John Rose

• PhD
• Researcher at University of Birmingham

Background Children with a learning disability experience a range of inequalities and adverse life events that put them at greater risk of mental health problems. The construct of emotional literacy has been shown to be a moderating factor of how life stress affects mental health. Teaching emotional literacy in schools may therefore be an effective...

Despite a growing interest in compassion fatigue and burnout in mental health staff no study has examined the prevalence and correlates of these occurrences in secure psychiatric settings. Such environments have high levels of violence and disturbed behaviour, and staff care for individuals with treatment-resistant mental illness and personality di...

Background Families in Singapore are primarily involved in the care of their relatives with intellectual disabilities and the study aimed to explore their experiences taking care of their relatives with intellectual disabilities and mental health problems. Method Nine unpaid family carers were interviewed. The interviews were analysed using Interp...

Introduction This research investigated the views of different stakeholders regarding the specialist mental health service for people with intellectual disabilities (ID) in Singapore. Method Interviews were conducted with mental health professionals, family carers and service users with ID. Framework analysis was adopted to identify common dominan...

Background: Specific treatment and interventions for individuals with Autism Spectrum Conditions who display harmful sexual behaviour have yet to be widely evaluated. This review aims to consolidate and assess the quality of research exploring non-pharmacological interventions for individuals with Autism Spectrum Conditions who display harmful sexu...

Aims People with intellectual disabilities (pwID) are at a higher risk of developing behaviours that challenge (challenging behaviours; CB). CB poses a major management problem and may lead to carer stress, community placement breakdown, and the use of restrictive practices such as physical restraint and inappropriate use of medication. Although t...

Purpose This study aims to explore the experiences of people with intellectual disabilities in Singapore receiving inpatient mental health treatment. To date, there has not been any research that examines the views and experiences of this population in Singapore. The research examines how the participants view their mental health problems and their...

Background: Generic mental health staff often have contact with people with intellectual disabilities when they access mainstream mental health services. To date, there has not been any research conducted in non-western countries to explore their views. This paper investigates the views and experiences of mainstream mental health professionals rega...

Background There is a lack of studies that explore the views and experiences of people with neurodevelopmental disorders of their mental health. This study explored the experiences of five adults with neurodevelopmental disorders who receive outpatient mental health services in Singapore. Method Two participants attended one-to-one semi-structured...

Background This research aimed to investigate the views and experiences of specialist mental health professionals working with adults with intellectual disabilities and mental health problems in Singapore in order to gain insight into the functioning of the local specialist intellectual disability mental health service and how it may be improved....

Purpose There is a national drive to transform services for individuals with intellectual disabilities (ID), to provide care within the community rather than hospital settings. However, there are limited community provisions for those with more complex care needs such as sexual offending. There has been limited research focussing on this client gro...

Background Mental health professionals play an important role in providing care and treatment for adults with intellectual disabilities. A number of studies use qualitative methods to explore the experiences of these professionals and their perspectives regarding the mental health services for this population. A systematic review using meta-ethnogr...

The development and field testing of a support staff training programme, SPECTROM, to help reduce the overmedication of adults with intellectual disabilities. Miss Bharati Limbu, Professor Shoumitro (Shoumi) Deb, Dr Gemma Unwin, Professor John Rose, Associate Professor Tim Weaver, Mrs Viven Cooper and Mr Michael Fullerton Aims The main aims of th...

Accessible Summary Many people with learning disabilities need mental health services at some point in their lives. This paper looks at how health and social care professionals (e.g. doctors, nurses and psychologists) think about people with learning disabilities who also have mental health problems. The research shows that health and social care p...

Background: The recent COVID-19 pandemic led to widespread international restrictions, severely impacting on health and social care services. For many individuals with an intellectual disability (ID) this meant reduced access to services and support for them and their carers. Aim: The aim of this study was to gain insight into the ways parents of...

Background Recent COVID‐19 lockdown restrictions resulted in reduced access to educational, professional and social support systems for children with intellectual disabilities and their carers. Aim The aim of this study was to gain insight into the ways mothers of children with intellectual disabilities coped during the first 2020 lockdown period....

Background Data from sex offender treatment programmes (SOTP) on the re-offending of convicted sex offenders from the prison service in England and Wales was recently reviewed and found to be associated with no change in sexual reoffending. While this result is at variance with a number of other reviews it does give rise to concern as most programm...

