Working with Others

  • Andrew Jahoda
  • Biza Stenfert Kroese
  • Carol Pert
Chapter

Abstract

When working with people with ID, there are a number of other people who we may need to be in contact with, not just to gather background information but also to recruit them as allies who can play an influential and long-term role in implementing and maintaining psychological and environmental change. We need to carefully consider when it is and when it is not suitable to involve other people so that we respect the client’s right to confidentiality. We may need to spend time with caregivers and staff to make sure that they understand and agree with the CBT model and the formulation. As therapists we must also liaise with our health and social services colleagues and ensure that the various interventions received by clients are well coordinated and are not detrimental to each other. Family carers and support workers as well as health and social services professionals can complement the CBT approach and improve the chances of significant and enduring improvements in psychological well-being.

References

  1. Bennett-Levy, J., Richards, D., Farrand, P., Christensen, H., Griffiths, K., Kavanagh, D., Klein, B., Lau, M. A., Proudfoot, J., Ritterband, L., White, J., & Williams, C. (2010). Oxford guide to low intensity CBT interventions. Oxford: Oxford University Press.CrossRefGoogle Scholar
  2. Department of Health. (2012). Transforming care: A national response to Winterbourne View Hospital. Final report. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/213215/final-report.pdf
  3. Disability Rights Commission. (2006). Equal treatment: Closing the gap. A formal investigation into physical health inequalities experienced by people with learning disabilities and/or mental health problems. London: Disability Rights Commission.Google Scholar
  4. Division of Clinical Psychology. (2014). Position statement on the classification of behaviour and experience in relation to functional psychiatric diagnoses time for a paradigm shift. http://www.bps.org.uk/system/files/Public%20files/cat-1325.pdf
  5. Drane, E., & Coles, S. (2015). Goodbye, bed lover: Reconceptualising depression – A narrative approach. The Bulletin of the Faculty for People with Intellectual Disabilities, 13(2), 15–21.Google Scholar
  6. Gilbert, P., & Leahy, R. L. (2007). The therapeutic relationship in cognitive behavioural psychotherapies. London: Routledge.Google Scholar
  7. Gill, F., Stenfert Kroese, B., & Rose, J. (2002). General practitioners’ attitudes to patients who have learning disabilities. Psychological Medicine, 32(8), 1445–1455.CrossRefPubMedGoogle Scholar
  8. Hassiotis, A., Serfaty, M., Azam, K., Martin, S., Strydom, A., & King, M. (2012). A manual of cognitive behaviour therapy for people with mild learning disabilities and common mental disorders: A training guide to help professional therapists in treating people with communication and cognitive problems. Camden & Islington NHS Foundation Trust/University College London. https://www.ucl.ac.uk/ciddr/resources
  9. Herman, J. L. (1997). Trauma and recovery. New York: Basic Books.Google Scholar
  10. Houghton, P. (2016). Joining the debate around psychiatric medication. Clinical Psychology Forum, 286, 10–14.Google Scholar
  11. Jacques, R. (2003). Family issues. Psychiatry, 2(9), 39–42.Google Scholar
  12. Johnstone, L. (2014). Using formulation in teams. In L. Johnstone & R. Dallos (Eds.), Formulation in psychology and psychotherapy: Making sense of people’s problems (2nd ed.). Hove: Routledge.Google Scholar
  13. Lasky, G. B., & Riva, M. T. (2006). Confidentiality and privileged communication in group psychotherapy. International Journal of Group Psychotherapy, 56(4), 455–476.CrossRefPubMedGoogle Scholar
  14. MENCAP. (2004). Treat me right! London: MENCAP.Google Scholar
  15. MENCAP. (2007). Death by indifference. London: MENCAP.Google Scholar
  16. Michael, J., & Richardson, A. (2008). Healthcare for all: The independent enquiry into access to healthcare for people with learning disabilities. Tizard Learning Disability Review, 13(4), 28–34.CrossRefGoogle Scholar
  17. Moncrieff, J., Cohen, D., & Mason, J. (2013). The patient’s dilemma: An analysis of users’ experiences of taking neuroleptic drugs. In S. Coles, S. Keenan, & B. Diamond (Eds.), Madness contested: Power and practice. Ross-on-Wye: PCCS Books.Google Scholar
  18. National LD Professional Senate. (2015). Delivering effective specialist community learning disabilities health team support to people with learning disabilities and their families or carers. A briefing paper on service specifications and best practice for professionals, NHS commissioners, CQC and providers of community learning disabilities health team. https://www.bps.org.uk/.../national_ld_professional_senate_guidelines_for_cldt_speci
