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Clinical Psychology Supervisor Handbook 2021 Information & Guidelines for Placement Supervisors For supervisors of Clinical Psychologists in training from the Doctorate in Clinical Psychology at the University of Bath (Updated August 2021) 1
Clinical Psychology Supervisor Handbook 2021 Contents Page 3 Introduction 4 Role of the Supervisor 6 Assessment 6 University assignment 7 Role of the University 8 Work/Placement essentials 11 Contact details 13 Summary of placement requirements 15 Appendices 2
Clinical Psychology Supervisor Handbook 2021 and experienced members of another core Introduction prof ession. Psychologists providing supervision to trainees must be registered with the Health and Care Prof essions Council. Thank you f or working in collaboration with the Members of other prof essions who are University of Bath in providing a Doctorate in providing supervision to trainees should be Clinical Psychology Trainee with a clinical registered with an appropriate prof essional or practice placement. This is an essential and statutory body governed by a code of ethics extremely important experience f or them. We with accreditation processes and established very much hope that this will be a successf ul disciplinary procedures. The clinical tutor can experience f or all. Please do not hesitate to take an oversight role in these instances. contact the programme team at any stage should you require inf ormation or assistance. Clinical Psychologists in training at the University of Bath are employees of Somerset This handbook provides a brief overview of the Foundation NHS Trust and are subject to the expectations of a practice placement, the role same protections and regulations as other of the clinical supervisor and some of the health prof essions with this employment relevant documentation. Additional inf ormation status. is available on the programme website (http://www.bath.ac.uk/psychology/clinical), in The award of Doctorate in Clinical Psychology the Key Placement Documents which f rom the University of Bath is dependent on accompany this handbook and as part of the successf ul completion of all evaluated and online supervisor resources (see Appendix 5). examined components of the programme including case studies, clinical placements, The Doctorate in Clinical Psychology is a research project, literature review and service- three-year programme during which trainees related research project. Only 2 attempts are must spend a minimum of 50% of their time in permitted f or assessments, with the specific supervised clinical practice. Trainees typically exception of the two main research proposals, complete six, 6-month practice placements where a third submission is allowed. Failing any which cover the main areas of clinical written component (af ter a second attempt) or specialism and equip them to work with people of any two (based on 6-month placements) across the lif espan. During the f irst 2 years of clinical placements will result in a f ailure of the clinical training these comprise experience of entire programme. working with: Our aim as a programme team is to work with • Working Age Adults trainees and placement supervisors to help our • Older Adults and Later Lif e graduates become Clinical Psychologists who • Intellectual Disability not only achieve the competencies and skills • Child and Adolescent Mental Health required by their prof essional status, but who also make an active and thoughtf ul In the f inal year of training, trainees ordinarily contribution to the health service workf orce complete a placement in a Clinical Health and are well placed to continue with their setting and an elective placement which may prof essional development once qualif ied. be in an area of special interest or to supplement the core placements. During each placement, the trainees are placed with a primary supervisor who is responsible f or developing and implementing the placement contract. The primary supervisor should be a Clinical Psychologist who is at least two years post-qualification, registered with the Health Care Professions Council and who has attended the relevant supervisory training/workshops run by the DClin Course at Bath. Placement supervisors can be other appropriately qualif ied and experienced chartered psychologists or suitably qualif ied 3
Clinical Psychology Supervisor Handbook 2021 Role of the Supervisor Observation and Skills Teaching Placements of f er an unparalleled opportunity Induction and Arrival at the Placement to learn and practice clinical skills. The availability of observational experiences on • It is important that the trainee has an placement, both of observing and being induction to each new practice placement observed with f eedback, should be maximised. Observations can be conducted ‘live’ in and clinical service(s) in which they will be session or via recorded (pref erably video based. A checklist of issues to be recorded) sessions. discussed during induction is provided (see appendix 1: Induction checklist) In terms of minimum requirements these are although this may not be exhaustive. as f ollows: • Trainees will need guidance about • Trainees will be asked to complete two background reading that will be of use in structured observations of their their placement work and any available supervisor to help them in noticing and lectures or seminars they may attend. documenting specif ic clinical skills. • At the start of each placement, the trainee • Supervisors are asked to complete two and supervisor should develop the written informal observations of trainees early contract