Accessible summary• Dialectical Behaviour Therapy (DBT) is a therapy to help people manage their feelings.• We ran a DBT group for people with an intellectual disability. The group seemed to help people feel better and manage their feelings, even after the group ended.• The group was 2 years ago. We talked to three people who went to the group to see what people still remembered from the group and if DBT was still helping them.• We think having a top-up session might help people to remember and practise ideas from the group. AbstractBackground: This paper reports quantitative and qualitative follow-up data from three participants who attended a Dialectical Behaviour Therapy (DBT) group for people with an intellectual disability. Materials and Methods: Quantitative data regarding psychological well-being, psychological distress (measured using the Psychological Therapies Outcome Scales; PTOS) and quality of life (measured using the Health of the Nation Outcome Scales-Learning Disability; HONOS-LD) are reported for pre-group, post-group and at 6month and 2-year follow-up. Interviews were conducted with participants post-group and at 2-year follow-up. Data were analysed using thematic analysis. Results: Improvements in scores on measures of psychological well-being, psychological distress and quality of life appear to be maintained at 6-month follow-up, but scores at 2-year follow-up suggest a return to baseline. Qualitative self-report data suggest a number of interesting ways participants adapted and individualised techniques from the group, as well as suggesting possible barriers to maintaining change in the longer term. Conclusions: Clinical implications are considered to improve effectiveness of similar interventions, as well research implications in order to improve knowledge about the longer term impact of group DBT interventions. K E Y W O R D S anger management, intellectual disability, mental health, psychological therapy | 127 HEWITT ET al.
Accessible summary• Lots of people with autism find it difficult to make friends and have relationships.• There are lots of different groups that can help people with autism to learn social skills and how to make friends.• Some of the groups were specially designed for people with a learning disability as well as autism.• The groups can help support people to talk about their emotions, talk to other people about their thoughts and feelings and practise talking to other people.• This paper found that social skills groups can help people with autism to improve their social skills and to talk to people more.• The PEERS-YA group appears to be the best social skills group for people with autism without a learning disability.• More research is needed to learn more about social skills groups for people with autism and a learning disability. AbstractBackground: Social and communication impairments are a core diagnostic feature of autism spectrum disorder (ASD) and can act as a barrier to developing relationships.The National Institute for Health and Care Excellence (2016) guidelines recommend group social skills interventions as the first-line treatment to help adults with ASD improve their social skills and relationships. To date, reviews have only explored the impact of group social skills interventions for adults with ASD without intellectual disability (ID). This review aimed to critically appraise studies investigating group social skills interventions for adults with ASD both without intellectual disability and with a mild or moderate intellectual disability. Method:A systematic search of four databases (PsycINFO, MEDLINE, EMBASE and CINAHL), as well as hand-searching of references, was conducted. Ten studies were identified, employing different designs and methodologies, and covering six different group social skills interventions.Results: Overall, the review provided fairly consistent evidence that group social skills in different formats can reduce social impairments and increase social interaction, social knowledge and empathy for adults with ASD.
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