Background Hearing about trauma can leave a mark on an individual, leading to a significant change in worldview that shatters their existing beliefs and is pervasive across view of self, other and the world. Individuals present with a range of symptoms that mimic post-traumatic stress disorder although the symptoms are less severe. Despite this, so...

Introduction: The measures implemented to manage the COVID-19 pandemic have been shown to impair mental health. This problem is likely to be exacerbated for carers. Method: Informal carers (mainly parents) of children and adults with intellectual disabilities, and a comparison group of parents of children without disabilities, completed an onlin...

Aims This section introduces a range of psychological interventions and some of the adaptations required to deliver effective treatment for people with intellectual and developmental disabilities (IDD) who have additional forensic needs. The evidence for the effectiveness of different psychological approaches is variable, particularly in offender p...

The coronavirus disease 2019 (COVID-19) pandemic is the most pressing issue we now face and has had major implications on the way we all live our lives. There are clearly specific issues faced by people with Intellectual and Developmental Disabilities (IDD) and many of these have been summarised in a recent guidelines document (Alexander et al, 202...

Aims  To provide a historical and policy context to the unjust association between criminal behaviour and learning disabilities that led to large-scale segregation and institutionalisation.  To outline the current Transforming Care policy context as continuation of normalisation and social role valorisation principles.  To explore the factors co...

The aim of this research was to explore men’s experiences of engaging in psychological therapy to develop a better understanding of the barriers and facilitators to engagement, as well as the role of the therapeutic relationship. Nine men residing in medium-secure forensic mental health hospitals were interviewed. Interpretative Phenomenological An...

Purpose Research suggests that individuals with autistic spectrum disorder (ASD) are inconsistently supported throughout the criminal justice system (CJS) in the UK. Bradley (2009) recommended the introduction of criminal justice liaison and diversion (L&D) teams to bridge the gap between the CJS and mental health services and provide a more consis...

Background There is growing interest in the application of dialectical behaviour therapy (DBT) for individuals with intellectual disability (ID) and recent qualitative studies have explored their experiences of DBT in inpatient and forensic settings. This article aimed to explore experiences of DBT in a community setting for people with ID. Method...

People with intellectual disabilities (IDs) are often subject to prejudice and negative attitudes within mainstream society. Personal contact has been found to be one of the most important factors in improving negative attitudes. Governmental policy changes in the UK in the 1990s facilitated the inclusion of children with IDs into mainstream educat...

Background This paper examines the appropriateness of using interpretative phenomenological analysis (IPA) in research with people who have intellectual disabilities, focussing on quality. Methods We conducted a systematic search to identify published studies. We assessed the quality of the studies using a bespoke framework, adapted from previous...

This study aimed to extend knowledge of factors which may be linked with clinical psychology trainee resilience by exploring reciprocity in trainee relationships and self-efficacy beliefs and their associations with trainee burnout and wellbeing.

Background: Emotion dysregulation has been linked to sexual offending and reoffending across a number of different theories. Interventions focused on improving emotion regulation in sexual offenders have been recommended. Objectives: The current study explored the feasibility and impact of biofeedback in improving an emotion regulation strategy lin...

Limited research is available on Deaf offenders with mental health difficulties. The present study focused on developing greater understanding of professionals' experiences with this population and the factors that influence its involvement with services. Using a grounded theory approach, the researchers explored the experiences of police officers...

Research exploring the psychological impact on staff working with people with intellectual disabilities who offend is sparse. There is research, however exploring the impact on staff of working with people who have intellectual disabilities and of working with offenders. The broader literature suggests that individuals who work with offenders with...

Purpose The purpose of this paper is to evaluate the prevalence of mental health disorder symptoms in a sample of prisoners in Trinidadian prisons who volunteered to attend anger management groups. Design/methodology/approach A survey was conducted using the 90-item Symptom Check-List revised (SCL-90-R) which was administered to prisoners in group...

Background Research exploring nonpharmacological interventions for individuals with intellectual disability and personality disorder was reviewed. This should prove valuable to services and professionals contemplating how to offer interventions for these individuals. Method A systematic search of electronic databases was conducted. Articles were c...

Objectives: To explore the perspective of adults with intellectual disabilities from minority ethnic groups, on their relationship with social care services. Methods: Thirty-two adults took part in semi-structured interviews. Transcripts were analyzed within a Pluralist framework, adopting the structure of Template Analysis and then drawing on phen...

Objectives Services supporting individuals with intellectual disabilities are changing in the UK with a drive towards community care and reducing inpatient provision. More needs to be known about the experiences and opinions of individuals living in inpatient settings. Women with intellectual disabilities and offending behavior are a particularly c...

