Suchergebnisse

AbstractBackgroundTrauma and its sequelae is recognised as a major morbidity factor in people with intellectual disabilities, however, a lack of inquiry into how health care professionals address trauma in this adult population exists.AimsTo explore specialist intellectual disability practitioners perspectives on current health provision and developments to address trauma.MethodsTwenty‐five qualitative interviews were conducted with practitioners across 6 health service areas in the UK. Data were analysed using thematic content analysis.FindingsSeven central themes emerged: (a) unmasked trauma; (b) trauma informed care; (c) person‐centred care and support; (d) multi‐disciplinary working; (e) reasonable adjustments; (f) barriers to treatment and (g) awareness, training and education.ConclusionTrauma‐informed care and multi‐disciplinary working are essential components for future service development. Advances in the evidence‐base for effective psychological interventions for PTSD and training and education of health care staff are needed in order to improve service provision amongst this population.

AbstractObjectiveTo report the results of the first randomized feasibility trial of Eye Movement Desensitization and Reprocessing (EMDR) plus Standard Care (SC) versus SC alone for DSM‐5 posttraumatic stress disorder (PTSD) in adults with intellectual disabilities.MethodA total of 29 participants were randomized to either to EMDR + SC (n = 15) or SC (n = 14). Participants completed measures on traumatic stress (PCL‐C) and comorbid distress at baseline, 1 week post‐treatment and 3‐month follow‐up.ResultsIn the EMDR + SC group, 9 (60%) participants at post‐treatment and 7 (47%) participants at 3‐month follow‐up were diagnosis free. In SC, 4 (27%) at post‐treatment and follow‐up were diagnosis free. At post‐treatment, three participants (20%) dropped out from the EMDR + SC group, and 1 (7%) dropped out from the SC group.ConclusionsIt is feasible, acceptable and potentially effective to deliver EMDR in this population group.