detailing experiences to be in their placements. These observations gained and the general aims of the can be a usef ul and structured way to placement (see appendix 2: guidelines f or orient the trainee to the service and way of the preparation of placement contracts). working and gain supportive f ormative f eedback in a less pressured f ormat. • The placement contract should also f ormalise the supervisory relationship • Supervisors will also complete two according to the minimum standards f or structured observations of trainees. We clinical supervision (see appendix 3). strongly recommend these observations are completed using a ‘Direct Assessment • A set of online mandatory training of Clinical Competence’ (DACC), ideally activities are completed at the start of the via a standardised tool such as the Cognitive Therapy Scale-Revised (CTS-R) DClin training programme. These include or its variants or equivalent. There is a Inf ormation Governance, Equality & schedule of competency assessments to Diversity, Major Incidents, Fire, include developmental assessment of CBT Saf eguarding Children, Saf eguarding competence across training as well as Vulnerable Adults, Counter Fraud, Conf lict assessment of systemic and psychometric Resolution, Waste Management, Risk and competencies. If it is not possible to Moving & Handling. Supervisors should complete a DACC a structured ensure trainees have completed child observation f orm can be used. (see index protection Levels 1 and 2 as appropriate of tools available provided in key f or their Trust (e.g. via e-learning). placement documentation). Additional training specif ic to and required f or your particular clinical area should be Covid-19 circumstances can make this planned as part of the placement activity element of placements more dif f icult. At (e.g. child protection Level 3). minimum, we require trainees to have been observed at least once in clinical practice by • Please can all supervisors and trainees be their supervisor and pref erably have a DACC aware that trainees are not permitted to (as described above) completed on this provide car lif ts to service users. session. • Practice placements are supported by service level agreements between the University and the providing organisatio n. 4
Clinical Psychology Supervisor Handbook 2021 BABCP supervision is supplementary to the Supporting Accreditation primary clinical supervision received on placement. The clinical placement supervisor The programme has Level 2 Accreditation with retains supervisory and clinical responsibility. the British Association of Behavioural and In the event of any dif f erences in direction, the Cognitive Psychotherapy (BABCP) and placement supervisor’s views take Foundation Accreditation with the Association precedence. of Family Therapy (AFT). Trainees are thus required to evidence several Cognitive Please contact Rachel Paskell, BABCP Lead Behavioural Therapy (CBT) competencies and r.g.paskell@bath.ac.uk f or any BABCP related receive ‘close supervision’ over the course of queries. BABCP accreditation is evolving in training. Your trainee should make you aware DClin courses across the country, and as it of these training needs and seek opportunities continues to develop, we are happy to of fer on placement to meet these. inf ormation and support to supervisors wherever we can. BABCP (CBT) AFT (systemic) To f acilitate meeting the BABCP requirements, we ask that supervisors who are not BABCP Systemic practice continues to be the second accredited identif y a BABCP accredited main therapy approach taught on the course. therapist within their service who is willing to The Foundation systemic course will continue act as a 2nd supervisor (this can include a as usual, f or 1st year trainees. provisional level accreditation). When this is not possible, we ask if supervisors can support Advanced Systemic Theory and Practice trainees in identif ying a BABCP accredited continues to be a core topic taught in the 2nd therapist elsewhere in the Trust who might be and 3rd years of the programme. However, able to support them. For additional trainees no longer have the opportunity to inf ormation please contact our BABCP Lead, complete the requirements to achieve the AFT Rachel Paskell (r.g.paskell@bath.ac.uk). accredited Intermediate qualif ication. Rachel has a list of therapists who have indicated that they may be able to help with Opportunities to observe f amily therapy and this. develop systemic skills should continue to be of f ered as appropriate to the placement. This The role of a BABCP accredited 2nd supervisor should include opportunities to access is to provide the trainee with 5+ hours of CBT consultation or supervision with colleagues supervision per ‘training case’. One case per qualif ied in this approach. Trainees may placement is a minimum, but more are submit one systemic case study. We continue welcomed, as trainees must complete eight to encourage trainees to log their hours of CBT ‘training cases’ by the end of training. The Systemic practice and supervision so they BABCP supervisor also be asked to complete have a record of this af ter completing the a direct assessment of competence in CBT DClin. (e.g. the CTS-R). Three of these CBT assessments must be completed by a BABCP Accredited Therapist by the end of training. We understand that within some services this arrangement will not be possible. In such circumstances, the course team will arrange supplementary CBT supervision sessions f or trainees. This will require time out of placement (approximately 2 – 2.5 hours per month). Presentation of audio/video recordings of clinical material f rom placement is required by the supplementary CBT supervision sessions. Consent f orms and GDPR procedures relevant f or the NHS trust where the work is conducted must be f ollowed in the use of client material f or training purposes. 5
