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Significant therapy events with clients with intellectual disabilities
- Authors:
- WILLS Sarah, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 12(5-6), 2018, pp.173-183.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore significant events in psychotherapy with clients with intellectual disabilities (IDs). Design/methodology/approach: Four therapy dyads, each consisting of one client and one therapist, were recruited. Following the brief structured recall procedure (Elliott and Shapiro, 1988), semi-structured interviews focused on helpful events in psychotherapy, using video of particular sessions as a stimulus to help prompt recall of that session. Findings: Using interpretative phenomenological analysis, five super-ordinate themes were identified: “The Uniqueness of the Therapeutic Relationship”; “Using adaptations to Express Emotions”; “Client Behaviour/Therapist Behaviour”; “Hope and Paternalism”; and “Meaning-Making”. The results provide additional evidence that significant therapy events occur for clients with IDs. Furthermore, the research enabled insights to be gained about the process of therapy for this client group and for exploration of therapeutic factors that may be involved in facilitating a significant therapy event. Research limitations/implications: This study highlights the need for therapists to work in such a way as to facilitate significant events in therapy. Whilst this study was a necessary first step, owing to the non-existence of research in this area, the sample size and qualitative design may limit any wider generalisation of the findings. Originality/value: Significant events have not previously been explored in psychotherapy with clients with IDs. This research could therefore make an important contribution to our understanding of the process of psychotherapy for this client group. (Publisher abstract)
On the ball
- Author:
- PARTON Dan
- Journal article citation:
- Mental Health Today, September/October 2015, pp.28-29.
- Publisher:
- Pavilion
- Place of publication:
- Hove
A football-based mental health project is helping people with mental ill health recover through a mix of on-the-pitch action and peer support. This article provides a brief overview of the project, Football Therapy, which is run in partnership with Lewes Football Club. The project is primarily aimed at people aged 16-25 and offers free football sessions to anyone dealing with a wellbeing issue. (Edited publisher abstract)
Multiple choice
- Author:
- TAYLOR Amy
- Journal article citation:
- Community Care, 12.3.09, 2009, pp.28-29.
- Publisher:
- Reed Business Information
The Hartlepool branch of the mental health charity Mind uses the Human Givens framework in its mental health treatment. The approach works with the knowledge and skills people posses naturally to help them overcome problems. This combines with other therapies such as cognitive behavioural therapy and solution focused therapy, offering individuals a range of solutions. This article discusses how the approach is used.
An open trial of psychodynamic psychotherapy for people with mild-moderate intellectual disabilities with waiting list and follow up control
- Authors:
- SKELLY Allan, McGEEHAN Caoimhe, USHER Robert
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 12(5-6), 2018, pp.153-162.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to examine the outcome of psychodynamic psychotherapy for people with intellectual disabilities (ID), which has a limited but supportive evidence base. Design/methodology/approach: The study is a systematic open trial of flexible-length psychodynamic therapy offered in an urban community to 30 people with mild and moderate ID, presenting with significant emotional distress on the Psychological Therapies Outcome Scale for people with intellectual disabilities (PTOS-ID). Allocation to therapy was made according to an established stepped care approach according to need, and the mean number of sessions was 22.03 (range 7–47). Treatment fidelity was checked via notes review and cases excluded from analysis where there were other significant psychological interventions. Findings: On both self-report (PTOS-ID) and independent ratings (Health of the Nation Outcome Scales-Learning Disability (HoNOS-LD)) recipients of therapy: did not improve while waiting for therapy; improved significantly during therapy, with large pre–post effect sizes; and retained improvements at six-month follow-up. Research limitations/implications: While it is important to conduct further controlled trials, the findings provide support for previous studies. High rates of abuse and neglect were found in the sample, suggesting that more trauma-informed and relational approaches should be explored for this client group. Originality/value: No other study of this size has been completed which used dedicated standardised outcome measures, with this therapy type, with both waiting list and follow-up control and with account of model fidelity. (Publisher abstract)
Going back to nature
- Author:
- JEFFRIES Elisabeth
- Journal article citation:
- Mental Health Today, September/October 2015, pp.12-13.
- Publisher:
- Pavilion
- Place of publication:
- Hove
A project promoting mental health recovery through contact with nature and building relationships is providing results for service users, and has the potential to bring major savings to the local mental health budget. This article looks at the Greencare project at the Iver Environment Centre in Slough which supports a range of activities in an environment that aims to promote physical, mental, social and spiritual wellbeing through contact with nature and engaging as a community. Currently it runs a Greencare Thursday group for people with personality disorders and long term complex emotional problems. The article highlights the difficulties of obtaining additional funding as Greencare do not offer traditional mainstream services. (Edited publisher abstract)
IAPT practitioners’ experiences of providing therapy to people with intellectual disabilities
- Authors:
- SHANKLAND Jennifer, DAGNAN Dave
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 9(4), 2015, pp.206-214.
- Publisher:
- Emerald
Purpose:The purpose of this paper is to describe the views and experiences of Improving Access to Psychological Therapies (IAPT) practitioners in providing therapy to patients who have an intellectual disability in order to support IAPT services in increasing their capability in this area. Design/methodology/approach: An online survey was conducted of IAPT practitioners in four IAPT services in the north of England. The survey collected respondents demographic information and their experience, confidence and attitudes to working with people with intellectual disabilities. Qualitative responses regarding respondents attitudes, views of barriers, problems, successes and possible solutions to the delivery of therapy to people with intellectual disabilities within IAPT services were collected. The survey results were interpreted by thematic and statistical analysis. Findings: The majority of respondents report having worked with people with intellectual disabilities and identify the need to adapt therapy, but also believe that such therapy should be offered within mainstream services. Thematic analysis identifies the needs for support in training, therapy adaptation and adjustment to pathways. However, the majority of respondents could identify positive outcomes and experiences. Research limitations/implications: This data supports the further development of pathways and offers some broad frameworks for the focus of training and development work for people with intellectual disabilities within IAPT. Social implications: This project has identified a positive attitude and willingness to consider adaptation of therapy for people with intellectual disabilities in practitioners working within IAPT services. Originality/value: Until now the views and experiences of IAPT practitioners in working with this patient group were relatively unknown. (Publisher abstract)
Reworking therapeutic landscapes: the spatiality of an ‘alternative’ self-help group
- Author:
- LAWS Jennifer
- Journal article citation:
- Social Science and Medicine, 69(12), December 2009, pp.1827-1833.
