The Development of a Learning Disability Awareness training programme for IAPT staff

1
The Development of a Learning Disability
Awareness training programme for IAPT staff
Greg Taylor (Clinical Psychologist) Vikki
Harrison (Psychological Wellbeing Practitioner)

• East Lancashire LD Special
• Interest Group
• Lancashire Care Foundation NHS Trust

Secure Services
2
The Development of a Learning Disability
Awareness training programme for IAPT staff

• Overview
• 1) Service context
• 2) IAPT LD Special Interest Group
• 3) Background to training
• 4) Training day overview
• 5) Outcomes from training
• 6) Future Directions

3
Introduction Background

• Service Context
• 5 Distinct Primary Care IAPT services
• Differing demographics etc
• Largely economically deprived, high levels of
  unemployment but also more affluent areas
• Urban, rural and semi-rural
• IAPT provision of step 2 (PWP) Step 3
  (counselling, Occupational Therapy, HIT (CBT)
  workers, Clinical Psychology and MHPs)

4
Introduction Background

• LD Special Interest Group Context
• IAPT special interest group
• Remit to identify and address access and
  governance issues in relation to LD population
• Collaboration between IAPT staff and Mental
  Health and Learning Disability Liaison Team
• Quarterly meetings focusing on variety of issues
  around improving access for clients and adjusting
  aspects of service and its offering to achieve
  this

5
Introduction Background

• Training day development
• Needs analysis survey of clinician confidence
  in working with LD clients adapted from D.
  Dagnans confidence scale (thanks Dave!)
• Suggested low levels of confidence and a
  perceived need for training around LD clients and
  their needs and around how to use resources and
  existing interventions
• Slightly higher confidence in generic clinical
  confidence but low across the board
• SIG agreement that results suggest need for
  awareness training

6
The Training Day

• Aim of the day
• To raise awareness of how to work therapeutically
  with adults with learning 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 learning disabilities through using
  Reasonable Adjustments
• Consider how to adapt own practice i.e.
  assessment tools, therapeutic interventions and
  resources in order to work with client with LD.

7

The Training Day

• Schedule
• What is a Learning Disability?
• Values and beliefs
• Guest speakers-LD service users experiences
• Communicative methods and means with IAPT clients
• Reasonable adjustments

8
Training outcomes

• Pre- and post- scores across 2 training days by
  IAPT role
• Individual item means(1low, 5high) Pre (n26)
  2.88 Post (n35) 3.715
• Wilcoxon matched-pairs analysis (n29) shows
  significant increase in post-training confidence
  scores (plt0.001)

(N 29) Professional Role Pre Mean Total Score Pre SD Post Mean Post SD
14 PWP 24.36 10.78 38.29 9.50
6 Counsellor 26.83 9.11 35.50 6.69
4 CBT Therapist 23.25 8.85 28.00 6.38
1 HIT Therapist 30.00 - 42.00 -
3 OT 31.50 2.12 48.00 1.41
2 MHP 41.50 19.10 47.50 9.19
9
Training outcomes

• Other outcomes
• Increased awareness of LD SIG, role and
  membership
• Top Tips leaflets drawn from attendee
  contributions to reasonable adjustment workshop
  versions for therapists and ELSPoA triage staff
• Confidence in training model to continue to
  provide 1-day training yearly

10
Future Directions

• Learning Disabilities Webpage
• Designed for staff, those with learning
  disabilities and families/carers.  Primary aim of
  sharing resources from training

Also Continue to provide awareness training (and
to have this recognised as mandatory) Considering
modality specific training Possible MSc
research into clinician attitudes towards working
with population Still perception that actual
referrals into IAPT are lower than expected
need to investigate and create better links with
CLDTs
11

• ?