care provision. Such services now include the government’s ‘Improving Access to Psychological Therapies’ (IAPT) initiative which focuses particularly on the provision of support to people suffering from anxiety and depression. This article reports on a training session delivered to IAPT practitioners based at a university in the south of England by a service user with learning disabilities who had accessed mental health services (one of the authors), together with a clinical psychologist and an honorary assistant psychologist. The practitioners were involved in the provision of time-limited psychological intervention, based on Cognitive Behaviour Therapy (CBT) principles. Four key questions were considered: what is learning disability; what emotional difficulties might they experience in particular; how can CBT be adapted to meet their needs; what information is available about people with learning disabilities and employment? Among the 32 practitioners who attended the training day, 56% had worked with them in a professional context. The practitioners completed pre and post evaluation forms in which they were asked to rate their knowledge about and confidence in working with people with learning disabilities. Following the training participants rated themselves as having significantly greater knowledge and confidence. Many of the qualitative reasons given for these changes mentioned the contribution of the service user. Observations from the facilitators are also presented. It is concluded that joint training needs to be developed and its impact further researched.
The impact of service user cognitive level on carer attributions for aggressive behaviour
- Authors:
- TYNAN Hannah, ALLEN David
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 15(3), September 2002, pp.213-223.
- Publisher:
- Wiley
This article is based on a study designed to test the hypothesis that carer attributions for aggressive behaviour vary according to a service user's severity of intellectual disability. Forty-two residential care staff participated in an investigation examining the effects of the level of a service user's intellectual disability on causal attributions for their aggressive behaviour. Equal numbers of participants were assigned to either a 'mild disability' or a 'severe disability' condition and required to read a vignette depicting a service user with aggressive challenging behaviour. The service user depicted in the mild disabilities condition was perceived to have significantly greater control over factors causing the aggressive behaviour than the service user in the severe disabilities condition. Participants in the severe disabilities condition considered the aggression to be significantly more challenging. Learned behaviour and emotional causal models of aggressive behaviour were favoured, whilst the physical environment account was seen as least appropriate. Additionally, the biomedical model was rated as significantly more applicable in the severe disability condition than in the mild disability condition.
A randomized controlled trial of the efficacy of a cognitive-behavioural anger management group for clients with learning disabilities
- Authors:
- WILLNER Paul, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 15(3), September 2002, pp.224-235.
- Publisher:
- Wiley
This article describes a trial where 14 clients with learning difficulties were randomly assigned to an anger management group for treatment. Treatment included brainstorming, role playing and homework. Topics included the triggers that evoke anger; physiological and behavioural components; and cognitive strategies to avoid the onset of anger.