Adapting the Tree of Life group for adults with intellectual disabilities: a feasibility and acceptability study

ObjectivesThe narrative therapy tool, Tree of Life (ToL), has demonstrated positive effects for different populations. This article explores the feasibility and acceptability of ToL in a community day centre for people with intellectual disabilities in England.MethodsToL was delivered as a four-week group (11 attendees). The group programme, materials, and the evaluation method were adapted (e.g. easy-read format and high attendee-staff ratio). Triangulation was used with feasibility metrics, observations, an outcome measure, and qualitative feedback from participants and staff at the centre. Thematic analysis was used for the semi-structured interviews.ResultsGood feasibility indicated with high acceptability and an overall positive impact. Data from attendee interviews are captured in six themes (e.g. Relating to a tree as a metaphor) and staff feedback in four themes (e.g. Connecting via new stories).ConclusionsThe ToL intervention is feasible and highly adaptable to people with intellectual disabilities. The article provides a practical guidance for clinicians trained in ToL on how to adapt this model. Care in the community may benefit from ToL groups as this study showed to enhance community cohesion and quality of life by creating space for practicing social skills with a strengths-based approach.