Cognitive Behavioural Therapy (CBT) - Clinical Practice
| Module title | Cognitive Behavioural Therapy (CBT) - Clinical Practice |
|---|---|
| Module code | PYCM040 |
| Academic year | 2023/4 |
| Credits | 30 |
| Module staff | Dr Liz Benson () |
| Duration: Term | 1 | 2 | 3 |
|---|---|---|---|
| Duration: Weeks | 11 | 11 | 11 |
| Number students taking module (anticipated) | 68 |
|---|
Module description
This module will provide you with a context for the development of practical skills in providing supervised clinical practice in the treatment of common mental disorders; the particular focus will be on PTSD, anxiety and depressive disorders with the aim of achieving therapeutic competency and meeting BABCP accreditation criteria for supervision and supervised clinical practice.
Module aims - intentions of the module
The aim of this module is to enable you to:
- develop practical competencies in Cognitive Behavioural Therapy for PTSD, depression and anxiety under appropriate clinical supervision.
- develop skills in reflective practice that enable you to make best use of supervision in order to further your clinical skills and improve clinical practice.
Intended Learning Outcomes (ILOs)
ILO: Module-specific skills
On successfully completing the module you will be able to...
- 1. Demonstrate clinical skills in working with individual patients with common mental health problems, in particular PTSD, anxiety disorders and depression
- 2. Demonstrate skills in following through a course of CBT for anxiety/PTSD and CBT for depression, following an appropriate model and techniques and modifying the formulation as appropriate
ILO: Discipline-specific skills
On successfully completing the module you will be able to...
- 3. Apply theoretical ideas and research evidence to the treatment of individual patients
- 4. Reflect critically upon the processes and outcome of clinical work in relation to theory and research evidence
ILO: Personal and key skills
On successfully completing the module you will be able to...
- 5. Use supervision as a vehicle for reflection and personal skill development
- 6. Target and monitor personal skill development
- 7. Present clinical information to colleagues in a professional manner
Syllabus plan
Trainees must work with a minimum of 8 clients with anxiety disorders and depressive disorder of which one will be with a client presenting with post-traumatic stress disorder (PTSD), two will be clients presenting with depression, and one client with social anxiety disorder.
Video recordings of clinical sessions are made throughout the clinical work conducted in appropriate clinic settings. Codes of Ethics [e.g. BABCP Standards of Conduct, Performance and Ethics and/or workplace Policies] are strictly adhered to in terms of making the recordings, seeking permission for use and storage of information. Signed consent forms are required to show clients have understood the reasons for and manner of video recording.
Learning activities and teaching methods (given in hours of study time)
| Scheduled Learning and Teaching Activities | Guided independent study | Placement / study abroad |
|---|---|---|
| 70 | 30 | 200 |
Details of learning activities and teaching methods
| Category | Hours of study time | Description |
|---|---|---|
| Scheduled Learning and Teaching | 70 | Supervision of clinical work in small groups for two hours weekly over 3 terms (or over 2 years for trainees on the part-time route). Supervision will be provided by a BABCP accredited cognitive behavioural therapist. University supervision will be supplemented by individual supervision in the workplace, also with a BABCP accredited therapist |
| Guided independent study | 30 | Reading, written reflection and preparation for supervision sessions. |
| Placement | 200 | Programme members will be employed by their Trusts as trainee CBT therapists where they will work for approximately 3 days a week over the year (adjusted hours over two years for trainees on the part-time route). In this time they will accumulate a minimum of 200 hours supervised practice. University supervision will be supplemented by supervision in the workplace, also with a BABCP accredited therapist. Trainees must also carry out work as a co-therapist with a lead therapist in their servicer. |
Formative assessment
| Form of assessment | Size of the assessment (eg length / duration) | ILOs assessed | Feedback method |
|---|---|---|---|
| Case presentation in which work with a client is described in relation to particular issues of theory, practice or technique | 25-minute presentation plus 5 minutes questions/discussion time | 1-7 | Oral feedback to aid writing of case study |
| Supervisors reports at the end of the first and second terms (at end of every two terms for trainees on part-time route) | Programme member will usually contribute around 100 words about the report and the nature and quality of supervision and the placement provided | 1-7 | Written and oral |
| CTS-R assessment of one full video recorded therapy session/s including self-ratings and a reflective analysis | Each tape is 1 hour long, requires a minimum of a further hour for self-rating and a 200-word reflective analysis | 1- 6 | Written and oral |
