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Last summer we published an article about the work of INCube Inc. ‐ a consumer‐led consultancy in New York that helps former psychiatric patients create their own jobs in businesses they have founded themselves. Such a lot of interest was created by this article ‐ and by the founder of INCube, Mimi Kravitz, at the Life in the day Annual Conference ‐ that we have decided to follow up on the development of this work. The first article presents the first results of the TAP (Technical Assistance Program for Recipients) programme.The unique features of the programme are described and discussed in detail ‐ the author is the programme director, Gerold Schwarz. The second article by Liz Ruddle of Milton Keynes MIND is an account of a visit to the programme in New York and her thoughts about INCube from a UK standpoint.

There is a move to make primary care models of mental health care more accessible to people with intellectual disabilities (IAPT, 2009) but little evidence of their ability of services to make the necessary reasonable adjustments or their effectiveness (Dodd et al., 2011). The purpose of this paper is to describe a pilot project to evaluate an anxiety management group co-facilitated by Least Intervention First Time (LIFT) Psychology and Community Team for People with Learning Disabilities (CTPLD) services.

Five people attended a nine-week anxiety management group, adapted from a course offered by LIFT services. The Glasgow Anxiety Scale (GAS-ID) and a skills and knowledge assessment were completed pre-group, post-group and follow-up to evaluate outcome and consider the ability of LIFT to make reasonable adjustments to deliver effective services for people with intellectual disabilities.

Participants showed no significant reduction in anxiety levels but improvements in their skills and knowledge. An evaluation of the adjustments to make the group accessible for people with intellectual disabilities identified that some were feasible if offering the group on a long-term basis, and others were not. The viability of future groups is considered.

The paper looks at the viability of making reasonable adjustments to psychoeducational groups within Improving Access to Psychological Therapies services to better meet the needs of people with intellectual disabilities, an area of limited research. It raises dilemmas and considerations for the future development of such services.