Quality statement 4: Tailoring psychological interventions

Quality statement

People with learning disabilities and mental health problems who are receiving psychological interventions have them tailored to their preferences, level of understanding, and strengths and needs.

Rationale

Children, young people and adults with learning disabilities are at higher risk of mental health problems than the general population. Standard evidence-based psychological interventions are not designed to take account of the cognitive, communication or social impairments associated with learning disabilities. People with learning disabilities can have a broad range of difficulties, so the care setting and interventions need to be adapted and tailored to each person's preferences, level of understanding, and strengths and needs.

Quality measures

Structure

Evidence of local arrangements to ensure that people with learning disabilities and mental health problems who are receiving psychological interventions have them tailored to their preferences, level of understanding, and strengths and needs.

Process

Proportion of people with learning disabilities and mental health problems who are receiving psychological interventions that are tailored to their preferences, level of understanding, and strengths and needs.

Numerator – the number in the denominator who receive psychological interventions that are tailored to their preferences, level of understanding, and strengths and needs.

Denominator – the number of people with learning disabilities and mental health problems who are receiving psychological interventions.

Data source: Local data collection.

Outcome

Quality of life of people with learning disabilities and mental health problems and their family members and carers.

Data source: Local data collection.

What the quality statement means for different audiences

Service providers (secondary care providers, mental health services and specialist learning disabilities services) ensure that people with learning disabilities and mental health problems who are receiving psychological interventions have them tailored to their preferences, level of understanding, and strengths and needs.

Health and social care practitioners tailor psychological interventions for people with learning disabilities and mental health problems, to match their preferences, level of understanding, and strengths and needs.

Commissioners (clinical commissioning groups, NHS England and local authorities) commission services that ensure that psychological interventions for people with learning disabilities and mental health problems are tailored to match their preferences, level of understanding, and strengths and needs.

People with learning disabilities and a mental health problem have access to psychological ('talking') therapies that are designed around their needs.

Source guidance

Mental health problems in people with learning disabilities: prevention, assessment and management (2016) NICE guideline NG54, recommendations 1.9.1–1.9.4, 1.9.8 and 1.9.9