Search results

Assessment of executive functioning is an important element of a comprehensive assessment of intellectual abilities. Few assessments available are accessible for individuals with intellectual disabilities (ID) and none have population-specific norms. This paper aims to describe the adaptation of the behavioural assessment of dysexecutive syndrome (BADS).

Adaptations were made to the BADS tests to create the BADS – intellectual disabilities (BADS-ID). Data from three doctoral dissertations were combined to explore the utility, reliability, validity and component structure of the BADS-ID. Properties of the BADS-ID were compared with the Cambridge Executive Functioning Assessment (CEFA).

The BADS-ID is accessible to IQ range 50–70 and has a two-component structure. It has good inter-rater reliability, but poor internal consistency. It has a good face and content validity but evidence for concurrent and discriminative validity is weak. All properties are comparable to or better than the CEFA.

Further research is needed to improve reliability and validity. The development of an accessible test battery with known reliability and validity for individuals with ID should facilitate research into executive functioning in this population. There is the potential to develop population-specific norms from the data.

An accessible test battery for individuals with ID is helpful in clinical situations.

To the best of the authors’ knowledge, this is the first study to explore the adaptation of the BADS for use with individuals with ID.

The purpose of this paper is to evaluate the usefulness of a Healthy Living Group (HLG) for individuals with learning disabilities and mental health problems in an inpatient setting.

Seven sessions were developed. Each session focussed on a different aspect of healthy living, and used psychoeducation and practical skill building to enable individuals to create personalized healthy living plans. Quantitative post-intervention measures and a qualitative focus group were used to determine group participants’ learning and enjoyment.

Principles about healthy living were successfully taught in an enjoyable way to individuals with learning disabilities. Factors that enhanced learning and those that created barriers to developing healthy living plans are explored.

Individuals with learning disabilities and mental health problems can be supported to develop personalized healthy living plans. Recommendations for further adaptations to the group structure are made, in order to enable others to run successful groups.

The HLG is the first of its kind to be developed for individuals with learning disabilities.

There is little research addressing the delivery of training for health professionals who are interested in using cognitive-behaviour therapy (CBT) techniques as an adjunct to their current role. This paper describes the establishment and evaluation of a CBT training course to develop CBT skills in staff working with people with intellectual disabilities in Trust healthcare settings. The course would enable staff to learn how they could incorporate these skills into their daily practice to help them understand and work more effectively with people with intellectual disabilities.

A CBT training course was designed to teach staff the use of a number of basic and specific CBT techniques and principles that staff could use within their current roles. Specific issues in relation to people with intellectual disabilities were included, e.g. understanding cognitive deficits as well as cognitive distortions. The course ran for six sessions on a fortnightly basis, followed by a two-month follow-up session. Participants completed a pre- and post-assessment questionnaire and kept a reflective diary.

The training clearly focused on teaching skills that were feasible for staff to use in their own work settings. The evaluations, especially from the reflective diaries and the post-course questionnaires clearly demonstrated that this aim was achieved.

This was a pilot study as there has been no previously published evidence of using this approach within intellectual disabilities services. A further training course has been planned to continue evaluating the effectiveness of this approach.