Practitioner Development

Assessing the Confidence of Australian Mental Health Practitioners in Delivering Therapy to People With Intellectual Disability.

Hronis et al. (2018) · Intellectual and developmental disabilities 2018
★ The Verdict

Clinicians feel shaky assessing and treating clients with ID—hand them a proven protocol and watch confidence grow.

✓ Read this if BCBAs who train or supervise mental-health staff serving adults with intellectual disability.
✗ Skip if RBTs working only with children on the autism spectrum.

01Research in Context

01

What this study did

Hronis et al. (2018) sent a short survey to Australian mental-health clinicians. They asked how confident the workers felt when treating clients with intellectual disability.

The survey covered three tasks: basic counseling, full assessment, and active intervention. Clinicians rated each task on a simple scale.

02

What they found

Workers felt sure of themselves during general counseling. They felt far less sure when they had to assess or treat the same clients.

The team also asked what would help. Clinicians said ready-made treatment protocols would boost their confidence the most.

03

How this fits with other research

Mason (2007) ran a similar survey in the United Kingdom eleven years earlier. Both studies show the same pattern: therapists trust their talk skills but doubt their ID-specific know-how.

Stott et al. (2017) and Vassos et al. (2023) add a twist. Their reviews warn that most ID assessment tools lack solid proof. So clinicians’ low confidence in testing may reflect real measurement gaps, not just nerves.

Porter et al. (2008) offers hope. That Australian study gave non-expert staff a short CBT script for depression in adults with mild ID. The staff used it well and cut symptoms. The result supports the exact fix Anastasia’s team heard clinicians want: clear, ready-to-run protocols.

04

Why it matters

If you supervise or train clinicians, give them short, step-by-step guides for ID work. Start with one protocol you trust—maybe the group CBT plan from Porter et al. (2008). Pair it with the four better-tested tools flagged by Vassos et al. (2023). Your team’s confidence should rise, and clients get care that actually fits their needs.

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Pick one ready-made CBT protocol for mild ID, print the session plans, and role-play the first lesson with your team before lunch.

02At a glance

Intervention
not applicable
Design
survey
Sample size
152
Population
intellectual disability
Finding
not reported

03Original abstract

Research supports the use of psychological therapies among people with mild to moderate intellectual disability (ID). One barrier to people with ID accessing psychological treatments is the confidence of mental health practitioners. This article explores the confidence of Australian clinicians in providing therapy to people with ID. One hundred and fifty-two psychologists and counselors in Australia completed a survey exploring self-reported confidence when working with clients who have ID and mental health difficulties. Clinicians were most confident with generic counseling skills, but less confident with elements of assessments and interventions. The use of treatment protocols was endorsed as helpful particularly among those with low confidence. This highlights the need for dissemination of treatment guides and training to help increase clinician confidence.

Intellectual and developmental disabilities, 2018 · doi:10.1352/1934-9556-56.3.202