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People with severe learning disabilities (SLD) are no less likely to suffer from depression than the general population. In fact, some studies even suggest that those with SLDs are at an increased risk.

Adults with SLDs often face greater challenges in communication and daily functioning compared to those with mild learning disabilities, who may manage more independently and with less support. As a result, many of the existing treatments available for depression, such as cognitive behavioural therapy (CBT), are not suitable for those with SLDs, as they rely on a level of verbal or cognitive engagement not always accessible. Despite this, there is a lack of research into alternative, more appropriate therapies which cater for differing needs. Behavioural Activation (BA) is a type of psychotherapy which enhances an individual’s mood by encouraging their re-engagement in activities that are meaningful to them, such as sensory experiences, socialising, arts, or sports, making it a promising approach to investigate for adults with SLDs.

BeatIt2 is a solutions-focused research project, funded by the Chief Scientist Office, under their Health Improvement, Protection, and Services Research Committee. This research project, which began in November 2024, is a continuation of the first BeatIt project, which explored the feasibility of BA within the context of adults with mild learning disabilities.  BeatIt2 looks to progress the research through a new feasibility study, exploring the possibility of a new research project examining whether behavioural activation works for depressed adults with SLDs.

HEHTA Research Associate, Dr Nicola McMeekin, is part of the BeatIt2 team, and is playing a significant role as health economist. Nicola is using her expertise in feasibility studies to assess the feasibility and acceptability of collecting data to inform an economic evaluation in a potential future full trial.  

The group will investigate the feasibility of recruiting 50 adults with SLDs and assessing their willingness to be randomly placed into either a BA group or receive standard care from mental health or social services. The project is expected to conclude in the second half of 2026, with results published in a research paper.

If successful, BeatIt2 could pave the way for more inclusive mental health care practices, offering hope to adults with SLDs and their families. It would also expand HEHTA's scope for further research into both learning disabilities and mental health.

First published: 11 December 2024

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