- Publisher:
- Elsevier
Today the therapeutic landscapes perspective represents a collection of approaches to social and health studies which look at the relationship between healing and place, although there is a lack of agreement about what kind of place is therapeutic or indeed what constitutes ‘therapy’. The author uses a case study of an ‘alternative’ self-help group with ‘anti-psychiatry’ or ‘psychiatric survivor’ attitudes, located around a psychiatric hospital and involving current and former patients. Originally joining its meetings as an observer to learn about listening, she found that discussions about the nature of spaces and places where the group met arose spontaneously. Most were unconventional and ‘dissident’ spaces, with the dilapidated and possibly dangerous park being used the most. The choice of these places by the ‘survivors’ challenges the notion that the structured, pleasant and professional environments of the regular health services are the best places for recovery, and notes that, as described in literature, healing the unhappy soul often takes place in unpleasant surroundings such as wild moors, tempests and dark parts of town.
Determinants of subjective well-being in people with psychosis referred for psychological therapy in South London
- Authors:
- BROYD Annabel, JOLLEY Suzanne, JOHNS Louise C.
- Journal article citation:
- British Journal of Clinical Psychology, 55(4), 2016, p.429–440.
- Publisher:
- Wiley
Objectives: Improving subjective well-being (SWB) for people with mental health problems is a United Kingdom national health priority and is increasingly important in justifying funding of mental health services. Aside from the economic advantages, maximising SWB confers obvious individual and clinical benefits for people with severe mental illness, such as psychosis. Gaining a better understanding of well-being and its determinants will enable current evidence-based interventions to be targeted and refined appropriately. This study therefore sought to identify the cross-sectional correlates of SWB in an Improving Access to Psychological Therapies for people with Severe Mental Illness psychosis demonstration site, to inform a future longitudinal investigation. Methods: Participants with a psychosis or bipolar spectrum diagnosis referred to the demonstration site (n = 410) rated SWB as part of their initial assessment before starting psychological therapy. Potential influencing factors including age, gender, ethnicity, employment status, illness duration, perceived social support, perceived coping, and psychotic symptoms (voices and beliefs) were also assessed. Results: Regression analyses showed that unemployment (β = −.16, p < .001), lack of social support (β = −.20, p < .001), distressing beliefs (β = −.12, p = .004), and poorer coping (β = −.43, p < .001) were associated with reduced SWB, together accounting for 43% of the variance in well-being, F(5, 392) = 58.42, p < .001; mean SWB = 39.09, SD = 11.61. Conclusions: This study provides preliminary insights into the determinants of SWB in a large sample of people with psychosis. Improving employability, social interactions, coping strategies, and psychotic symptoms may improve SWB. Further longitudinal investigation will determine the potential value of preferentially targeting these areas in therapy to meet national requirements to prioritise well-being outcomes. Practitioner points: a) average well-being in people with psychosis was lower than SWB previously reported for the general population; b) Unemployment, lack of social support, poorer coping, and distressing beliefs were all associated with lower levels of well-being in people with psychosis; c) Psychological interventions targeting the positive symptoms of psychosis may impact on well-being d) Greater focus on promoting social contact and inclusion and facilitating a return to employment may further improve well-being outcomes following psychological intervention; e) The cross-sectional design of the study does not allow for firm conclusions about the causal relationship between well-being and associated factors in psychosis; f) The study was carried out within a particular service context, and the findings need replicating before they can be considered to be generalisable outside this setting. (Edited publisher abstract)
Surf's up
- Author:
- PENFOLD Julie
- Journal article citation:
- Mental Health Today, March/April 2015, pp.14-15.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The Wave Project uses surfing as a therapeutic intervention to support children and young people with mental health problems. Since it set up its first pilot in 2010 it has supported over 400 children and young people between the ages of eight to 21. This article looks at how the project developed, its use of mentoring support, and how it is increasingly gaining credibility and demonstrating its value. (Original abstract)
We need to talk: getting the right therapy at the right time
- Author:
- WE NEED TO TALK COALITION
- Publisher:
- MIND
- Publication year:
- 2010
- Pagination:
- 28p., bibliog.
- Place of publication:
- London
This report was published by Mind for the “We Need To Talk” coalition, which calls on the Government to fulfil its promise to make psychological therapies available across the country to people who need them. The report is based on research which included: surveys of people attempting to access psychological therapies (527 responses); local Mind associations and primary care trusts; a call for evidence to the 'We need to talk coalition' members; a consultative event with local Mind associations; and discussions with service planners and providers across the country. It looks at the importance of psychological therapy covering both the economic and human costs and provides a brief overview of the current policy context. It then discusses what works, highlighting examples of good practice; where there are problems in accessing therapies and suggests recommendations for the way forward. The report found that the Improving Access to Psychological Therapies scheme has had a dramatic impact on waiting times for people with depression and anxiety. Access to psychological therapies for children and for people with severe mental illnesses remains limited despite good evidence of their effectiveness.