NAC promotes experiences that the research shows can:
- Be neurologically calming, regulating and grounding
- Activate the ‘rest and digest’ parasympathetic nervous systems and deactivate the ‘fight or flight’ sympathetic nervous system
- Improve breathing, heart rate variability and blood pressure
- Increase feelings of safety and calmness
- Reduce feelings of anxiety, fear, frustration and anger
- Increase relaxation and release stress
- Enable a positive psychological state of flow
- Relieve physical and psychological tension
- Support healing from trauma
- Reduce distressed behaviour, which may be labelled as ‘challenging behaviour’
- Develop a greater range of healthy ways to regulate emotions and physiology
- Expand psychological and emotional resilience
- Provide greater capacity to cope with the difficulties and challenges of everyday life
- Deepen relationships and connections with other people and the environment
- Reduce feelings of loneliness and isolation
- Increase engagement and participation
- Improve confidence and self-esteem
- Build self-awareness and awareness of others
- Develop and provide opportunities for self-expression
- Increase capacity for learning, development and growth
- Improve cognition and memory
- Improve mood and reduce depression
- Increase happiness, enjoyment and contentment
The research also tells us that what works for one person may not be the same as for another. It is therefore essential that the guidance is used with an open and inquiring mind and preparedness for carrying out detailed observation of how a person responds to each experience tried and what impact it has on them personally and at that particular time (record keeping). This blend of science and research and experiential discovery informing practice ensures that our approaches are most securely rooted with an evidence base.
The emotional and mental health needs of people with intellectual disabilities and Profound and Multiple Learning Disabilities
Adams, T.M. and Jahoda, A. (2018) Listening to Mothers: Experiences of mental health support and insights into adapting therapy for people with severe or profound intellectual disabilities. International Journal of Developmental Disabilities, 65(3).
Burke, C.K. (2014) Feeling Down: Improving the mental health of people with learning disabilities. Foundation for People with Learning Disabilities. London: UK.
Department of Health (2001) Valuing People: A new strategy for the 21st century. HMRC: London.
Ferguson, A., Howley, M. and Rose, R. (2008) Responding to the Mental Health Needs of Young People with Profound and Multiple Learning Disabilities and Autistic Spectrum Disorders: Issues and challenges. Mental Health and Learning Disabilities Research and Practice, 5, 240-251.
O’Hara, J. (2020) Better Health and Care for All: Health and care services for people with learning disabilities. National Institute for Health Research. February 2020, NIHR Dissemination Centre, doi 10.3310/themedreview-04326.
PAMIS (2011) Responding to the Mental and Emotional Needs of People with Profound and Multiple Learning Disabilities. www.pamis.org.uk.
Sheehy, K. and Nind, M. (2005) Emotional Well-Being for All: Mental health and people with profound and multiple learning disabilities. British Journal of Learning Disabilities, 33, 34-38.
Skelly, A. et al (2017) Incorporating Attachment Theory into Practice: Clinical practice guidelines for clinical psychologists working with people who have intellectual disabilities. The British Psychological Society: Leicester. www.bps.org.uk
The British Psychological Society, Division of Clinical Psychology, Faculty for People with Intellectual Disabilities (2020) Covid-19: Meeting the psychological needs of people with learning/intellectual disabilities, and their families and staff. https://www.bps.org.uk/
Body-based, interactional and sensory approaches to emotional and mental wellbeing
Daniel Siegel, Clinical Professor of Psychiatry and Director of the Mindsight Institute
Books and more
Peter Levine, Clinical Psychologist and Medical Biophysicist
National Institute for the Clinical Application of Behavioral Medicine (NICABM)
Cascio, C.J., Moore, D. and McGlone, F. (2019) Social Touch and Human Development. Developmental Cognitive Neuroscience, 35, 5-11.
Denworth, L. (2015) The Social Power of Touch. Scientific American Mind, 26(4), 30–39.
Field, T. (2019) Social Touch, CT Touch and Massage Therapy: A narrative review. Developmental Review, 51, 123-145.
Capon, H., O’Shea, M. and McIver, S. (2019) Yoga and Mental Health: A synthesis of qualitative findings. Complementary Therapies in Clinical Practice, 37, 122-132.
Kizhakkeveettil, A., Whedon, J., Schmalzl, L. and Hurwitz, E.L. (2019) Yoga for Quality of Life in Individuals With Chronic Disease: A systematic review. Alternative Therapies, 25(1), 36-43.
Levine, B. and Land, H.M. (2016) A Meta-Synthesis of Qualitative Findings About Dance/Movement Therapy for Individuals with Trauma. Qualitative Health Research, 26(3), 330-344.
Sullivan, M.B., Erb, M., Schmalzl, L., Moonaz, S., Noggle Taylor, J. and Porges, S.W. (2018) Yoga Therapy and Polyvagal Theory: The convergence of traditional wisdom and contemporary neuroscience for self-regulation and resilience. Hypothesis and Theory, 12(87). doi: 10.3389/fnhum.2018.00067.
Bates, V., Hickman, C., Manchester, H., Prior, J. and Singer, S. (2020) Beyond Landscape’s Visible Realm: Recorded sound, nature, and wellbeing. Health and Place, 61.
Bratman, G.N., Anderson, C.B., Berman, M.G., Cochran, B. Sjerp de Vries, Flanders , J. Folke, C., Frumkin, H., Gross, J.J., Hartig, T., Kahn Jr., P.H., Kuo, M., Lawler, J.J., Levin, P.S., Lindahl, T., Meyer-Lindenberg, A., Mitchell, R., Ouyang, Z., Roe, J., Scarlett, L., Smith, J.R., van den Bosch, M., Wheeler, B.W., White, M.P., Zheng and Daily, G.C.H. (2019) Nature and Mental Health: An ecosystem service perspective. Science Advances Review, 5.
