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The feasibility of psychomotor therapy in acute mental health services for adults with intellectual disability
Authors:Joshua J. Kay  Jennifer A. Clegg  Claudia Emck  Penny J. Standen
Affiliation:1. Intellectual and Developmental Disabilities Services, Nottinghamshire Healthcare NHS Trust, Nottingham, UK;2. Division of Psychiatry and Applied Psychology, University of Nottingham, Nottingham, UK;3. Faculty of Behavioural and Movement Sciences, VU University, Amsterdam, the Netherlands;4. Division of Rehabilitation and Ageing, University of Nottingham, Nottingham, UK
Abstract:
Background Psychomotor therapy enables people to reflect on the relationship between experiences and feelings by starting from awareness of bodily responses rather than from awareness of emotion. In this study we examine PsyMot (ID), an assessment that directs this psychological therapy.

Method Twelve suitable consecutive admissions were recruited from a specialist intellectual disability (ID) assessment and treatment unit for adults. Video-recordings of PsyMot (ID) allowed assessment of interrater reliability (IRR). Treatment goals indicated by PsyMot (ID) were addressed using psychomotor therapy as part of a comprehensive program of interventions.

Results Psychomotor therapy was both feasible and popular with patients who participated without any adverse effects. Nine patients completed PsyMot (ID). IRR of the treatment goals identified by all 3 raters was good to excellent in 81% cases, but there were discrepancies for individual items.

Conclusions PsyMot (ID) and psychomotor therapy is feasible within this context, and enriched the clinical team's formulation. Further studies of reliability and efficacy should be undertaken.

Keywords:intellectual disability  mental health  challenging behaviour  psychological therapy  psychomotor therapy  assessment
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