Practice Learning Portfolio: A1 – Placement log of clinical experiences Trainee.............................................. Placement type ………………………………………. 3a For of training: Service User Demographics Religion Activity Data Christian Buddhist Clients Hindu Role Sex Jewish Observation Female Muslim Independent Work Male Sikh Joint Work Non-Binary Other Activity Age Not Applicable Assessment Only < 5 Assessment & Intervention 5 - 11 Clinical Data Intervention Only 12 - 18 Mode of Work 19 - 24 Individual 25 - 34 Problem Area Couple 35 - 44 Biological/Health Family 45 - 54 Cognitive Function Group 55 - 64 Emotional/Behavioural Type of Work 65 - 75 Social/Interpersonal Direct 75 + Problem Duration Indirect - Carers Ethnicity < 1 year Indirect - White British < 5 years Contact Time (D = Direct, C = Consultation/Liaison) White Irish < 10 years < 2 hours White Other > 10 years < 5 hours White/Caribbean Problem Severity < 10 hours White/African Mild < 15 hours White/Asian Moderate < 25 hours White/Other Severe 25 + Indian Challenging Behaviour Assessment Methods Pakistani Yes Interview Bangladeshi Life Events Observations Asian Other Bereavement/Loss Self-Report Tools Black Caribbean Health Standardised Tests African Abuse Neuropsychology Tests Black Other Trauma Models Chinese Other Behavioural Other Disabilities Cognitive Behavioural (CBT) Social Class Communication Psychodynamic 1.1 – Employers, senior managers Learning Systemic Mobility Cognitive analytic (CAT) 1.2 – Higher professionals Sensory Integrative 2– Intermediate professionals Other Community/critical 3 – Intermediate Other (specify) 4 – Small employers Service Setting 5 – Low supervisory Primary Care 6 – Semi-routine Secondary 7 – Routine In-Patient/Residential 8 – Long term unemployed Other e.g. third sector (specify) Confirmed and signed by: Trainee: Supervisor: Date: ________
Practice Learning Portfolio: A1 – Placement log of clinical experiences Trainee.............................................. Placement type ………………………………………. 3b For of training: Service User Demographics Religion Activity Data Christian Buddhist Total Clients Hindu Role Sex Jewish Observation Female Muslim Independent Work Male Sikh Joint Work Non-Binary Other Activity Age Not Applicable Assessment Only < 5 Assessment & Intervention 5 - 11 Clinical Data Intervention Only 12 - 18 Mode of Work 19 - 24 Individual 25 - 34 Problem Area Couple 35 - 44 Biological/Health Family 45 - 54 Cognitive Function Group 55 - 64 Emotional/Behavioural Type of Work 65 - 75 Social/Interpersonal Direct 75 + Problem Duration Indirect - Carers Ethnicity < 1 year Indirect - Staff British < 5 years Contact Time (D = Direct, C = Consultation/Liaison) White Irish < 10 years < 2 hours White Other > 10 < 5 hours White/Caribbean Problem Severity < 10 hours White/African Mild < 15 hours Moderate < 25 hours White/Other Severe 25 + hours Indian Challenging Behaviour Assessment Methods Pakistani Yes Interview Bangladeshi Life Events Observations Asian Other Bereavement/Loss Self-Report Tools Black Caribbean Health Standardised Black African Abuse Neuropsychology Tests Black Other Trauma Models Chinese Other Behavioural Other Disabilities Cognitive Behavioural (CBT) Social Class Communication Psychodynamic 1.1 – Employers, senior managers Learning Systemic Mobility Cognitive analytic (CAT) 1.2 – Higher professionals Sensory Integrative 2– Intermediate professionals Other Community/critical 3 – Intermediate Other (specify) 4 – employers Service Setting 5 – Low supervisory Primary Care 6 – Semi-routine Secondary 7 – Routine In-Patient/Residential 8 – Long term unemployed Other e.g. third sector (specify) Confirmed and signed by: Trainee: Supervisor: Date: ________
Practice Learning Portfolio: A3 - Log of indirect & strategic organisational influence experiences Trainee......................................................................... 1 For Stage of training: Complete total number of occasions have had experience under each category: Meetings Attended Leadership & Organisational Influence see Professional Specialty Service planning/review Interagency/community liaison, networking, capacity building Multidisciplinary team allocation Lead on psychological in teams, e.g. formulation, testing Multidisciplinary team Promote/facilitate staff reflective practice & other psychological skills Team building/awayday Assist with public relations/ marketing activities Staff support Contribute to service development processes/local policy or procedures Other Chair meeting, coordinate working party/collaborative project/training Liaison Work or Contact re. role of psychology & its contribution to services Service user groups/forums Shadow/engage with service leads/managers, commissioners Voluntary groups/services Offer constructive evidence-based critique/evaluation of models/services Social services/housing Facilitate service user/carer involvement/coproduction Education/schools Training Events Attended, Shared Learning Police/prison/probation Trust policies, procedures, briefings professions/agencies Health & safety Teaching & Consultation Multidisciplinary seminar/workshop Clinical/journal presentation Multidisciplinary conference Small-group teaching < 15 Professional seminar/tutorial/SIG Large-group teaching > 15 Inter-professional consultancy Team/service consultancy TOTAL NUMBER OF DAYS ON PLACEMENT DURING THIS STAGE: Providing supervision Quality/Service Improvement Activities on this placement (briefly describe)
