ACT and Intellectual Disability/Learning Disability

I am currently looking for resources relating to the use of ACT with an ID/LD population, or for contact with any individuals who may be using ACT in this area. I am currently considering developing some ACT based group work for individuals with an ID living in small residential & low-medium secure facilities in Wales, UK. Any feedback greatly appreciated.

Trym N.Jacobsen's picture

Hi John, I'm currently

Hi John,
I'm currently working with an adult ID-population in Norway and do try to fit my treatment-appoaches with an ACT/RFT-rationale. There is not much ACT-literature out there concerning this population, and I would also greatly appreciate to hear from other people who have experience doing ACT/researching ACT with this population.

On this site there are a couple of relevant ACT papers/manuals (there are also several RFT studies involving subjects with ID):

http://www.contextualpsychology.org/developmentally_disabled_and_psychotic_individuals

http://www.contextualpsychology.org/pankey_j_hayes_s_c_2003

In addition there are some interresting recent articles by Nirbhay N. Singh, published in Research in Developmental Disabilities and in Behavior Modification, on the use of a mindfulness-procedure for reducing different problematic behaviors and increasing general well-being.

I have done some work together with an ART (aggression replacement training)-trainer, where I've weaved in ACT as part of the framework for the interventions. This has so far only been with individual clients, but seems like a potentially good match.

Would be nice if we could get some talk going here on ACT and ID!

Trym

ACT, mindfulness, and ID

I currently do ACT and stress regulation workshops for parents in general, parents and care providers of individuals with ID, and group home staff who work with this population. I also carry a small therapy case load and am now starting to modify my "old" cognitive behavioral program on anger management for folks with ID into an approach based on ACT with a fairly heavy emphasis on mindfulness skills. As already discussed, there is a dearth of material available but I am sure some folks are starting to use ACT with this population. I have found two other sources of material helpful -- both come from the mindfulness and children or adolescents literature. In Ruth Baer's 2006 Mindfulness and Acceptance based interventions book, there is an interesting chapter on Mindfulness-based cognitive therapy for children by Semple, Lee, and Miller. Also Lidia Zylowski out of UCLA has developed a mindfulness program for individuals with ADHD. Both protocols can help inform a treatment program for individuals with ID in that they have made modifications to adult mindfulness approaches and made them shorter in duration, more concrete, and simpler to implement. I too would be very interested in learning how other people are adapting the ACT materials for this population.

Marty

Martin R. Sheehan, Ph.D.
Researcher
IRIS Media
Eugene, OR