A Mixed Method Evaluation of an Adapted Cognitive Behavioural Therapy Group for People With Learning Disabilities

Abstract

ABSTRACT Background and Aims Cognitive Behavioural Therapy (CBT) is an effective treatment for some mental health disorders for people with a learning disability. However, research focuses mainly on anxiety and depression, and does not explore the effectiveness of CBT groups on overall well‐being and quality of life (QoL) in people with learning disabilities. This study aimed to identify whether the group impacted well‐being and QoL, and to understand participants' experiences of the group. Methods Six CBT groups were run for people with learning disabilities. Quantitative analysis explored the effectiveness of these groups for improving well‐being and QoL through routine outcomes measures (the CORE‐LD and Mini‐MANS). Qualitative data were analysed using thematic analysis to understand one groups' experiences. Results Participants' showed an increase in well‐being post‐group. There was no significant change in QoL. Participants found that connecting with others was important, and they liked to share their experiences. Suggested improvements included providing more information and taking breaks. Participants spoke about the benefits of group therapy as well as difficulties in group dynamics. Conclusion The results are consistent with the existing, growing evidence base which supports the use of CBT for people with learning disabilities. It provides new insight into the effectiveness of group CBT on overall well‐being for people with learning disabilities.