Outcomes and experiences of an adapted Dialectic Behaviour Therapy skills training group for people with intellectual disabilities

Crossland, Tom; Hewitt, Olivia; Walden, Sarah

doi:10.1111/bld.12194

Cited by 23 publications

(29 citation statements)

References 20 publications

(46 reference statements)

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“…For instance, Hall, Bork, Craven, and Woodrow () and Hardiman, Willmoth, and Walsh () both reported that scores on measures of anxiety and depression improved following intervention. Similarly, Crossland, Hewitt, and Walden () reported that all four of their participants demonstrated improvements on the psychological distress scale of the PTOS‐ID following group DBT.…”

Section: Resultsmentioning

confidence: 88%

Third‐wave therapies and adults with intellectual disabilities: A systematic review

Patterson

Williams²,

Jones

2019

Research Intellect Disabil

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Background Third‐wave therapies appear to produce positive outcomes for people without intellectual disabilities. This systematic review aimed to establish which third‐wave therapies have been adapted for adults with intellectual disabilities and whether they produced positive outcomes. Method Four databases were searched systematically (PsycINFO, Web of Science, MEDLINE and PubMed), yielding 1,395 results. Twenty studies (N = 109) met the present review's inclusion/exclusion criteria. Results Included studies used mindfulness‐based approaches, dialectical behaviour therapy, compassion focused therapy and acceptance and commitment therapy. Due to considerable heterogeneity in the designs and outcome measures used, a meta‐analysis was not possible. Conclusions Evidence indicated that third‐wave therapies improved mental health symptoms for some and improved challenging/offending behaviour, smoking and mindfulness/acceptance skills for most. These findings must be interpreted with caution due to the low methodological quality of included studies. Future research should build on the current evidence base, using scientifically rigorous designs and standardized measures.

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Section: Resultsmentioning

confidence: 88%

Third‐wave therapies and adults with intellectual disabilities: A systematic review

Patterson

Williams²,

Jones

2019

Research Intellect Disabil

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“…It is interesting to note that Kirsty, who seemed in her interview to be using mindfulness techniques relatively little compared to Louis and Sally, had the highest score on the HoNOS at the 2‐year follow‐up. Participants raised concerns both in the original study (Crossland et al, ) and at this follow‐up about the handouts and homework being difficult to access, though all participants reported having a positive experience of the group overall.…”

Section: Discussionmentioning

confidence: 91%

“…Four people with intellectual disabilities attended a modified DBT group which ran for 18 sessions between April and October 2015 (see Crossland et al, , for a full description of the group). The group was based on DBT skills training (Linehan, ), with materials adapted from “I can feel good” (Ingamells & Morrissey, ) and clinicians working in the field (L. Leeds, personal communication, April 28, 2014).…”

Section: Methodsmentioning

confidence: 99%

“…Dialectical Behaviour Therapy (DBT) is increasingly being used as an intervention with people with intellectual disabilities (see Crossland, Hewitt, & Walden, , for a brief review of this literature). Delivery has been in group and individual format, with various adaptations being made to increase the accessibility of the intervention for people with intellectual disabilities (McNair, Woodrow, & Hare, ).…”

Section: Introductionmentioning

confidence: 99%

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What happens next? A 2‐year follow‐up study into the outcomes and experiences of an adapted Dialectical Behaviour Therapy skills training group for people with intellectual disabilities

Hewitt

Atkinson‐Jones

Gregory

et al. 2019

Brit J Learn Disabil

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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.

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“…Understandably, this has resulted in mental health services developing adapted versions of evidence-based therapies, which are transdiagnostic and cost-effective. In this way, ECS programmes have become a common treatment pathway in NHS services in order to meet the high demand, despite lacking adequate empirical support (Crossland et al, 2017;James et al, 2008;McMain et al, 2017;Sambrook et al, 2006).…”

Section: Emotional Coping Skills (Ecs)mentioning

confidence: 99%

An evaluation of predictors of dropout from an Emotional Coping Skills programme in a community mental health service

Raman

Richardson

2019

tCBT

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Drop-out from mental health services is a significant problem, leading to inefficient use of resources and poorer outcomes for clients. Adapted dialectical behaviour therapy (DBT), often termed Emotional Coping Skills (ECS) programmes, show some of the highest rates of drop-out from therapy recorded in the literature. The present study aimed to add to the evidence base, by evaluating predictors of drop-out from an ECS programme in a UK-based Community Mental Health Team (CMHT). An existing data set of 49 clients, consisting of clients’ responses on a number of questionnaires, was evaluated for predictors of drop-out. Predictors of drop-out included symptom severity, substance use and client demographics. Independent-samples t-tests and chi-square cross tabs analyses revealed no significant differences between drop-outs and completers of therapy on any of the variables. This suggests that contrary to common assumptions and previous findings, clients using substances, who are highly anxious, or who experience a greater degree of emotion dysregulation, are not more likely to drop out from ECS programmes compared with other individuals. The clinical implications of these findings and future research are discussed within the wider context of the evidence base. Key learning aims (1) To be familiar with common predictors of drop-out from psychological therapies, as indicated by the literature. (2) To understand the theories underlying factors that impact drop-out and the associated consequences for mental health services. (3) To understand the potential impact of staff assumptions of factors that affect drop-out on client retention. (4) To have an understanding of initiatives and strategies that may improve client-retention and engagement in services.

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Outcomes and experiences of an adapted Dialectic Behaviour Therapy skills training group for people with intellectual disabilities

Cited by 23 publications

References 20 publications

Third‐wave therapies and adults with intellectual disabilities: A systematic review

Third‐wave therapies and adults with intellectual disabilities: A systematic review

What happens next? A 2‐year follow‐up study into the outcomes and experiences of an adapted Dialectical Behaviour Therapy skills training group for people with intellectual disabilities

An evaluation of predictors of dropout from an Emotional Coping Skills programme in a community mental health service

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