| Live competencies assessments (CTS-R) of therapy session with an actor including self-ratings and reflective analysis | Each assessment is 50minutes and requires a further 30 minutes for self-rating and maximum 200-word reflective analysis | 1- 6 | Written and oral |
Summative assessment (% of credit)
| Coursework | Written exams | Practical exams |
|---|---|---|
| 0 | 0 | 100 |
Details of summative assessment
| Form of assessment | % of credit | Size of the assessment (eg length / duration) | ILOs assessed | Feedback method |
|---|---|---|---|---|
| Clinical case presentation of the assessment and formulation of a client with either an anxiety disorder or a depressive disorder (this assessment must be passed; failure in this assessment will lead to failure in the module and the programme) | 50 | 25 minutes plus 5 minutes for marker questions, with accompanying powerpoint presentation and reference list. | 1-7 | Written |
| CTS-R assessment of a full video recorded therapy session including self-ratings and a reflective analysis, comprising 12 items (this assessment must be passed with a mark of 36/72 overall and with a minimum mark of 2 on each of the 12 items; failure in this assessment will result in a maximum fail mark of 49 and lead to failure in the module and the programme) | 50 | Recording is 50-60 minutes long, (unless extended time agreed prior to submission and in accordance with relevant NICE Guidance) requires a minimum of a further hour for self-rating and a 200-500 word reflective analysis | 1-6 | Written |
| Clinical portfolio (including: evidence of BABCP membership; logs of clinical work, supervision and co-therapy; 6 self-rated CTS-Rs with reflective analyses; University and Workplace Supervisors Reports; patient feedback; for KSA trainees KSA portfolio). The clinical portfolio confirms minimum of 200 hours supervised practice; 70 hours supervision; 3 closely supervised cases of which one will be a client presenting with depression and one with PTSD; 5 non-closely supervised cases of which one will be depression; one of the 8 cases must be social anxiety disorder; 300 hours live attendance of teaching and catch-up forms for missed teaching sessions (this assessment is pass/fail only and must be passed; failure in this assessment will lead to failure in the module and the programme) | 0 | 300 hours (incorporates all elements of the module) | Written |
Details of re-assessment (where required by referral or deferral)
| Original form of assessment | Form of re-assessment | ILOs re-assessed | Timescale for re-assessment |
|---|---|---|---|
| Case presentation | (i) Same as the original assessment via case presentation or (ii) in certain circumstances, a written report addressing areas failed in the presentation may be requested (50%) | 1-7 | Four weeks from the date that feedback was provided |
| CTS-R assessment | CTS-R assessment (50%) | 1-6 | Four to twelve weeks from the date that feedback was provided dependent on accessibility of client recordings |
| Clinical portfolio | Clinical portfolio (0%) | 1-7 | Four weeks from the date that feedback was provided dependent on workplace factors |
Re-assessment notes
Three assessments are required for this module. In all cases re-assessment will be the same as the original assessment, except in certain circumstances for the case presentation when a written report addressing areas failed may be requested. Where you have been referred for any form of assessment detailed above you will have the opportunity to retake within four weeks from the date that feedback was provided.
If you pass re-assessments taken as a result of deferral, your re-assessment will be treated as it would be if it were your first attempt at the assessment and the overall module mark will not be capped.
If you pass re-assessments taken as a result of referral (i.e. following initial failure in the assessment), the overall module mark will be capped at 50%.
If you fail re-assessments taken as a result of referral (i.e. following initial failure in the assessment), you will be failed in the module and as a consequence you will be failed in the programme and your registration as a student of the University will be terminated.
Indicative learning resources - Basic reading
- Beck, J. S. (2021). Cognitive therapy: Basics and beyond. Guilford.
- Gilbert, P., and Leahy, R. L. (Eds.). (2007). The therapeutic relationship in the cognitive behavioural psychotherapies. Routledge.
- Leahy, R. L. (Ed.). (2003). Overcoming resistance in cognitive therapy. Guilford.
- Milne, D. (2008). Discovering CBT supervision. Blackwell
- Safran, J. D. and Muran, J. (2000). Negotiating the therapeutic alliance: A relational treatment guide. Guilford.
Indicative learning resources - Web based and electronic resources
| Credit value | 30 |
|---|---|
| Module ECTS | 15 |
| Module pre-requisites | None |
| Module co-requisites | PYCM037 The Fundamentals of Cognitive Behavioural Therapy, PYCM038 Cognitive Behavioural Therapy (CBT) for Depression, PYCM039 Cognitive Behavioural Therapy (CBT) for Anxiety Disorder |
| NQF level (module) | 7 |
| Available as distance learning? | No |
| Origin date | 12/12/2012 |
| Last revision date | 06/12/2023 |
