ABSTRACT
Many people with learning disabilities live communally and share daycare services, and group therapy can be used to promote better interaction within their everyday environment. Groups are often used as a way of seeing more clients by under-resourced clinicians. This keeps the managers and health authorities happy, and keeps the clinicians in work and probably still under-resourced. ‘The role of feedback is so important in facilitating change and personal development that it merits special attention’. Careful consideration of a client’s environment is essential before anything else is done to set up a group, and clinicians and managers need to be realistic as to what can be achieved in each setting. Groups are very seldom entirely homogeneous. Even if all the group members have a similar level of communicative ability, there will be differences in personality, age, sex and background, which will all lead to diversity.
