title: Staff expectations and views of cognitive behaviour therapy (CBT) for adults with intellectual disabilities.
abstract: BACKGROUND
  The role of support workers and other professionals in the psychotherapeutic process has been commented upon but not as yet been systematically investigated.
  
  
  METHODS
  To 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.
  
  
  RESULTS
  Thematic 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.
  
  
  CONCLUSIONS
  The 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.
authors.affiliation: School of Psychology, University of Birmingham, Birmingham, UK.
authors.forename: Biza
authors.initials: B
authors.lastname: Stenfert Kroese
authors.forename: Andrew
authors.initials: A
authors.lastname: Jahoda
authors.forename: Carol
authors.initials: C
authors.lastname: Pert
authors.forename: Peter
authors.initials: P
authors.lastname: Trower
authors.forename: Dave
authors.initials: D
authors.lastname: Dagnan
authors.forename: Mhairi
authors.initials: M
authors.lastname: Selkirk
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D015928:Cognitive Behavioral Therapy / Q000592:standards*; D004739:England; D005260:Female; D006282:Health Personnel; D006801:Humans; D008607:Intellectual Disability / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D036301:Qualitative Research; D012606:Scotland; D016896:Treatment Outcome; D055815:Young Adult
keywords: CBT; intellectual disabilities; staff views; therapeutic process