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Qualitative Study on Perceived Barriers to Psychological Care for Individuals With Intellectual Disability and
1Tees, Esk and Wear Valleys NHS Foundation Trust, Newcastle, UK.
Journal of Applied Research in Intellectual Disabilities : JARID
|December 16, 2025
Summary
Healthcare staff identified significant barriers to psychological care for stroke survivors with intellectual disabilities (ID). Addressing these issues is crucial for improving equitable access to essential support services.
Area of Science:
- Neurology
- Psychology
- Public Health
Background:
- Stroke is a major cause of death in the UK, leading to physical, emotional, and communication challenges.
- Individuals with intellectual disabilities (ID) face existing health inequalities, further compounded by stroke-related difficulties.
- Access to psychological care is often hindered for stroke survivors with ID.
Purpose of the Study:
- To explore healthcare staff's perspectives on barriers to psychological care for stroke survivors with intellectual disabilities.
- To identify specific challenges faced by this vulnerable population in accessing mental health support.
Main Methods:
- Semi-structured interviews were conducted with nine participants.
- Reflexive descriptive thematic analysis was used to analyze the interview data.
Main Results:
- Three primary themes emerged: patient dependence, difficulties in understanding patients' internal experiences, and resource limitations.
- These barriers reflect and exacerbate existing health disparities for individuals with ID.
- Specific challenges include communication difficulties and inadequate resources for tailored psychological care.
Conclusions:
- Stroke survivors with ID and communication impairments encounter unique obstacles in receiving psychological care.
- There is a clear need for enhanced staff training and improved services to ensure equitable healthcare access.
- Further research is recommended to develop targeted interventions and support systems.
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