ACT for mentally less able people?

Hello,

This question came my way... has anyone have experience with this kind of problems using ACT? I know that ACT is used with adolescents with problems, but what to do when confronted with less intelligent people?

It concerns adolescents aged 12 to 21 years with emotional and behavioural disorders, living in a residential setting of the mental health care system in Flanders (Belgium). The boy-girl ratio in these settings is 4/1. Boys are often diagnosed with ADHD, conduct disorders and pervasive developmental disorders; girls are more often diagnosed with oppositional defiant disorders, other disorders of infancy or problems related to abuse or neglect. Often the diagnosis is not restricted to one specific disorder.

Approximately half of the boys and two out of three girls have an IQ below 85. The majority does not attend regular schools, but receives special education. More than half of them have social problems, show aggressive and delinquent behaviour, leading to contact with justice.

Hope to get some answers...

Grtz
Joris