Outcomes of an Intervention Programme for People With Intellectual Disabilities and Behavioural Concerns Based on Emotional Development.
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| Title: | Outcomes of an Intervention Programme for People With Intellectual Disabilities and Behavioural Concerns Based on Emotional Development. |
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| Authors: | Skelly, Allan1 (AUTHOR) allan.skelly@cntw.nhs.uk, Wigham, Jade1 (AUTHOR), Hudson, Mark2 (AUTHOR) |
| Source: | Journal of Intellectual Disability Research. Oct2025, Vol. 69 Issue 10, p1097-1104. 8p. |
| Subject Terms: | *Behavior disorders, *Emotion regulation, *Psychotherapy, *Community health services, *Human services programs, *Data analysis, *Psychological adaptation, *Intellectual disabilities, *Longitudinal method, *Developmental disabilities, *Research methodology, *Psychology of caregivers, *Interpersonal relations, *Comparative studies, *Learning disabilities, *Behavior therapy, Medical care research, Questionnaires, Interviewing, Treatment effectiveness, Agitation (Psychology), Descriptive statistics, Mann Whitney U Test, Statistics, Data analysis software, Medical referrals, Activities of daily living |
| Abstract: | Background: This paper examines clinical outcomes of an approach to referrals for concerns about severe behavioural distress in people with intellectual disabilities (ID) that is based on the concepts of emotional development (EDev) and attachment. Due to research and clinical experiences suggesting that positive behaviour support (PBS) may have limited long‐term impact, an alternative approach is proposed, which focuses on relational factors and emotional skills already held by carers. Methodology: We report the process and outcomes of a brief standardised assessment using the Scale of Emotional Development–Short (SED‐S) which then informed an attachment‐based workshop. Outcomes were measured by way of the Health of the Nation Outcome Scales–Learning Disabilities (HoNOS‐LD) administered at (a) assessment, (b) following 1–2 intervention workshops and (c) at 6‐month follow‐up. Results: Significantly fewer sessions and hours of clinical time were required for the EDev intervention than the prior PBS interventions. Results demonstrated significant improvements from assessment to post‐intervention, which were maintained 6 months later. Almost half (48%) of the participants were referred while in unsettled accommodation arrangements. Conclusions: This study provides initial evidence supporting an approach that shows promise as an alternative to existing models of care based upon applied behaviour analysis. Future well‐controlled studies across multiple sites are needed, but if these findings are replicated, the priority for intervention may shift from reduction in behavioural risks to robust care relationships which meet the person's emotional needs. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Intellectual Disability Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
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| Abstract: | Background: This paper examines clinical outcomes of an approach to referrals for concerns about severe behavioural distress in people with intellectual disabilities (ID) that is based on the concepts of emotional development (EDev) and attachment. Due to research and clinical experiences suggesting that positive behaviour support (PBS) may have limited long‐term impact, an alternative approach is proposed, which focuses on relational factors and emotional skills already held by carers. Methodology: We report the process and outcomes of a brief standardised assessment using the Scale of Emotional Development–Short (SED‐S) which then informed an attachment‐based workshop. Outcomes were measured by way of the Health of the Nation Outcome Scales–Learning Disabilities (HoNOS‐LD) administered at (a) assessment, (b) following 1–2 intervention workshops and (c) at 6‐month follow‐up. Results: Significantly fewer sessions and hours of clinical time were required for the EDev intervention than the prior PBS interventions. Results demonstrated significant improvements from assessment to post‐intervention, which were maintained 6 months later. Almost half (48%) of the participants were referred while in unsettled accommodation arrangements. Conclusions: This study provides initial evidence supporting an approach that shows promise as an alternative to existing models of care based upon applied behaviour analysis. Future well‐controlled studies across multiple sites are needed, but if these findings are replicated, the priority for intervention may shift from reduction in behavioural risks to robust care relationships which meet the person's emotional needs. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 09642633 |
| DOI: | 10.1111/jir.70008 |
