Jo Anderson, Dr Max Pickard, Emma Rye

The CaPDID Training Manual

Spiral Bound

Caring for people with a Personality Disorder and an Intellectual Disability: A Training Manual using a trauma informed approach



Trauma informed approaches have not generally been made available to staff working in services supporting people who have both a personality disorder and an intellectual disability. This distinctive training manual enables facilitators who already have some level of understanding of psychodynamic concepts to help support staff better understand the people they care for in the context of their histories of trauma, and their own emotional and behavioural responses. It offers professionals who are called on to support services (psychologists, psychiatrists, psychotherapists, nurses, occupational therapists etc) a standardised way of training and educating care staff in thinking about how best to provide support and a safe and supportive service to some of the most challenging clients. In doing so, it addresses contentious and challenging issues such as the terms ‘personality disorder’ and ‘challenging behaviour’, the traumatised carer and the difficulties of working competently with people who have complex emotional needs. Most importantly, it improves the understanding and confidence of staff in supporting their clients.
The manual provides a course of three 2 hour sessions with guidelines and participant materials.


ISBN No: 978-1-912755-84-4

Brief Table of Contents

Literature Review
Session 1
The skeleton
The details
Advanced groups
Session 2
The skeleton
The details
Advanced groups
Session 3
The skeleton
The details
Advanced groups


Publication date: May 2020


Intellectual disability and mental health professionals (psychiatrists, psychologists, psychotherapists, nurses, occupational therapists) supporting care staff and managers in services for people with intellectual disabilities and personality disorder, including supported accommodation, residential services, day services, shared living and fostering provision.


Jo Anderson is a Clinical Psychologist working in a Mental Health of Learning Disabilities Team in Kent. Her role involves the provision of individual and group psychotherapy for people with learning disabilities, running training for carers and working systemically with families and supporters. She is also involved in the teaching for the Clinical Psychology Doctorate at Salomons, Canterbury Christ Church University.

Dr Max Pickard is a consultant psychiatrist working in Kent and Medway Partnership trust in the mental health in learning disability service. He completed his specialist training in the South London Maudsley Training scheme and has worked for over ten years for this field. His special interests involve neuropsychiatric issues in people with learning disabilities, ADHD, and psychodynamic aspects of mental health care (including trauma and personality disorder) and he has developed specialist services in these areas as well as others. He is also Medical humanities lead for Kent and Medway Partnership Trust and has set up a well-received local medical humanities network and annual conference. He is also actively involved in pre graduate and post graduate local education and has been a contributor to well established training publications in mental health in learning disabilities.

Emma Rye is a consultant clinical psychologist and clinical lead for psychology in the Mental Health of Learning Disability service in Kent and Medway Partnership NHS Trust. She has worked with adults with learning disabilities ever since qualifying from the Salomons training scheme in Kent in 1994. At that time there was very limited access to any talking therapies for adults with learning disabilities. Emma has always
been a passionate advocate for equality of access to psychological therapy for this client group. She has a particular interest in psychodynamic work with adults with learning disabilities and completed the year-long intermediate course at the Tavistock Clinic in 1996. Systemic approaches to working with people with learning disabilities, their families and carers, are also important in informing her clinical work. Emma has recently had her portfolio approved by the regional panel to take on the responsible clinician role and is interested in the ethical debate surrounding clinical psychologists taking this on. Emma is also a visiting lecturer on the Canterbury Christ Church
(Salomons) Clinical Psychology Doctorate Programme, teaching topics including the delivery of services in the NHS, ethics, philosophy and power.

All three authors have had chapters published in Mental Health in Intellectual Disabilities (5th edition) edited by Colin Hemmings, Pavilion 2018

Toby Rye, who has provided the illustrations for this manual, studied Fine Art at the Ruskin School of Drawing and Fine Art, Oxford (1987-1990). He is a practicing Artist and Illustrator. He also teaches art and design at Richmond-upon-Thames College. He has taught students with learning disabilities and has a knowledge of and interest in the mental health of his students, through the pastoral care role.


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