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

Marwood, H; Chinn, D; Gannon, K; Scior, K; (2018) 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. 10.1111/jar.12328. Green open access

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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.

Type: Article
Title: The experiences of high intensity therapists delivering cognitive behavioural therapy to people with intellectual disabilities
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/jar.12328
Publisher version: http://dx.doi.org/10.1111/jar.12328
Language: English
Additional information: This is the peer reviewed version of the following article: Marwood H, Chinn D, Gannon K, Scior K. The experiences of high-intensity therapists delivering cognitive behavioural therapy to people with intellectual disabilities. J Appl Res Intellect Disabil. (2017) doi:10.1111/jar.12328., which has been published in final form at http://dx.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.
Keywords: CBT, IAPT, high-intensity therapists, intellectual disabilities, mental health, therapist confidence
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/1539267
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