It is thought that deaf or hard of hearing individuals are at greater risk of abuse than the hearing population. The purpose of this paper is to systematically examine and integrate existing literature to determine the prevalence rates of neglect, emotional, physical and sexual abuse and intimate partner violence (IPV). A set of inclusion and exclu...

Background: It is well documented that mothers of children with intellectual disabilities experience elevated mental health difficulties and that these are exacerbated by the presence of challenging behaviour. However, comparatively little is known about the effect of specific coping strategies for managing such behaviours. Aims: This paper aims...

Objectives: This study examined parental perceptions of behaviours that challenge (CB) in their adult children with intellectual disability (ID), and explored whether perceptions mediated associations between CB and parental psychological distress. Design: A within-group correlational design was employed. Methods: Sixty-five parents reported o...

To explore the different experiences of a Multidisciplinary Team working with offenders diagnosed with personality disorder (PD) and produce a substantive model of the Offender PD Pathway strategy from a staff perspective. Fourteen participants were recruited from ‘Unit A’ located within a high security prison. Semi-structured interviews were condu...

This paper describes the characteristics of groups of prisoners selected to take part in an anger management programme in prisons in Trinidad. Participants completed demographic measures, an IQ assessment, mental health measures and anger rating scales. Fifty-six inmates were screened with the WASI-2 and characteristics of this group are explored i...

Background and aims: Carers and service users with intellectual disabilities from minority ethnic groups have typically been reported to be dissatisfied with the social care services they receive. However, service users themselves have rarely been asked directly about their experiences of social care. This paper aims to understand the meaning of s...

Clinical Psychology in Britain: Historical Perspectives Edited by John Hall, David Pilgrim & Graham Turpin. British Psychological Society. 2015. £21.99 (pb). 395 pp. ISBN 97819854337313 This book is the place to look for an account of the history of clinical psychology, as it presents the first

Background Although there has been interest in the influence of cognitions on the relationship between challenging behaviour and maternal wellbeing, there is an absence of measures to specifically examine parents’ perceptions of challenging behaviour. The psychometric properties of the Challenging Behaviour Perception Questionnaire (CBPQ; Williams,...

Background: Anger causes significant problems in offenders and to date few interventions have been described in the Caribbean region. Aim: To evaluate a package of CBT-based Anger Management Training provided to offenders in prison in Trinidad. Method: A controlled clinical trial with 85 participants who participated in a 12-week prison-based...

Background The relationship between work demands and burnout is complex and it is likely that a number of different variables mediate this relationship. The study had 2 aims: first, to investigate whether there is a relationship between work demands and staff burnout, and, second, to explore whether role identity or self-determination mediates this...

Background: Cognitions are starting to receive more prominence as important when examining a number of factors including the topography of challenging behaviour. This study examined the relationships between maternal stress, challenging behaviour (aggressive and self-injurious behaviours) and parental cognitions and specifically whether maternal c...

Plain English summary(Please see www.Toolsfortalking.co.uk for an easy read summary of the project.)The Tools for Talking are a set of resources that were developed through collaboration between Black, Asian and minority ethnic people with learning disabilities and researchers at the University of Birmingham. The resources were designed to be used...

Background: Interventions for anger represent the largest body of research on the adaptation of cognitive behavioural therapy (CBT) for people with intellectual disabilities. The extent to which the effectiveness of these interventions reflects the behavioural or cognitive components of CBT is uncertain. This arises in part because there are few m...

Purpose – Research into the views of people with dual intellectual and mental health difficulties is sparse. The purpose of this paper is to gain a greater understanding of how individuals with mild intellectual disabilities living in the community understand their psychotic symptoms and experiences. Design/methodology/approach – Five participants...

Fully revised, this new edition reviews the most up-to-date and clinically relevant information on the mental health and behavioral problems of people with intellectual, developmental and learning disabilities, also previously known as mental retardation. Providing the latest evidence base from the literature and embracing clinical experience, it c...

Purpose – India has one of the more progressive disability frameworks in the developing world which tends to adopt western philosophies and principles (e.g. parent participation and advocacy) which to some degree mirrors the type of service delivery in the UK. The purpose of this paper is to adopt a cross-cultural perspective to explore caregiving...

Purpose – The purpose of this paper is to explore the role of culture in shaping the caregiving experiences of British South Asian families caring for a child with developmental disabilities in the UK. In particular it explores how the coexistence of two distinct cultures (British/South Asian) impacts upon these caregiving experiences. Design/meth...

