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The impact of COVID-19 on family carers of people with profound and multiple learning disabilities

Covid-19 | Last Updated: 12 Feb 26

Background 

The UK and Ireland’s restrictions to contain the spread of COVID-19  undoubtedly impacted on the lives of vulnerable populations. The arrival of a vaccine, while providing hope to caregivers, does not alter the detrimental impact of the pandemic on their lives. Research is urgently needed to provide future support to family carers who were already experiencing heightened stress and daily challenges as they cared for an individual with profound and multiple learning disabilities (PMLD).   
During COVID-19, family carers were placed under further stress due to increased care demands, additional anxieties, practical difficulties created by the pandemic, and diminished support. Whilst caregiver stress is often lessened through social support, the reduction of social support during lockdown may have been particularly severe for family carers of people with PMLD because their access to professional support and services such as respite care will be significantly diminished.

Findings from a number of online surveys are now available which demonstrate higher levels of mental health problems, including severe anxiety, stress symptoms and depression among carers of people with learning disabilities. However, these studies do not give a complete picture of the lives of family carers which mean that we now need to explore their experiences of COVID-19 to suggest how they may be supported after the pandemic. All people with PMLD have high support needs and require 24-hour-a-day care. During the restrictions, families would have been under increased pressures to continue caring for their family member with PMLD with limited support. It is critical to recognise the impact of COVID-19 on family carers and document their lived experiences to determine how they could be better supported in the future. This work will allow for recommendations on the reconfiguration of services or other supports to enable the provision of more targeted and effective care. 

 

What we did

This study explored the experiences of family carers of people with PMLD and voluntary sector organisations (across the UK and Ireland) during the pandemic and suggest possible mechanisms of future support. 

This involved establishing a co-design group of stakeholders with experience of PMLD during the pandemic who helped to develop a support programme.

We tested the acceptability of the programme among family carers and aim to implement the programme for use across the UK and Ireland. 

You can read the findings in the papers linked below. 

This was a collaborative project with researchers from the Scottish Learning Disabilities Observatory, Queen's University Belfast, the University of South Wales, the University of Sheffield and Trinity College Dublin, For more information about this project as it develops, please contact sldo-info@glasgow.ac.uk 

Project information last updated on 12th March 2021.

Who was involved

This is a collaborative project with researchers from the Scottish Learning Disabilities Observatory, Queen's University Belfast, the University of South Wales, the University of Sheffield and Trinity College Dublin.

Project information last updated on 12th March 2021.

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Dr Maria Truesdale

Maria is a Senior Lecturer in Intellectual Disabilities at the University of Glasgow. Her goal is to improve the physical and mental health and wellbeing of people with intellectual disabilities and their carers through the evaluation, development and testing of complex interventions using gold standard methodology and inclusive research. Maria has conducted a number of trials using complex interventions in physical and mental health for people with intellectual disabilities and has played a central part in the development of a randomised control trial of the clinical and cost-effectiveness of the DESMOND-ID structured education programme for adults with intellectual disability and type 2 diabetes. This multi-site study is the largest funded trial internationally of a health behaviour intervention for people with an intellectual disability. Maria also supports the teaching and delivery of the Post Graduate Positive Behaviour Support programme and contributes to the supervision of University of Glasgow Postgraduate courses, namely MSc in Global Mental Health and MSc in Public Health. She is also the Mental Health and Wellbeing co-lead for Early Career Researchers. Recent and current projects have been funded by NIHR, ESRC (UK Research and Innovation), Baily Thomas Charitable Fund and The Burdett Trust for Nursing.