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Impact of challenging behaviour on siblings of people with Autism
Advances in Mental Health and Intellectual Disabilities, Ahead of Print. Purpose Despite being largely supportive of their sibling with an autism spectrum disorder (ASD), some siblings without ASD also feel the effects of the disorder particularly in relation to challenging behaviour and lack of empathy. The purpose of this paper is to explore the experiences adults who have a sibling with ASD and intellectual disability (ID) with challenging behaviour. Design/methodology/approach Interviews were conducted with 11 capacitous adult siblings of service users who have ASD and ID as well as a history of challenging behaviour...
Source: Advances in Mental Health and Intellectual Disabilities - July 2, 2018 Category: Disability Source Type: research

Shifting the balance of power
Advances in Mental Health and Intellectual Disabilities, Ahead of Print. Purpose This purpose of this paper is to examine the role of engagement and empowerment in “Transforming Care”, for people with a learning disability. The aim is to shift the balance of power so that people are able to live ordinary lives in the community, in the home they choose, close to people they love. It shares ideas to support people to take control over their own lives and to influence the system, so that it works with people, rather than “doing to” people. Design/methodology/approach The paper examines barriers and enablers to peopl...
Source: Advances in Mental Health and Intellectual Disabilities - July 2, 2018 Category: Disability Source Type: research

An open trial of psychodynamic psychotherapy for people with mild-moderate intellectual disabilities with waiting list and follow up control
Advances in Mental Health and Intellectual Disabilities, Ahead of Print. 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 a...
Source: Advances in Mental Health and Intellectual Disabilities - June 22, 2018 Category: Disability Source Type: research

“Be here now” – service users’ experiences of a mindfulness group intervention
Advances in Mental Health and Intellectual Disabilities,Volume 12, Issue 2, Page 77-87, March 2018. Purpose The purpose of this paper is to explore service users ’ experiences of a mindfulness group intervention. Design/methodology/approach In total, 15 participants with a diagnosis of a mild or moderate intellectual disability and concurrent mental health difficulties were interviewed using semi-structured interviews about their experiences of attending the mindfulness group. Findings Thematic analysis was used to interpret the data. The three super ordinate themes that emerged were positive aspects of mindfulness, p...
Source: Advances in Mental Health and Intellectual Disabilities - March 28, 2018 Category: Disability Source Type: research

Cognitive behaviour therapy for low self-esteem in a person with a learning disability: a case study
Advances in Mental Health and Intellectual Disabilities,Volume 12, Issue 2, Page 67-76, March 2018. Purpose Low self-esteem is common in people with learning disabilities. There is limited research examining the effectiveness of cognitive behavioural therapy (CBT) focused on low self-esteem within this client group. The purpose of this paper is to add to the limited evidence by describing the use of CBT focused on low self-esteem for a person with a learning disability in the context of emotion regulation difficulties. Design/methodology/approach An individual case study design was used, with repeated quantitative measur...
Source: Advances in Mental Health and Intellectual Disabilities - March 28, 2018 Category: Disability Source Type: research

The Adult Attachment Projective Picture System: a pilot study of inter-rater reliability and face validity with adults with intellectual disabilities
Advances in Mental Health and Intellectual Disabilities,Volume 12, Issue 2, Page 57-66, March 2018. Purpose The purpose of this paper is to assess whether the Adult Attachment Projective (AAP) Picture System is a reliable and face valid measure of internal working models of attachment in adults with intellectual disabilities (ID). Design/methodology/approach The AAPs of 20 adults with ID were coded blind by two reliable judges and classified into one of four groups: secure, dismissing, preoccupied, or unresolved. Inter-rater reliability was calculated using κ. Six participants repeated the assessment for test-retest rel...
Source: Advances in Mental Health and Intellectual Disabilities - March 28, 2018 Category: Disability Source Type: research

CFT & people with intellectual disabilities
Advances in Mental Health and Intellectual Disabilities,Volume 12, Issue 1, Page 44-56, January 2018. Purpose The purpose of this paper is to assess the effects of compassion-focussed therapy (CFT) on anxiety in a small sample of adults with intellectual disability. Design/methodology/approach A mixed-methods design was employed. Participants (n=3) completed questionnaire measures of anxiety and self-compassion on three occasions: pre-intervention, post-intervention and, at three months follow-up. Post-intervention, they also took part in recorded interviews that were analysed using interpretive phenomenological analysis...
Source: Advances in Mental Health and Intellectual Disabilities - January 12, 2018 Category: Disability Source Type: research

The role of mental health and challenging behaviour in the quality of life in people with intellectual disabilities in Spain
Advances in Mental Health and Intellectual Disabilities,Volume 12, Issue 1, Page 34-43, January 2018. Purpose The purpose of this paper is to determine the relation between quality of life (QoL), mental illness, challenging behaviour and institutionalisation in an adult population with intellectual disabilities (ID). Design/methodology/approach The study assessed the QoL and its conditioning factors in 142 subjects with different degrees of ID. The GENCAT and Quality of Life in Late Stage Dementia scale were used to evaluate QoL, the Psychiatric Assessment Schedule for Adults with Developmental Disability and Diagnostic ...
Source: Advances in Mental Health and Intellectual Disabilities - January 12, 2018 Category: Disability Source Type: research

Psychopathology in borderline intellectual functioning: a narrative review
Advances in Mental Health and Intellectual Disabilities,Volume 12, Issue 1, Page 22-33, January 2018. Purpose Studies on psychiatric comorbidity in individuals with borderline intellectual functioning (BIF) are scarce, particularly with respect to certain diseases frequently observed in clinical practice. The purpose of this paper is to discuss the relevance of epidemiological research to psychiatric comorbidity in people with BIF. Design/methodology/approach Systematic searches of MEDLINE, EMBASE and Cochrane databases. Inclusion criteria: publications about BIF appearing between 1995 and 2017; epidemiological findings ...
Source: Advances in Mental Health and Intellectual Disabilities - January 12, 2018 Category: Disability Source Type: research

Intellectual disabilities and ACT: feasibility of a photography-based values intervention
Advances in Mental Health and Intellectual Disabilities,Volume 12, Issue 1, Page 11-21, January 2018. Purpose There is limited evidence regarding clinical effectiveness of therapeutic interventions for people with intellectual disabilities (ID). Previous research has highlighted challenges regarding adaptation of Acceptance and Commitment Therapy (ACT) for people with ID. Central to ACT is a focus on living in congruence with individual core values. The concept of values is abstract and difficult for people with a limited verbal understanding to comprehend, and yet this approach holds much promise for people with ID. The ...
Source: Advances in Mental Health and Intellectual Disabilities - January 12, 2018 Category: Disability Source Type: research