Final published version
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Staff Expectations and Views of Cognitive Behaviour Therapy (CBT) for Adults with Intellectual Disabilities
AU - Stenfert Kroese, Biza
AU - Jahoda, Andrew
AU - Pert, Carol
AU - Trower, Peter
AU - Dagnan, Dave
AU - Selkirk, Mhairi
PY - 2014/3
Y1 - 2014/3
N2 - BackgroundThe role of support workers and other professionals in the psychotherapeutic process has been commented upon but not as yet been systematically investigated.MethodTo explore their views and expectations of cognitive behaviour therapy (CBT) for adults with intellectual disabilities, eleven paid support workers and professionals were recruited and interviewed before the CBT sessions commenced for their service users and nine took part in the second interview that took place after nine sessions.ResultsThematic Analysis of the interview transcripts indicates that staff members do not perceive CBT as a long-term solution for psychological problems have little knowledge of CBT and do not feel included in the process. Nevertheless, after nine sessions, most participants reported improved psychological well-being for their service users and expressed a wish for longer-term involvement of the therapist.ConclusionsThe results suggest that for CBT to be effective in the longer term, the therapist is required to consider a wider systemic approach including staff training and supervision, staff and management consultancy and creating a delicate balance between confidentiality and sharing the psychological formulation with significant others' to ensure maintenance and generalisation of improved psychological well-being.
AB - BackgroundThe role of support workers and other professionals in the psychotherapeutic process has been commented upon but not as yet been systematically investigated.MethodTo explore their views and expectations of cognitive behaviour therapy (CBT) for adults with intellectual disabilities, eleven paid support workers and professionals were recruited and interviewed before the CBT sessions commenced for their service users and nine took part in the second interview that took place after nine sessions.ResultsThematic Analysis of the interview transcripts indicates that staff members do not perceive CBT as a long-term solution for psychological problems have little knowledge of CBT and do not feel included in the process. Nevertheless, after nine sessions, most participants reported improved psychological well-being for their service users and expressed a wish for longer-term involvement of the therapist.ConclusionsThe results suggest that for CBT to be effective in the longer term, the therapist is required to consider a wider systemic approach including staff training and supervision, staff and management consultancy and creating a delicate balance between confidentiality and sharing the psychological formulation with significant others' to ensure maintenance and generalisation of improved psychological well-being.
KW - CBT
KW - intellectual disabilities
KW - staff views
KW - therapeutic process
KW - PEOPLE
KW - POWER
KW - PSYCHOSIS
KW - EFFICACY
U2 - 10.1111/jar.12059
DO - 10.1111/jar.12059
M3 - Journal article
VL - 27
SP - 145
EP - 153
JO - Journal of Applied Research in Intellectual Disabilities
JF - Journal of Applied Research in Intellectual Disabilities
SN - 1360-2322
IS - 2
ER -