Clinical Psychology Supervisor Handbook 2021 Support for supervisors Assessment We aim to support supervisors in several The placement is assessed, and trainees are ways, including: required to pass all clinical practice placements in addition to the academic • Supervisor induction/refresher training assessments of the programme. Assessment is a requirement of the British on the placement is carried out at the mid - Psychological Society’s minimum point and at the end of the placement via: standards f or clinical supervision. We of f er a one-day workshop online in both March • Ratings of clinical skills and and September every year. It is open to competencies completed by the primary new supervisors, supervisors new to the supervisor(s) (see Placement rating f orms Bath course and more experienced – Key Placement Documents). The supervisors wanting a ref resher. supervisor should provide the trainee with f eedback about these ratings as part of the • Supervisory skills practice workshop. f ormal mid placement and end of We of f er an additional one-day workshop placement review meetings. The trainee online in both March and September every also has the opportunity to provide year. Again, it is open to new supervisors, f eedback about the placement and supervisors new to the Bath course and supervision at these points. more experienced supervisors. • It is expected that trainees will complete 6- • Attending our supervisor induction / 8 ‘clinical cases’ each placement. This can ref resher training workshop and our include a range of activities including supervisory skills practice workshops individual work, group work, indirect work, meets the requirements f or the BPS neuropsychological assessments, being Register of Applied Psychological Practice part of a systemic ref lecting team etc. Supervisors (RAPPS). Supervisors who Additional pieces of work are permitted have attended both these events since (e.g. audit, material development) but 2016 can obtain conf irmation f rom our these do not replace clinical cases. There administration team to support their should be no more than 12-14 pieces of application to join RAPPS. work completed in total (clinical plus other) whilst on a placement. NB A Service- • Continuing Professional Development Related Project (SRP) does not replace a (CPD) opportunities are advertised via clinical case. email to regional supervisors. • Supervisors will complete two structured • CBT CPD events and activities to support observations of trainee clinical practice. It clinical supervisors in gaining BABCP is recommended that one of these is the accreditation at provisional/f ull practitioner Cognitive Therapy Rating Scale (CTS-R). or supervisor level as appropriate. The CTS-R will only count towards BABCP Accreditation if completed by a • Online supervisor resources (see BABCP Accredited therapist (see above). appendix 5 f or f urther details). Please It is possible to use an equivalent or contact the admin team on bathcp- alternative DACC if more appropriate. A admin@bath.ac.uk to register f or access to list of all DACC tools are f ound on the these. Placement Inf ormation Moodle page, the online supervisor resources. Only one • The Clinical Tutor f or your trainee is the DACC is required f or the f inal placement. f irst point of contact for superviso rs, f or example if there are any concerns or • A ‘Pass’ may also be required on untoward events arising on placement. additional elements, depending on the Supervisors can also contact the Clinical specif ic requirements f or each clinical Director, Programme Director or other area. For example, assessment of member of the tutor team as appropriate. intellectual ability and interpretation of See also f urther inf ormation below about educational attainment on child serious incident reporting. placements, standardized assessment of ability or f unctioning on LD placements. 6
Clinical Psychology Supervisor Handbook 2021 Placement f ailure is considered where two or and submitted as a written or orally more of the mandatory categories on the mid presented piece of work, with placement f eedback f orms are rated as not accompanying brief report. Case studies satisf actory, and / or where there are are recommended to take the f ormat of a signif icant prof essional and practice single case experimental design (SCED), misconduct issues. Any prof essional or with one f ormal SCED submission. misconduct issues should be reported to the programme team immediately. For BABCP accreditation, four of the five case studies should be CBT-f ocused (one Although rare, if placement f ailure is being may be third wave providing appropriate considered, the programme team should be supervision and evidence-based rationale contacted as early in the placement as are in place). The 5th may be Systemic. possible. Ideally an early mid-placement meeting will be scheduled. The supervisor The trainee will value your guidance about and trainee should meet to discuss the the suitability of cases f or write-up and will concerns and then raise these at a separate ask you to review the written case study meeting with the programme tutor as well. This prior to submission. They submit your allows time to set clear objectives and goals f eedback with the case study (see Case f or the remainder of the placement (a Study Review f orm -Key Documents). ‘remediation plan’). The remediation