LD IAPT training presentation Taylor and Harrison - Cumbria ...

The Development of aLearning DisabilityAwareness trainingprogramme for IAPTstaffEast Lancashire LD SpecialInterest GroupGreg Taylor (Clinical Psychologist)& Vikki Harrison (Psychological WellbeingPractitioner)Lancashire Care Foundation NHSTrustSecure ServicesSecure Services

The Development of a LearningDisability Awareness trainingprogramme for IAPT staffOverview1) Service context2) IAPT LD Special Interest Group3) Background to training4) Training day overview5) Outcomes from training6) Future DirectionsSecure Services

Introduction & BackgroundService Context• 5 Distinct Primary Care IAPT services– Differing demographics etc• Largely economically deprived, high levels of unemployment but alsomore affluent areas• Urban, rural and semi-rural• IAPT provision of step 2 (PWP) & Step 3 (counselling, OccupationalTherapy, HIT (CBT) workers, Clinical Psychology and MHP’s)Secure Services

Introduction & BackgroundLD Special Interest Group Context• IAPT special interest group• Remit to identify and address access and governance issues in relation toLD population• Collaboration between IAPT staff and Mental Health and LearningDisability Liaison Team• Quarterly meetings focusing on variety of issues around improving accessfor clients and adjusting aspects of service and it’s offering to achieve thisSecure Services

Introduction & BackgroundTraining day development• ‘Needs analysis’ survey of clinician confidence in working with LD clients –adapted from D. Dagnan’s confidence scale (thanks Dave!)• Suggested low levels of confidence and a perceived need for trainingaround LD clients and their needs and around how to use resources andexisting interventions• Slightly higher confidence in ‘generic’ clinical confidence but low acrossthe board• SIG agreement that results suggest need for awareness trainingSecure Services

The Training DayAim of the day• To raise awareness of how to work therapeutically with adults withlearning disabilities who are experiencing mental health problems.Learning Outcomes• Increase understanding about learning disabilities• Develop a range of communication skills• Improve accessibility to Steps 2 & 3 services to people with learningdisabilities through using ‘Reasonable Adjustments’• Consider how to adapt own practice i.e. assessment tools, therapeuticinterventions and resources in order to work with client with LD.Secure Services

The Training DaySchedule1. What is a Learning Disability?2. Values and beliefs3. Guest speakers-LD service users experiences4. Communicative methods and means with IAPT clients5. Reasonable adjustmentsSecure Services

Training outcomesPre- and post- scores across 2 training days by IAPT role(N 29) Professional Role Pre MeanTotal ScorePre SD Post Mean Post SD14 PWP 24.36 10.78 38.29 9.506 Counsellor 26.83 9.11 35.50 6.694 CBT Therapist 23.25 8.85 28.00 6.381 HIT Therapist 30.00 - 42.00 -3 OT 31.50 2.12 48.00 1.412 MHP 41.50 19.10 47.50 9.19• Individual item means(1=low, 5=high): Pre (n=26) 2.88 – Post (n=35) – 3.715• Wilcoxon matched-pairs analysis (n=29) shows significant increase in post-trainingconfidence scores (p

Training outcomesOther outcomes• Increased awareness of LD SIG, role and membership• ‘Top Tips’ leaflets – drawn from attendee contributions to reasonableadjustment ‘workshop’ – versions for therapists and ELSPoA triage staff• Confidence in training model to continue to provide 1-day training yearlySecure Services

Future DirectionsLearning Disabilities WebpageDesigned for staff, those with learning disabilities andfamilies/carers. Primary aim of sharing resources from trainingAlso…Continue to provide awareness training(and to have this recognised asmandatory)Considering ‘modality specific’ trainingPossible MSc research into clinicianattitudes towards working withpopulationSecure ServicesStill perception that actual referrals intoIAPT are lower than expected – need toinvestigate and create better links withCLDT’s

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