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Intellectual disability and computers in therapy: Views of service users and clinical psychologists

“…This comment is important because it pre-empts an important limitation of computerised therapy: the generic standardised materials that do not address the person's specific needs and circumstances (Gega et al, 2013;Hind et al, 2010) A clinician touched upon the possibility of involving a third party, such as carers or teachers, when using computers in therapy. This is important not only because carers enable people with ID to access therapy services, but also because carers can help the communication between the therapist and the person with ID (Department of Health, 2009;Hurley et al, 1998;Royal College of Psychiatrists, 2004) and enhance therapy effects (Rose, Loftus, Flint, & Carey, 2005).…”

“…For people with ID, these adjustments include more frequent and shorter therapy sessions, simpler language and therapeutic methods, more therapist directivity, and greater interactivity, for example through the use of games (Hurley, Tomasulo, & Pfadt, 1998;Whitehouse, Tudway, Look, & Stenfert-Kroese, 2006). The impact of these adjustments remains unclear, as the availability of systematically analysed data regarding potential changes in the uptake of these services by people with ID is limited (Taylor & Knapp, 2013).…”

Feasibility and Acceptability of an Interactive Mental Well-Being Intervention for People With Intellectual Disabilities: Pilot Mixed Methods Study

“…Involving support workers is generally viewed favorably when planning or delivering psychological interventions to people with intellectual disabilities [35,39,40]. When using digital interventions, their involvement can help overcome technical difficulties experienced by people with intellectual disabilities, as we found in this study.…”

“…Contributing to the intervention’s overall acceptability is our purposeful attempt to adapt all aspects of the intervention to the variable needs of people with intellectual disabilities. This includes incorporating all but one of the suggested adaptations to psychological therapies for people with intellectual disabilities, as put forward by Hurley et al [39]. Use of a digital platform should not exempt the intervention from addressing the users’ intellectual disability; however, this disability in itself may present the person with considerable challenges and negative events in their daily lives that could contribute to poor mental well-being.…”

The ACTing Cure: Evidence-Based Group Treatment for People with Intellectual Disabilities

“…The need for creative and adaptive measures to work with people who have limited verbal and literacy levels is a relatively untapped resource for therapeutic gains (Brown et al 2011), yet two promising paths are emerging: psychodrama (Tomasulo 2014;Tomasulo and Razza 2006;Hurley, Tomasulo, and Pfadt 1998) and dramatherapy (Landy and Montgomery 2012;Banks, 2006;Stefańska 2006;Hackett and Bourne 2014). Blaine (1993) tested the efficacy of an IBT group treating both intellectually disabled and non-disabled participants over 17 sessions.…”