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There is a sparsity of research that considers how to overcome implementation challenges for interventions in special school settings where specialist teaching methods are involved. Successful implementation has often relied on considerable researcher involvement, making them inaccessible and not sustainable for the majority of special schools. The purpose of this study was to implementa train-the-trainer approach to train teaching staff to use the Teaching Early Numeracy to Children with Developmental Disabilities (TEN-DD) programme in a large special school in the UK, thereby significantly reducing researcher involvement in its implementation.

One staff member was trained to become the school lead for TEN-DD and trained other teaching staff in the school on implementation. This study recruited 13 students aged between 12 and 16 years of age with developmental disabilities to receive TEN-DD. Pre- and post-intervention tests on a standardised numeracy measure were conducted.

A train-the-trainer model was developed and successfully delivered to train teaching staff in TEN-DD. A standardised outcome measure indicated that ten students made improvements to their numeracy skills after teachers trained using this approach delivered TEN-DD for between 3 and 10 months.

Very little research has been carried out to better understand methods for overcoming implementation challenges for delivering evidence-based teaching programmes at scale to students with developmental disabilities who attend special schools. To the best of the authors’ knowledge, this study reports the results of the first evaluation of using a train-the-trainer model for the delivery of a numeracy intervention (TEN-DD), whereby there was no involvement of researchers in implementation beyond the initial training of the school lead. This model of training for interventions may be more sustainable for special schools and help improve the uptake of evidence-based interventions.

People with intellectual disability die prematurely and from avoidable causes. Innovative solutions and proactive strategies have been limited in addressing this disparity. This paper aims to detail the process of developing a risk stratification tool to identify those individuals who are higher risk of premature mortality.

This study used population health management principles to conceptualise a risk stratification tool for avoidable deaths in people with intellectual disability. A review of the literature examined the existing evidence of causes of death in people with intellectual disability. A qualitative methodology using focused groups of specialist clinicians was used to understand the factors that contributed towards avoidable deaths in people with intellectual disability. Delphi groups were used for consensus on the variables for inclusion in the risk stratification tool (Decision Support Tool for Physical Health).

A pilot of the Decision Support Tool for Physical Health within specialist intellectual disability service demonstrated effective utility and acceptability in clinical practice. The tool has also demonstrated good face and construct validity. A further study is currently being completed to examine concurrent and predictive validity of the tool.

To the best of the authors’ knowledge, this is the only study that has used a systematic approach to designing a risk stratification tool for identifying premature mortality in people with intellectual disability. The Decision Support Tool for Physical Health in clinical practice aims to guide clinical responses and prioritise those identified as at higher risk of avoidable deaths.

The purpose of this study aims to investigate the estimated symptoms of posttraumatic stress (PTSD) among the residents of the violent line of control (LoC) of Azad Kashmir.

This study is a quantitative, exploratory study. The sample comprised 235 males and 225 females, aged 18–35years (N = 460). The traumatic appraisal questionnaire (TAQ) was applied to the determined sample and their responses were statistically analyzed.

It was identified through quantitative research that people living near the LoC had higher PTSD symptoms as compared to those living farther away. Moreover, females exhibited higher PTSD than males. Religious beliefs were identified as the most common coping mechanism used by residents of LoC.

Awareness sessions and seminars will be conducted with the help of mental health professionals in those areas with high estimated PTSD symptoms. This research will also help mental health professionals in Azad Kashmir to understand PTSD issues of LoC people.

This study focuses on estimating PTSD symptoms among residents living near the LoC in Azad Kashmir, an area characterized by violence and conflict. This research offers practical implications for mental health interventions, such as conducting awareness sessions and seminars with the help of mental health professionals. Furthermore, the study can enhance the understanding of PTSD among LoC residents, aiding mental health professionals in providing more effective support and care.