Psychologists’ views on the accessibility and effectiveness of psychological therapies for people with intellectual disabilities and autism

Abstract

Purpose: The purpose of this study was to explore the views of psychologists working in community teams for people who have intellectual disabilities (ID) on the provision of psychological therapies to those with ID and autism spectrum disorder (ASD). Design/methodology/approach: Semi-structured interviews were carried out with seven clinical psychologists working across a large geographical area. Interviews concerned the accessibility and effectiveness of psychological therapies. These were transcribed and analysed thematically. Findings: Participants expressed concern about lack of access to mainstream services, the lack of visibility of their service and the suitability of the physical space to deliver therapy. They were positive about the effectiveness of therapy but emphasised the importance of adaptations and managing expectations. Research limitations/implications: There is a lack of research in this area, and further research is needed with service users to develop a fuller understanding of their needs. Practical implications: Consideration needs to be given on how to optimally deliver psychological therapies for this group. This will need services to become more flexible and focussed on the needs of this group of service users. Originality/value: This paper provides insights into the views of psychologists on providing psychological therapy to people who have autism and ID.