The experiences of therapists providing psychological treatment for adults with depression and intellectual disabilities as part of a randomised controlled trial

Smith, Ian and Huws, Jaci and Appleton, Kim and Cooper, Sally-Ann and Dagnan, Dave and Hastings, Richard and Hatton, Chris and Jones, Robert and Melville, Craig and Scott, Katie and Williams, Chris and Jahoda, A (2021) The experiences of therapists providing psychological treatment for adults with depression and intellectual disabilities as part of a randomised controlled trial. Journal of Applied Research in Intellectual Disabilities, 34 (6). pp. 1442-1451. ISSN 1360-2322

Abstract

Background: Health professionals were trained to deliver adapted psychological interventions for depression to people with learning disabilities and depression alongside a supporter. Exploring the delivery of psychological interventions can help increase access to therapy. Method: Twenty-seven participants took part in six focus groups, and the data were subject to a Framework Analysis. Results: The structure and focus of the manualised therapies, and the use of specific techniques were perceived as key to service-user engagement. Supporters' involvement was valued by therapists if they had a good relationship and regular contact with the individual they supported. Regular clinical supervision was regarded as vital in understanding their role, assessing progress and delivering the interventions. Conclusions: The findings highlight that health professionals can embrace a focussed therapeutic role and increase access to psychological therapies for people with intellectual disabilities.