Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Improving Access to Psychological Therapies for people with learning disabilities

Improving Access to Psychological Therapies for people with learning disabilities Purpose – This paper considers the applicability of the Improving Access to Psychological Therapies (IAPT) initiative in meeting the mental health needs of people with learning disabilities. Design/methodology/approach – The author considers the nature of the IAPT service, the potential benefits, the potential barriers and how local services could be better adapted to meet the needs of people with learning disabilities. Findings – Although the IAPT service is well established for the mainstream population, for people with learning disabilities there are deficits and barriers at many levels. Increased attention should be given to removing barriers to access; the provision of “reasonable adjustments” in treatment; and to the monitoring of uptake and outcomes. Even with these issues addressed, the service will not meet the mental health needs of all people with learning disabilities. Originality/value – Whilst acknowledging the potential value of IAPT, without specific consideration being given, mainstream approaches to mental health will not be applicable to all people with learning disabilities: “reasonable adjustments” need to be made not only at the direct clinical level but also throughout the system, from service commissioning to outcomes. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Tizard Learning Disability Review Emerald Publishing

Improving Access to Psychological Therapies for people with learning disabilities

Alan Leyin
Tizard Learning Disability Review , Volume 16 (5): 9 – Oct 14, 2011
Download PDF
9 pages

Loading next page...
 
/lp/emerald-publishing/improving-access-to-psychological-therapies-for-people-with-learning-Q7O0i1LQzN
Publisher
Emerald Publishing
Copyright
Copyright © 2011 Emerald Group Publishing Limited. All rights reserved.
ISSN
1359-5474
DOI
10.1108/13595471111185747
Publisher site
See Article on Publisher Site

Abstract

Purpose – This paper considers the applicability of the Improving Access to Psychological Therapies (IAPT) initiative in meeting the mental health needs of people with learning disabilities. Design/methodology/approach – The author considers the nature of the IAPT service, the potential benefits, the potential barriers and how local services could be better adapted to meet the needs of people with learning disabilities. Findings – Although the IAPT service is well established for the mainstream population, for people with learning disabilities there are deficits and barriers at many levels. Increased attention should be given to removing barriers to access; the provision of “reasonable adjustments” in treatment; and to the monitoring of uptake and outcomes. Even with these issues addressed, the service will not meet the mental health needs of all people with learning disabilities. Originality/value – Whilst acknowledging the potential value of IAPT, without specific consideration being given, mainstream approaches to mental health will not be applicable to all people with learning disabilities: “reasonable adjustments” need to be made not only at the direct clinical level but also throughout the system, from service commissioning to outcomes.

Journal

Tizard Learning Disability Review – Emerald Publishing

Published: Oct 14, 2011

Keywords: Mental health services; Learning disabilities; Intellectual disabilities; Improving Access to Psychological Therapies; Barriers to inclusion

