The use of therapeutic untruths by staff supporting people with an intellectual disability who display behaviours that challenge

Mckenzie, Karen, Armitage, Bethan, Murray, George and James, Ian (2021) The use of therapeutic untruths by staff supporting people with an intellectual disability who display behaviours that challenge. Journal of Applied Research in Intellectual Disabilities, 34 (1). pp. 28-35. ISSN 1360-2322

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Abstract

Background: Therapeutic untruths (TU) are used in dementia services to de-escalate distressing situations. We explored the use of TU by care staff supporting people with an intellectual disability who displayed behaviours that challenged.

Method: Data was collected from 126 staff (female = 72.2%; mean age = 41.9 years, SD = 10.7) via an online survey in relation to three areas: responses to three scenarios, reported use of different forms of TU, and ratings of perceived effectiveness of, and level of comfort using, each type.

Results: 96% of participants reported using TU themselves and observing their colleagues doing likewise. Models which included perceived effectiveness of, and level of staff comfort with using, different TU were significant, although only perceived effectiveness significantly independently contributed to the model.

Conclusion: The use of TU was common, with levels consistent with those found in dementia services. The limitations and implications of the findings are discussed.

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