Psychological therapy for mental health problems in people with learning disabilities has a slowly growing evidence base. The use of groups within the population would help reduce referral to treatment time, would fit with stepped care models and would provide equity of treatment access to which this population has a right (Disability Discrimination Act 2005; NICE, 2011). This service evaluation describes the introduction of a coping strategies group delivered to clients on the waiting list for individual therapy at an outpatient psychology service for adults with learning disabilities in Lewisham. Results, recommendations and limitations of such practice-based evaluations are discussed.