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CBT for Adults with Intellectual Disabilities: Adaptations and The Evidence Base IAPT: Evidence and Experience of Supporting People with Learning Disabilities Castle Green Hotel, Kendal, Friday, 23 rd May 2013. John L Taylor Professor of Clinical Psychology/ Consultant Clinical Psychologist
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CBT for Adults with Intellectual Disabilities:Adaptations and The Evidence BaseIAPT: Evidence and Experience of Supporting People with Learning DisabilitiesCastle Green Hotel, Kendal, Friday, 23rd May 2013
John L Taylor
Professor of Clinical Psychology/
Consultant Clinical Psychologist
Northumberland, Tyne & Wear NHS Foundation Trust
People with ID may be more likely to experience MH problems
than the general population for a number of reasons (Deb et al.,
2001; Moss et al., 1998). These include:
Prevalence studies of MH problems amongst people with ID
report large variations in prevalence rates depending on:
Despite the prevalence of these problems, there is a general
lack of awareness of the needs of people with ID and MH
problems (Taylor & Knapp, 2013). Reasons include:
Sturmey P. (February, 2005). Against Psychotherapy With People Who Have Mental Retardation. Mental Retardation, 43, 55-57.
‘Hence, we are unable to make any conclusions as to the effectiveness, ineffectiveness, or harmful effects of psychotherapy based on scientific evidence.’(p. 56)
Evidence for Psychotherapy for People with ID - IHatton, C. (2002). Psychosocial interventions for adults with ID and mental health problems: A review. J. of Mental Health
Evidence for Psychotherapy for People with ID - IIProut, H.T. & Nowak-Drabik, K.M. (2003). Psychotherapy for persons who have mental retardation. Am. J. on Mental Retardation
Evidence for Psychotherapy for People with ID - IIIBeail, N. (2003). What works for people with MR? Critical commentary on CBT and psychotherapy research. Ment. Retardation
Evidence for Psychotherapy for People with ID - IVSturmey, P. (2004). Cognitive therapy for people with ID: A selective review & critique.Clin. Psychology & Psychotherapy
Evidence for Psychotherapy for People with ID - VWillner , P. (2005). The effectiveness of psycho-therapeutic interventions for people with LD: A Critical review. J. of Intell. Disability Research
Evidence for Psychotherapy for People with ID - VIProut, HT & Browning, BK (2011). The effectiveness of psychotherapy for persons with intellectual disabilities. In RJ Fletcher (ed). Psychotherapy for individuals with disability (pp 265-287). Kingston, NY: NADD Press.
StudyLocation n CommunityInstitutionForensic
Tyrer et al. (2006) England 3065 16 - -
Taylor et al. (2008) England 782 12 - -
Hill & Bruininks (1984) USA 2491 16 37 -
Harris (1993) England 1362 11 38 -
Sigafoos et al. (1994) Australia 2412 10 35 -
Smith et al. (1996) England 2202 - 40 -
Taylor et al. (2004) England 129 - - 47
McMillan et al. (2004) England 124 - - 47
(see Taylor & Novaco, 2005; Whitaker, 2001 for reviews)
(Benson et al., 1986; Hagiliassis et al., 2005; Lindsay et al., 2004; Rose et al., 2000, 2005, 2008, 2009; Taylor et al., 2002, 2004, 2005; Willner et al., 2002, 2005)
‘Behavioural and Cognitive-Behavioural Interventions for
Outwardly-Directed Aggressive Behaviour in People with