Organisational initiatives and interventions on this placement (briefly describe) Public education/community engagement presentation done? YES / NO (e.g. careers talk to school, talk on mental health, community workshop. Briefly describe) Confirmed and signed by: Trainee: ........................................................... Date: .................................. Supervisor: ............................................................ Date: .................................. Practice Learning Portfolio: A3 - Log of indirect & strategic organisational influence experiences Trainee......................................................................... 2b For Stage of training: Complete total number of occasions have had experience under each category: Meetings Attended Leadership & Organisational Influence see Professional Specialty Service planning/review Interagency/community liaison, networking, capacity building Multidisciplinary team allocation Lead on psychological issue in teams, e.g. formulation, testing
Public education/community engagement presentation done? YES / NO (e.g. careers talk to school, talk on mental health, community workshop. Briefly describe) Confirmed and signed by: Trainee: ........................................................... Date: .................................. Supervisor: ............................................................ Date: .................................. Practice Learning Portfolio: A3 - Log of indirect & strategic organisational influence experiences Trainee......................................................................... 3a For Stage of training: Complete total number of occasions have had experience under each category: Meetings Attended Leadership & Organisational Influence see Professional Specialty Service planning/review Interagency/community liaison, networking, capacity building Multidisciplinary team allocation Lead on psychological issue in teams, e.g. formulation, testing Multidisciplinary team other Promote/facilitate reflective practice & other psychological skills Team building/awayday Assist with public relations/ marketing activities Staff support Contribute to service development policy or procedures Other Chair meeting, coordinate working party/collaborative project/training
Confirmed and signed by: Trainee: ........................................................... Date: .................................. Supervisor: ............................................................ Date: .................................. Practice Learning Portfolio: A3 - Log of indirect & strategic organisational influence experiences Trainee......................................................................... 3b For Stage of training: Complete number of occasions have had experience under each category: Meetings Attended Leadership & Organisational Influence see Professional Specialty Service planning/review Interagency/community liaison, networking, capacity building Multidisciplinary team allocation Lead on psychological issue in teams, e.g. formulation, testing Multidisciplinary team other Promote/facilitate staff reflective practice & other psychological skills Team building/awayday Assist with public relations/ marketing activities Staff support Contribute to service development processes/local policy or procedures Other Chair meeting, coordinate working party/collaborative project/training Liaison Work or Contact Model/educate re. role of psychology & its contribution to services Service user groups/forums Shadow/engage with service leads/managers, commissioners Voluntary groups/services constructive evidence-based critique/evaluation of models/services Social services/housing Facilitate service user/carer involvement/coproduction Education/schools
Optional examples of how this competency was demonstrated: Placement code: Example/s: Area of Competence Emerging Establishing Consolidating C2. Ability to adapt methods to understand and work with other contexts, such as with groups, teams and professional systems (please specify in box below) Optional examples of how this competency was demonstrated: Placement code: Example/s: Area of Competence Emerging Establishing Consolidating C3. Ability to make use of psychodynamically informed process reflection when working within other psychological models. Optional examples of how this competency was demonstrated: Placement code: Example/s:
Stage of Training Test Used Age of Client Clinical Use (reason for testing - outcome measure, treatment planning, eligibility) Administration Interpretation Record agreed and signed by: Placement 1 Trainee ……………………………………….. Date ………………… Supervisor ………………………………… Date ………………… Placement 2a Child / LD Placement 2b Child / LD Trainee ……………………………………….. Date ………………… Trainee ……………………………………….. Date ………………… Supervisor …………………………………… Date ………………… Supervisor …………………………………… Date …………………
Placement 3a OA / Supplementary Placement 3b OA / Supplementary Trainee ……………………………………….. Date ………………… Trainee ………………………………….….. Date ………………… Supervisor …………………………………… Date ………………… Supervisor ………………………………………………… Date …………………