  19. Orford, J. (2008). Community psychology: Challenges, controversies and emerging consensus. London: Wiley.CrossRefGoogle Scholar
  20. Rose, J., Loftus, M., Flint, B., & Carey, L. (2005). Factors associated with the efficacy of a group intervention for anger in people with intellectual disabilities. British Journal of Clinical Psychology, 44(3), 305–317.CrossRefPubMedGoogle Scholar
  21. Rose, N., Rose, J., Stenfert Kroese, B., Stimpson, A., MacMahon, P., Jahoda, A., Townson, J., Felce, D., Hood, K., & Willner, P. (2015). Managers’ views of the effects on their service of hosting a cognitive-behavioural anger management group. Advances in Mental health and Intellectual Disabilities, 9(1), 19–29.CrossRefGoogle Scholar
  22. Scior, K. (2011). Public awareness, attitudes and beliefs regarding intellectual disability: A systematic review. Research in Developmental Disabilities, 32(6), 2164–2182.CrossRefPubMedGoogle Scholar
  23. Seltzer, M. M., Floyd, F. J., Song, J., Greenberg, J. S., & Hong, J. (2012). Midlife and aging parents of adults with intellectual and developmental disabilities: Impacts of lifelong parenting. American Journal of Intellectual and Developmental Disabilities, 116(6), 479–499.CrossRefGoogle Scholar
  24. Sheenan, R., Hassiotis, A., Walters, K., Osborn, D., Strydom, A., & Horsfall, L. (2015). Mental illness, challenging behaviour, and psychotropic drug prescribing in people with intellectual disability: UK population based cohort study. British Medical Journal, 351. doi: 10.1136/bmj.h4326
  25. Stainton, T., & Besser, H. (1998). The positive impact of children with an intellectual disability on the family. Journal of Intellectual and Developmental Disabilities, 23, 55–70.CrossRefGoogle Scholar
  26. Stenfert Kroese, B., Rose, J., Heer, K., & O’Brien, A. (2013). Mental health services for adults with intellectual disabilities – What do service users and staff think of them? Journal of Applied Research in Intellectual Disabilities, 26(1), 3–13.CrossRefGoogle Scholar
  27. Stenfert Kroese, B., Jahoda, A., Pert, C., Trower, P., Dagnan, D., & Selkirk, M. (2014). Staff expectations and views of cognitive behaviour therapy (CBT) for adults with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 27(2), 145–153.CrossRefPubMedGoogle Scholar
  28. Stenfert Kroese, B., Willott, S., Taylor, F., Smith, P., Graham, R., Rutter, T., Stott, A., & Willner, P. (2016). Trauma-focussed cognitive-behaviour therapy for people with mild intellectual disabilities: Outcomes of a pilot study. Advances in Mental Health and Intellectual Disabilities, 10(5), 299–310.CrossRefGoogle Scholar
  29. Stimpson, A., Stenfert Kroese, B., MacMahon, P., Rose, N., Townson, J., Felce, D., Hood, K., Jahoda, A., Rose, J., & Willner, P. (2013). The experiences of staff taking on the role of lay therapist in a group-based cognitive behavioural therapy anger management intervention for people with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 26(1), 63–70.CrossRefPubMedGoogle Scholar
  30. Thomas, L. (2002). Poststructuralism and therapy – What’s it all about. International Journal of Narrative Therapy and Community Work, 2002(2), 85–89.Google Scholar
  31. van Horn, J. E., Schaufeli, W. B., & Taris, T. W. (2001). Lack of reciprocity among Dutch teachers: Validation of reciprocity indices and their relation to stress and wellbeing. Work and Stress, 15, 191–213.CrossRefGoogle Scholar
  32. White, M., & Epston, D. (1990). Narrative means to therapeutic ends. New York: W.W. Norton.Google Scholar
  33. Whittington, A., & Grey, N. (2014). How to become a more effective CBT therapist – Mastering metacompetence in clinical practice. Oxford: Wiley Blackwell.Google Scholar
  34. Willner, P., Rose, J., Jahoda, A., Stenfert Kroese, B., Felce, D., Cohen, D., MacMahon, P., Stimpson, A., Rose, N., Gillespie, D., Shead, J., Lammie, C., Woodgate, C., Townson, J., Nuttall, J., & Hood, K. (2013). Group-based cognitive-behavioural anger management for people with mild to moderate intellectual disabilities: Cluster randomised controlled trial. The British Journal of Psychiatry, 203(4), 288–296.CrossRefPubMedGoogle Scholar

Copyright information

© The Author(s) 2017

Authors and Affiliations

  • Andrew Jahoda
    • 1
  • Biza Stenfert Kroese
    • 2
  • Carol Pert
    • 3
  1. 1.Institute of Health and WellbeingUniversity of GlasgowGlasgowUK
  2. 2.School of PsychologyUniversity of BirminghamBirminghamUK
  3. 3.Learning Disabilities ServiceNHS Greater Glasgow and ClydeGlasgowUK

Personalised recommendations