This book is about Trauma-Informed Care (TIC) for people who have intellectual disabilities (ID). The provision of health and social care services is becoming more trauma informed, including in services for people with ID, where the experience of trauma is being increasingly acknowledged. This book addresses a gap in resources to guide those supporting people with ID by showing how services can work in a trauma informed way. Including contributions from authoritative professionals in the field, and a powerful account of abuse from an expert by experience, the book provides an overview of the history which underpins the importance of trauma and TIC, and the impact of trauma on people who have ID. The second part of the book looks at trauma informed services and a growing and diverse range of therapeutic interventions, including positive behavioural support, intensive interaction, cognitive behavioural psychotherapy, dyadic interpersonal psychotherapy, developmental and psychodynamic approaches.
Nigel Beail is a Consultant Clinical Psychologist and Professional Lead for Psychological Services for South West Yorkshire Partnership NHS Foundation Trust, and Professor of Psychology at the Clinical Psychology Unit, Department of Psychology at the University of Sheffield., UK. He is a Fellow of the British Psychological Society, a Trustee of the British Institute for Learning Disabilities, CPD Lead for the British Psychological Society's DCP Faculty for Learning Disability, former President of European Association for Mental Health in Intellectual Disability, and a founder and Fellow of the Institute for Psychotherapy and Disability. He has published extensively on practiced based research from his clinical work. Pat Frankish is a Clinical Psychologist and Psychotherapist with many years of experience in the field of disability, emotional development and trauma. Her doctoral study established a method for measuring emotional developmental stages and this has now become the "Frankish Assessment of the Impact of Trauma (FAIT") published by Pavilion (2019), along with a trauma-informed care guide to working with traumatised individuals and a little book called "Nought to Three - Becoming Me" which charts to development of the child from birth to the establishment of a secure identity. These publications together provide an explanation for distressed behaviour and a way forward. Pat is from Lincolnshire and has settled back there after working in North Yorkshire and Teesside. She has a small group of businesses with her daughter and provides expert psychological services as well as direct support for very distressed individuals in supported living environments. Pat is a past President of the British Psychological Society and has always maintained a strong interest in systemic effects of policy and guidelines. She continues to speak publicly and provide training for staff working at all levels of security and community provisions, including schools. She remains committed to making a difference to the provision she witnessed as a child living with parents who worked in an old long-stay hospital. Allan Skelly is the 2019-2021 Chair of the Faculty for People with Intellectual Disabilities (FPID) of the British Psychological Society (BPS) and Consultant Clinical Psychologist with Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust. Allan has published articles promoting a focus on the close personal relationships of people with an intellectual disability, the heightened lifetime risk that these will be broken or strained, and how to address this in clinical work. Allan actively promotes the Trauma-Informed Care agenda and the application of Attachment Theory in doing this. He is the author of published articles promoting psychodynamic approaches to people with an intellectual disability, as well as applying Attachment Theory-based interventions in clinical practice. Allan was chair of the working group which produced the 2017 BPS clinical practice guidelines for the integration of Attachment Theory into the work of clinical psychologists in the UK. As well as reviewing the available clinical tools for formal assessment in several publications, he has collaborated on the design and validation of specific tools for this purpose.
Chapter 1 Introduction to trauma and intellectual disability: Why this book is needed, Chapter 2 Please stop people going through what I went through - and am still going through Chapter 3 The history of disability is a history of trauma Chapter 4 Freud, psychoanalysis and trauma Chapter 5 Early development affected by early trauma Chapter 6 Finding out about trauma in the lives of people with intellectual disabilities; and what to do about it. Chapter 7 Trauma informed Care in a service-related context Chapter 8 Providing emotionally aware care in the Positive Behavioural Support framework Chapter 9 The use of intensive interaction in trauma informed care for people with severe and profound Intellectual Disabilities Chapter 10 Adapting Dyadic Developmental Psychotherapy (DDP) to support adults with an intellectual disability who experience complex developmental trauma Chapter 11 Trauma Informed Psychodynamic Psychotherapy Chapter 12 Interventions based on the Mahler Model of Emotional Development Chapter 13 Insults and spears: The tribulations of forensic disability psychotherapy Chapter 14 Trauma informed Cognitive Behavioural Psychotherapy Chapter 15 Some concluding comments; acknowledge, identify and intervene