References

  • Behavioural treatment of anxiety and related disorders in adults with mental handicaps: a review
    Allen, E.A.
  • Expanding what we do without getting lost: some reflections on Hassell and Clements and the provision of psychological therapies to people who have learning disabilities
    Beail, N.
  • The unoffered chair: the history of therapeutic disdain towards people with a learning difficulty
    Bender, M.
  • Madness Explained: Psychosis and Human Nature
    Bentall, R.
  • Collaborative care for depression in primary care. Making sense of a complex intervention: systematic review and meta‐regression
    Bower, P.; Gilbody, S.; Richards, D.; Fletcher, J.; Sutton, A.
  • Speech by the Rt. Hon. Andy Burnham, Secretary of State for Health, 26 November 2009, New Savoy Partnership Conference: Psychological Therapies in the NHS
    Burnham, A.
  • Psychosocial interventions for people with learning disabilities
    Dagnan, D.
  • Cognitive‐behaviour therapy for people with learning disabilities: assessment and intervention
    Dagnan, D.; Chadwick, P.
  • Cognitive‐behavioural intervention for people with intellectual disability and anxiety disorders
    Dagnan, D.; Jahoda, A.
  • Treatment Choice in Psychological Therapies and Counselling: Evidence Based Clinical Practice Guideline
    DH
  • Organising and delivering psychological therapies
    DH
  • Talking therapies: a four year plan of action: a supporting document to no health without mental health: a cross‐government mental health outcomes strategy for people of all ages
    DH
  • Improving Access to Psychological Therapies (IAPT) Commissioning Toolkit
    DH/CSIP
  • The Competencies Required to Deliver Effective Cognitive and Behavioural Therapy for People with Depression and with Anxiety Disorders
    DH/IAPT
  • Commissioning IAPT for the Whole Community: Improving Access to Psychological Therapies
    DH/IAPT
  • Improving Access to Psychological Therapies: Learning Disabilities – Positive Practice Guide
    DH/IAPT
  • Being Fair. Including All. Equality Impact Assessment (EqIA). Guidance for Commissioners
    DH/IAPT
  • Realising the Benefits: IAPT at Full Roll Out
    DH/IAPT
  • Realising the Benefits: IAPT at Full Roll Out Annex I: IAPT Key Performance Indicator Technical Guidance Version 5
    DH/IAPT
  • The IAPT Data Handbook. Appendices Guidance Version 2.0.1
    DH/IAPT
  • Improving access to psychological therapy: the Doncaster demonstration site organisational model – commentary
    Gilbert, P.
  • Moving beyond cognitive behaviour therapy
    Gilbert, P.
  • Psychotherapy with the feeble minded
    Gunzburg, H.C.
  • Alternative ways of working
    Hall, J.; Marzillier, J.
  • Training ‘IAPT’ psychological well‐being practitioners about learning disabilities – a joint approach. Part 1: planning and evaluation
    Heneage, C.; Dhanjal, K.; Morris, D.
  • Valuing People Now: A New Three‐year Strategy for People with Learning Disabilities. ‘Making it Happen for Everyone’
    HM Government
  • Spending Review (2010) Cm 7942. Chapter 2: Departmental Settlements
    HM Treasury
  • A life like any other? Human rights of adults with learning disabilities
    House of Lords/House of Commons, Joint Committee on Human Rights
  • Cognitive behavioural therapy: from face to face interaction to a broader contextual understanding of change
    Jahoda, A.; Dagnan, D.; Stenfert Kroese, B.; Pert, C.; Trower, P.
  • Assessment of the component skills for cognitive therapy in adults with intellectual disability
    Joyce, T.; Globe, A.; Moody, C.
  • The diverse unity of clinical approaches
    Leyin, A.
  • Developing frameworks: our health, our care, our say
    Leyin, A.
  • Learning disability classification: time for re‐appraisal
    Leyin, A.
  • Cognitive assessment, cognitive models and cognitive therapy for people with intellectual disabilities: lessons from a special population
    Lindsay, W.; Hastings, R.P.
  • Preparing for ‘an age of austerity’
    Mansell, J.
  • Healthcare for All: Report of the Independent Inquiry into Access to Healthcare for People with Learning Disabilities
    Michael, J.
  • Training ‘IAPT’ psychological well‐being practitioners about learning disabilities – a joint approach. Part 2: some reflections from a ‘expert with experience’
    Morris, D.; Dhanjal, K.; Heneage, C.
  • A national survey of psychotherapy with people with learning disabilities
    Nagel, B.; Leiper, R.
  • Clinical Guideline 90 Depression: The Treatment and Management of Depression in Adults (Partial Update of NICE Clinical Guideline 23)
    NICE
  • National Clinical Guideline 113 Generalised Anxiety Disorder and Panic Disorder (With or Without Agoraphobia) in Adults: Management in Primary, Secondary and Community Care (Partial Update)
    NICE
  • Forward to Department of Health (2010a): Realising the Benefits: IAPT at Full Roll Out
    Nicholson, D.
  • Improving access to psychological therapy: the Doncaster demonstration site organisational model
    Richards, D.A.; Suckling, R.
  • Improving access to psychological therapies: phase IV prospective cohort study
    Richards, D.A.; Suckling, R.
  • Cognitive therapy abilities in people with learning disabilities
    Sams, K.; Collins, S.; Reynolds, S.
  • Treating people with learning disabilities after physical or sexual abuse
    Sinason, V.
  • Cognitive therapy with people with intellectual disabilities: a selective review and critique
    Sturmey, P.
  • The IAPT and minority groups – a cross service bid
    Taylor, N.
  • CBT for people with intellectual disabilities: emerging evidence, cognitive ability and IQ effects
    Taylor, J.N.; Lindsay, W.R.; Willner, P.
  • The effectiveness of psychotherapeutic interventions for people with learning disabilities: a critical overview
    Willner, P.
  • Readiness for cognitive therapy in people with intellectual disabilities
    Willner, P.