Debbie Spain, Eddie Chaplin, Jane McCarthy, Jayne Henry, Liam Peyton, Lisa Underwood, Peter Cronin, Steve Hardy

Guided Self-help


For People with Intellectual Disabilities and Anxiety and Depression

This booklet is a multi-media training resource that guides facilitators on how to support people with intellectual disabilities.



The use of guided self-help for people with intellectual disabilities to treat depression and/or anxiety is in its infancy. The SAINT (Self-Assessment and INTervention) is the first resource to be made commonly available which has been developed specifically for people with intellectual disabilities.

Using colour photographs and easy read text, the SAINT offers a structured and accessible way to deliver guided self-help with this population. By using a daily diary, clients can learn to recognise their emotions and develop ways to cope with them.

This facilitator manual explores the role of guided self help, its evidence base and its role in treating anxiety and depression. It details the development of the SAINT and the rationale for its use, and offers experiences from individuals who have used it in their own lives. The manual will help a facilitator to prepare for sessions with a client who is using the SAINT.

Format: Wirobound manual with CD-rom.






This resource assumes no previous knowledge of mental health issues or guided self-help and can be facilitated by health professionals, including IAPT workers, graduates and those supporting individuals with intellectual disabilities.

Individuals with intellectual disabilities and anxiety and/or depression can use the SAINT resource on their own or supported by healthcare professionals or paraprofessionals e.g. a graduate mental health worker or community mental health nurse; GPs and other primary care staff e.g. IAPT Psychological Wellbeing Practitioners and IAPT High Intensity Therapists, staff from community or inpatient mental health services e.g. psychologists, community psychiatric nurses, occupational therapists, intellectual disability teams, community support workers, staff in residential placements or day centre workers.


ISBN: 9781909810532
Publication: 30 June 2014

  • Introduction
  • Chapter 1: Promoting positive mental health
  • Chapter 2: A guide to depression and anxiety disorders
  • Chapter 3: The evidence base for guided self-help
  • Chapter 4: The SAINT
  • Chapter 5: Personal experiences of using the SAINT
  • Chapter 6: What is CBT and how does it differ from self-help?
  • Chapter 7: Additional resources
  • CD-rom with the SAINT manual and guidance, easy read leaflets and worksheets.


Eddie Chaplin is a research and strategy lead for the Behavioural and Developmental Psychiatry department at the South London and Maudsley NHS Foundation Trust and visiting researcher at the Institute of Psychiatry, King’s College London. As a nurse, he has managed a number of national services for people with neurodevelopmental disabilities. Recently, he has developed courses and modules at postgraduate level in mental health in intellectual disability and forensic intellectual disability.

Steve Hardy was formerly the education and training lead at the Estia Centre, South London and Maudsley NHS Foundation Trust. He is a registered nurse in learning disabilities and has worked in mental health and challenging behaviour services for people with learning disabilities for 20 years. He has widely published in these areas and he is the co-editor of the journal Advances in Mental Health and Intellectual Disabilities.


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