![]() The study will include a range of anger/aggression and mental health measures, some of which will be completed by service users and also by their day service key-workers and by home carers. After completion of the 6-month follow-up assessments, the intervention will also be delivered to the waiting-list groups. Outcomes will be assessed at the end of the intervention and again 6-months later. This is a multi-centre cluster randomized controlled trial of a group intervention versus a 'support as usual' waiting-list control group, with randomization at the level of the group. The intervention will be delivered by staff working in the day services that the participants attend, following training to act as 'lay therapists' by a Clinical Psychologist, who will also provide supervision. This study will evaluate the effectiveness of a manualized 12-week CBT intervention for anger. Anger treatment is the one area where there exists a reasonable number of small controlled trials. Cognitive behaviour therapy (CBT) is the treatment of choice for common mental health problems, but this approach has only recently been adapted for people with learning disabilities, and there is a limited evidence base for the use of CBT with this client group. ![]()
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