Perceived barriers and facilitators to positive therapeutic change for people with intellectual disabilities: client, carer and clinical psychologist perspectives

Ramsden, Sarah and Tickle, Anna and Dawson, Dave and Harris, Samantha (2016) Perceived barriers and facilitators to positive therapeutic change for people with intellectual disabilities: client, carer and clinical psychologist perspectives. Journal of Intellectual Disabilities, 20 (3). pp. 241-262. ISSN 1744-6295

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Perceived barriers and facilitators to positive therapeutic change for people with intellectual disabilities: Client, carer and clinical psychologist perspectives
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Abstract

Studies have highlighted successful outcomes of psychological therapies for people with intellectual disabilities. However, processes underlying these outcomes are uncertain. Thematic analysis was used to explore the perceptions of three clinical psychologists, six clients and six carers of barriers and facilitators to therapeutic change for people with intellectual disabilities. Six themes were identified relating to: what the client brings as an individual and with regard to their wider system; therapy factors, including the therapeutic relationship and adaptations; psychologists acting as a
‘mental health GP’ to coordinate care; systemic dependency; and the concept of the revolving door in intellectual disability services. The influence of barriers and facilitators to change is complex, with facilitators overcoming barriers and yet simultaneously creating more barriers. Given their potential impact on the psychologists’ roles and access to therapy for people with intellectual disabilities, findings suggest these factors should be formulated as part of the therapeutic process.

Keywords:Intellectual disability, Psychological therapy, Therapeutic relationship, NotOAChecked
Subjects:C Biological Sciences > C840 Clinical Psychology
Divisions:College of Social Science > School of Psychology
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http://purl.org/dc/terms/hasVersionhttp://eprints.lincoln.ac.uk/22815/
ID Code:19237
Deposited On:28 Oct 2015 14:28

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