Objectives: Understanding predictors of burnout could potentially aid interventions for staff working in services for people with intellectual disabilities (ID). This study sought to understand predictors of burnout for staff specifically focusing on the moderating effect of emotional intelligence (EI) and self-efficacy. Methods: Eighty-six staff m...

This article explores the lived experiences of men with mild intellectual disabilities who have deliberately set a fire and are detained in a secure hospital. Semi-structured interviews were used to explore the subjective experiential claims of seven male firesetters with mild intellectual disabilities residing in a forensic intellectual disability...

Purpose – The purpose of this paper is to investigate how service managers perceive their service prior to, and following the delivery of a cognitive-behavioural therapy (CBT) anger management group for individuals with an intellectual disability. Design/methodology/approach – Telephone interviews were conducted with seven service managers, before...

The aim of this study is to explore support workers' attitudes and knowledge towards individuals with intellectual disabilities (IDs) to see whether a new attitude scale needs to be developed. Support workers from a charitable organization located in the West Midlands in the United Kingdom participated in one of four focus groups conducted in late...

Objective: The purpose of this paper was to systematically examine and integrate existing evidence to determine what is known about deliberate firesetting by adults with low intellectual functioning. Method: A set of specific inclusion and exclusion criteria were defined and a comprehensive search strategy of electronic databases was conducted. Res...

Background People with intellectual disabilities (ID) are rarely asked about their experiences as users of psychological services and little is known about the views of clients with ID who have undergone cognitive behavioural therapy (CBT). This study aimed to gather the views of adults with ID who had recently taken part in a cluster randomised co...

A PhD in Psychological Clinical Science is currently being developed at the University of the West Indies (UWI) that will train research specialists in clinical psychology in Trinidad with support through a collaboration with the University of Birmingham (UoB). The authors believe that this degree model could resolve many of the difficulties of pro...

Purpose: The study explored how service providers address the challenges of providing culturally competent care within disability services in the United Kingdom. Design/method: Focus groups and interpretative phenomenological analysis were used to explore the experiences of 20 service providers from a range of professions, working with South Asi...

Anger and aggression among adults with intellectual disability (ID) are associated with a range of adverse consequences for their well-being and that of their family or staff carers. The aims were to evaluate the effectiveness of an anger management intervention for adults with mild to moderate ID and to evaluate the costs of the intervention and i...

There is little research on brief training for care staff who work with people with an intellectual disability who display challenging behaviour. Existing research has demonstrated mixed evidence for attributional change and little evidence in relation to attitude change. A one-day challenging behaviour training taking a Positive Behavioural Suppor...

This article describes an evaluation of staff members’ perspectives regarding the implementation of a pilot Lean initiative in a community learning disability service within the West Midlands. The evaluation aimed to develop an understanding of staff experiences of Lean implementation including staff perceptions of the benefits and challenges of im...

Purpose – The purpose of this paper is to present the results of a qualitative evaluation of a learning initiative between different mental health professional groups, the Collaborative Learning Initiative (CLI). These qualitative results are after the first year of a two year evaluation of the CLI in which social work, clinical psychology and nurs...

The aim of the study was to investigate attitudes held by a British student population towards individuals with an intellectual disability. Students participated in focus groups addressing their attitudes, behaviours and perceptions of individuals with an intellectual disability. Thematic analysis was the method used to identify emergent themes. Re...

The context for the present study was a cluster-randomized controlled trial of a group-based anger-management intervention, delivered by day-service staff. We aimed to develop a scale to measure the fidelity of manualized cognitive-behavioural therapy (CBT) delivered to adults with intellectual disabilities in group-based settings. A 30-item monito...

Many people with intellectual disabilities display high levels of anger, and cognitive-behavioural anger management interventions are used routinely. However, for these methods to be used optimally, a better understanding is needed of different forms of anger assessment. The aim of this study was to investigate the relationship of a range of measur...

Purpose – The current qualitative study aims to investigate service users’, support staff's and community team members’ views of gender differences in cause and presentation of mental health problems, whether current services respond differently to men and women with mental health problems and areas in which services can become more gender sensitiv...

Background: Anger is a frequent problem for many people with intellectual disabilities, and is often expressed as verbal and/or physical aggression. Cognitive-behaviour therapy (CBT) is the treatment of choice for common mental health problems, but CBT has only recently been adapted for people with intellectual disabilities. Anger is the main psyc...

