LEARNING OUTCOME: 1. Work safely, legally and ethically as a counsellor using the CBT approach Assessment criteria Candidate guidance to criteria Portfolio references 1.1 Work within an ethical, legal and professional framework for CBT work Show that you understand ethical / legal / professional issues relating to protection of clients physically and clinically in a range of contexts. Demonstrate ability to develop and make use of referral routes/other sources of help for clients as appropriate. Communicate the personal and professional limitations of your practice. 1.2 Prepare the client to work within a CBT framework Give examples of how you have worked in a collaborative and exploratory way with clients. Reflect on the relevance of setting and working to an agenda, agreeing homework tasks, eliciting feedback and possible time limitations. Explain the CBT approach to a client in roleplay and in practice. 1.3 Use CBT strategies to identify and manage risk Consider the nature of risk and explore the range of risks which could affect clients. Apply CBT strategies for identifying risk. Reflect on situations in you have managed clients at risk or considered how you would do so. 1.4 Research and access appropriate personal and professional support Identify and implement strategies to improve own clinical practice. Discuss (in case presentation sessions) the use of supervision to support assessment and treatment plans. Report on your use of both group and individual supervision. Show how you have drawn on appropriate personal support as a practitioner. LEARNING OUTCOME: 2. Use the CBT framework to structure the therapeutic relationship Assessment criteria Candidate guidance to criteria Portfolio references 2.1 Critically reflect on the nature of the CBT therapeutic relationship Discuss the significance and nature of the ‘working alliance’ for the CBT practitioner. Show an awareness of how the CBT relationship differs from other therapeutic approaches. Reflect on the implicit (unspoken, implied) and explicit (clearly evident) aspects of the therapeutic relationship. 2.2 Use CBT concepts and the case formulation to establish and maintain the therapeutic relationship Use regular reviews of the case formulation to explore the idiosyncratic nature of the therapeutic relationship. Reflect on the implication(s) of your case formulation for the therapeutic relationship. Use case examples to show how you established a therapeutic relationship in which you carried out the assessment process.
6.5 Integrate concepts of psychopathology when assessing and referring clients Reflect on the different understandings of ‘psychopathology’. Present your understanding of ‘psychopathology’ in relation to CBT counselling practice. Show how your understanding of psychopathology (supported by supervision) informs your judgement in making decisions about assessment and referral. LEARNING OUTCOME: 7. Monitor and maintain professional effectiveness as a counsellor using the CBT approach Assessment criteria Candidate guidance to criteria Portfolio references 7.1 Use CBT supervision to: evaluate the continuing validity of individual client case formulation support implementation of the treatment plan support the therapeutic relationship and the therapeutic process identify clients with severe or complex mental health problems and support the referral process monitor personal competence and efficacy Critically reflect on your use of group or individual supervision in relation to the areas described in this criterion. Evaluate your use of supervision to support your assessment and treatment 7.2 Implement a clinical audit tool Evaluate your use of an appropriate audit tool for reviewing the progress of CBT work. 7.3 Research and plan own programme for Continuing Professional Development Reflect on the role/importance of CPD in professional development. Identify own development needs with reference to specific experience as a CBT counsellor. Develop a plan for meeting your CPD needs.