Chavaly, D. and Naachimuthu, K.P. (2020) Human Nature Connection and Mental Health: What do we know so far? Indian Journal of Health and Well-Being, 11(1-3), 84-92.
Cox, D.T.C. and Gaston, K.J. (2016) Urban Bird Feeding: Connecting people with nature. PLoS One, Jul 1,11(7).
Curtin, S. (2009) Wildlife Tourism: The intangible, psychological benefits of human- wildlife encounters. Curr Issues Tour, 12(5–6), 451–74.
Curtin, S. and Kragh, G. (2014) Wildlife Tourism: Reconnecting people with nature. Hum Dimens Wildl, Nov 2:19(6), 545–54.
Soulsbury, C.D. and White, P.C.L. (2015) Human-Wildlife Interactions in Urban Areas: A review of conflicts, benefits and opportunities. Vol. 42, Wildlife Research. CSIRO, 541–53.
See publications listed under the categories of touch, nature, music, arts and creativity and mindfulness.
MacDonald, R.A.R. (2013) Music, Health and Well-Being: A review. Int J Qualitative Stud Health Well-being, 8.
Daykin, N., Mansfield, L., Meads, C., Julier, G., Tomlinson, A., Payne, A., Grigsby Duffy, L., Lane, J., D’Innocenzo, G., Burnett, A., Kay, T., Dolan, P., Testoni, S. and Victor, C. (2018) What Works for Wellbeing? A systematic review of wellbeing outcomes for music and singing in adults. Perspectives in Public Health, 138(1), 39-46.
Welch, G.F., Ockelford, A. (2015) The Importance of Music in Supporting the Development of Children with Learning Disabilities. The International Journal of Birth and Parent Education, 2(3), 23-25.
Interactions and Relationships
Porges, S. (2003) Neuroception: A subconscious system for detecting threats and safety. Zero to Three, May 2004.
Porges, S. (2015). Making the World Safe for our Children: Down-regulating defence and up-regulating social engagement to ‘optimise’ the human experience. Children Australia, 40, 114-123.
Tough, H., Siegrist, J. and Fekete, C. (2017) Social Relationships, Mental Health and Wellbeing in Physical Disability: A systematic review. Biomed Central Public Health, 17(414).
Arts & Creativity
Boyce, M., Bungay, H., Munn-Giddings, C. and Wilson, C. (2017) The Impact of the Arts in Healthcare on Patients and Service Users: A critical review. Health and Social Care in the Community, 26, 458-473.
Davies, C., Knuiman, M. and Rosenberg, M. (2016) The Art of Being Mentally Healthy: A study to quantify the relationship between recreational arts engagement and mental well-being in the general population. Bio Med Central Public Health, 16(15), DOI 10.1186/s12889-015-2672-7.
Pankova, S.N. (2016) Possibilities of Creativity as Indicator of Self-Development and Subjective Well-Being. International Multidisciplinary Scientific Conference on Social Sciences and Arts SGEM, 751-758.
Poulos, R.G., Marwood, S., Harkin, D., Opher, S., Clift, S., Cole, A.M.D., Rhee, J., Beilharz, K. and Poulos, C.J. (2018) Arts on Prescription for Community‐Dwelling Older People with a Range of Health and Wellness Needs. Health and Social Care in the Community, 27:483-492.
Dunning, D.L., Griffiths, K., Kuyken, W. Crane, C., Foulkes, L., Parker, J. and Dalgleish, T. (2019) Research Review: The effects of mindfulness-based interventions on cognition and mental health in children and adolescents – a meta-analysis of randomized controlled trials. The Journal of Child Psychology and Psychiatry, 60(3), 244-258.
Lomas, T., Medina, J.C., Ivtzan, I., Rupprecht, S. and Eiroa-Orosa, F.J. (2018) A Systematic Review of the Impact of Mindfulness on the Well-Being of Healthcare Professionals. Journal of Clinical Psychology, 74, 319-355.
Other publications and reports
Doukas, T., Fergusson, A., Fullerton, M. and Grace, J. (2017) Supporting People with Profound and Multiple Learning Disabilities: Core and Essential Service Standards. Available here. Accessed on 5 July 2018.
Hewett, D. (2007) Do Touch: Physical contact and people who have severe, profound and multiple learning difficulties. Support for Learning, 22(3), 116-123.
Hewett, D. (2018) The Intensive Interaction Handbook. London: Sage.
Lacey, P. (2015) The Routledge Companion to Severe, Profound and Multiple Learning Difficulties. Oxon:Routledge.
Nind, M. (2012) Intensive Interaction, Emotional Development and Emotional Well-Being. In D. Hewett (Ed.) Intensive Interaction: Theoretical perspectives. London: Sage.
Nind, M. and Strnadova, I. (2020) Belonging for People with Profound Intellectual and Multiple Disabilities: Pushing the boundaries of inclusion. Oxon: Routledge.
Simmons, B. and Watson, D. (2014) The PMLD Ambiguity: Articulating the life-worlds of children with profound and multiple learning disabilities. Oxon: Routledge.
Ware, J. (1996) Creating Responsive Environments for People with Profound and Multiple Learning Disabilities. London: David Fulton.
If you are aware of other research, publications or reports that you think should be added to this page, please contact us and let us know.