Purpose -The aim of this paper was to gain an insight into the experiences of staff working with transgendered sex offenders in a prison setting. Design/methodology/approach -The study took a qualitative approach to investigation and used semistructured interviews to explore the experiences of staff (n=6). Data were analysed using thematic analysis. Findings -
BackgroundNarrative exposure therapy (NET) is a trauma-focused cognitive behavioural therapy, recommended by the National Institute for Health and Care Excellence in 2018, to treat posttraumatic stress disorder in adults. There is a lack of research exploring the effectiveness of NET with adults with intellectual disabilities. The aim of this study is to develop an adapted version of the NET protocol (IDNET) for use with adults with mild intellectual disability.MethodsA qualitative research design was employed. Stage one involved systematically adapting the NET protocol for adults with mild intellectual disabilities in collaboration with a service user group comprising eight consultants. Stage two involved gaining professionals’ views on the adapted protocol and on the use of NET in intellectual disability services. This comprised a focus group of eight clinical psychologists specialising in intellectual disabilities and an expert panel of three NET clinicians. The framework approach was conducted on the focus group data only following guidance from a previous study.FindingsAn adapted NET protocol and collection of ‘easy read’ therapy materials were developed (IDNET), which incorporated feedback from the three stakeholder groups. Key concepts of ‘Optimism and motivation to adapt NET for people with mild intellectual disabilities’ and ‘Factors related to NET in practice’ were developed to describe the views of clinical psychologists. A number of issues were raised by professionals regarding the delivery of IDNET.ConclusionsProfessionals were optimistic about IDNET; however, issues raised regarding the delivery of IDNET require exploration when IDNET is trialled in practice. Specific implications for clinical practice and future research are discussed.
Background Cognitive behavioural therapies have been found to be effective for mental health difficulties in people with intellectual disability (ID). Trauma-focused cognitive behavioural therapy (TFCBT) is recommended for treating Posttraumatic Stress Disorder (PTSD) in adults, however, evidence for people with ID is lacking. This systematic review considers the evidence base for TFCBT for PTSD in adults with ID and its consistency with National Institute for Health and Care Excellence (NICE) guidance.Method Studies were identified in a systematic search and selected if they reported individual TFCBT for an adult with ID. A quality appraisal and narrative synthesis was completed on abstracted data. ResultsEight case studies met the criteria. Quality of studies and inclusion of components of TFCBT recommended by NICE varied. All studies utilised recognised adaptations and reported positive outcomes for clients. ConclusionsFurther high-quality research is needed to provide an evidence base for the application of the key components of TFCBT specified by NICE, to adults with ID.
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