Background: Many people with intellectual disabilities find it hard to control their anger and this often leads to aggression which can have serious consequences, such as exclusion from mainstream services and the need for potentially more expensive emergency placements. Aims: To evaluate the effectiveness of a cognitive-behavioural therapy (CBT...

A broad range of factors have been identified as having an impact on burnout and performance. To improve our understanding of how these factors interact, a model of carer stress is tested. Staff were surveyed in residential units, assessments included burnout, organizational factors, staff cognitions and ratings of resident challenging behavior. Th...

The current qualitative study was funded by the Judith Trust to investigate service users', support staff and community team members' views of the services currently provided to adults with intellectual disabilities and mental health problems and what they consider to be desirable qualities for staff to possess. In the first stage of the study, two...

To explore the experience of 'lay therapists' of a group-based cognitive behaviour therapy (CBT) anger management intervention. Staff employed in daytime opportunity services for adults with intellectual disabilities took on the role of 'lay therapist' to facilitate CBT groups. They were trained and supervised by clinical psychologists and intervie...

The prevalence of learning disabilities amongt South Asian communities in the United Kingdom is thought to be almost three times higher than in any other community. Despite this, service utilisation amongst this group remains low and working cross-culturally can pose unique challenges for service providers. The experiences of South Asian families c...

Background: There is a developing literature into Anger Management interventions for people with intellectual disability. While initial reports suggest that these interventions are effective there are few evaluations examining what aspects of the therapeutic process contribute to effectiveness. Method: Individuals with an intellectual disability...

Purpose This study aims to explore the cultural context of care‐giving amongst South Asian communities caring for a child with intellectual disabilities in the United Kingdom. Design/methodology/approach In the context of the United Kingdom's Children's Intellectual Disability Services, the study set out to develop a culturally sensitive account o...

This study explores the emotional challenges faced by staff working on a sex offender treatment programme for people with an intellectual disability. Semi-structured interviews were carried out with eight participants working on a treatment programme for sex offenders with an intellectual disability. Interviews were analysed using interpretative ph...

The Department of Health (2001, 2009) policy shift from specialist intellectual disability (ID) services towards mainstream mental health service provision has implications for staff. Research suggests that mainstream mental health service staff perceive inadequate training and a consequent knowledge deficit in relation to individuals with ID. Cons...

Purpose This paper aims to explore treatment implications of the self‐regulation model (SRM) for sexual offenders with an intellectual disability in an effort to provide practical applications that could be employed in treatment. Design/methodology/approach The SRM of sexual offending proposes that difficulties in self‐regulation may lead to an in...

Purpose – This paper aims to provide a rationale for the development of a community‐based group for men with intellectual disability who have been involved in sexually inappropriate behaviour but may not have been charged. Design/methodology/approach – The group was based on a cognitive behavioural model: group process and adaptations are briefly...

Purpose The aim of this study is to present the results of a qualitative evaluation of a learning initiative between different mental health professional groups, the Collaborative Learning Initiative (CLI). These qualitative results are after the first year of a two year evaluation of the CLI in which social work, clinical psychology and nursing st...

Mainstream mental health services are providing more care for individuals with an intellectual disability (ID); this has implications for staff and service users. Attitudes of staff towards people with ID in mental health services may be negative and negative staff attitudes may have a detrimental impact on service provision. A cross-sectional desi...

There is evidence to suggest a relationship between the way in which staff perceive challenging behaviour and burnout in staff working with people with intellectual disabilities (ID) and challenging behaviour. However, the evidence of a direct link is equivocal and it is possible that a number of different variables mediate this relationship. The a...

Staff stress and burnout is a prominent area of research in relation to services for people with intellectual disabilities. The aim of this article is to review the literature in relation to organizational climate in order to investigate whether there is a relationship between organizational variables and staff burnout. A systematic literature sear...

A broad range of organizational issues can have an impact on client outcomes in residential services for people with intellectual disabilities, and staff psychological factors are increasingly being recognized as important. This review explores some of the recent literature on staff attitudes, attributions, well being and other factors that may imp...

Psychotherapy research suggests that therapists contribute to the process of therapeutic change. Research into sex offender treatment has tended to focus on the content rather than the process of therapeutic change. This paper reviews the evidence for the role of therapist characteristics in relation to therapeutic change in sex offender treatment....

Cognitive behaviour therapy (CBT) is the treatment of choice for common mental health problems, but this approach has only recently been adapted for people with learning disabilities, and there is a limited evidence base for the use of CBT with this client group. Anger treatment is the one area where there exists a reasonable number of small contro...