plan must Although not a f ormal evaluation, it is a be agreed with the Clinical Director. The requirement of submission that trainees remediation will be reviewed at an end of include their supervisor’s report. We also placement meeting with the supervisor and greatly value the view of supervisors as tutor. If the goals and objectives are not met by clinical experts as to the strength of the the end of the placement and placement case study write-up. f ailure is recommended by the supervisor, this will be ref erred to the programme team. If a potential placement f ailure is raised only at Role of the University While the end of placement, it will be necessary f or a remediation plan to be devised at this point Trainees are on Placement and f or the trainee continue on the placement f or a f urther 3 months, providing an opportunity f or them to address the training needs and Mid-Placement Review Visits shortf all in skills and competencies identif ied by the supervisor. Once the mid-placement ratings and f eedback have been completed by the trainee and supervisor, a member of the programme team will attend a f ormal review meeting to receive University Assignments f eedback about progress and the completed ratings. At the review meeting, the tutor will meet the trainee and supervisor separately at f irst and then hold a 3-way meeting aiming to: In addition to the placement assessments as detailed, trainees also need to complete a For the Trainee: clinical log-book and submit a Case Study at the end of each placement. • To see how the trainee has settled in and integrated into the host service. • Clinical log-book – it is the trainee’s responsibility to log all experiences gained • To obtain inf ormation f rom the on placement. They will ask you as supervisor and trainee about the types primary supervisor to sign this at the end of clinical experience to be gained and of placement which is required to validate to discuss this with the trainee and to their clinical log. ensure the experience is satisf actory. • Case Studies – 5 case studies need to be • To check that the minimum completed, one f rom each of the f irst 5 requirements f or supervision are placements. Case studies are usually f ollowed. written in the f ormat specif ied (see Case • To check that a work pattern has been Study Guidelines-Key Placement Documents) established and mutually agreed by 7
Clinical Psychology Supervisor Handbook 2021 the trainee and supervisor, in which of placement reviews, the supervisor must both have a clear picture of the plans contact the clinical tutor as soon as possible. f or the placement. • To discuss with the trainee that the C6 placement paperwork university assignments are on track f or completion. The timing f or the f inal practice placement (C6) assessments is slightly dif ferent f rom the other For the Supervisor: placements as f ollows: • To discuss the placement ratings and • As C6 is the f inal placement, it is likely that whether you are satisf ied with the trainee’s the trainee will have met all the required competence, skills and prof essional key competencies to a satisf actory level or behaviour. better, making an early decision a somewhat easier process. • To allow the supervisor the opportunity to comment on the trainee's needs and • To meet University and HCPC quality requirements in terms of f uture skills assurance processes in a timely way the development / clinical experience needed . assessments occur earlier. The Mid- Placement Review (MPR) must be • To discuss with the supervisor that a completed no later than mid-June, satisf actory supervisory relationship has f ollowing the usual 3-way process been established. This may include including the trainee, supervisor(s) and supervision by other team members as clinical tutor. agreed in the placement contract. • The End of Placement Review (EPR) • To review the experience of having a should take place no later than mid- trainee on placement and whether August, to meet Examination Board suf f icient support is available to f acilitate deadlines in early September. This will this. involve the trainee and supervisor only unless there are issues to address or any indication that the placement will not be Case studies passed. It was agreed at the Practice and Placement • By the EPR, the trainee must have met all committee that, within reason, supervisors placement and University requirements to should arrange with trainees protected time pass the placement. The supervisor within placement hours to spend working on should sign the documentation to indicate their case study. This plan f its with the this and the trainee upload this to Moodle relevance of the course work to placement and inf orm their tutor so it is passed. activity, and also ref lects our wish to help trainees manage their workload and academic • If the MPR indicates potential placement requirements of the course. Your help in f ailure, usual protocol should be f ollowed, achieving this is greatly appreciated. and the EPR scheduled f or mid-August, as above. End of Placement Review • The trainee is required to continue until the If there have been no concerns raised during scheduled end of the placement (ordinarily (or af ter) mid-placement, the supervisor and end of September) to meet BPS, BABCP trainee will complete the end of placement and f itness to practise requirements. ratings and f eedback on placement together, without additional input f rom the course team. Feedback and Audit If concerns have been raised during mid- placement and a remediation plan was put in To improve the support available to place, then the clinical tutor will make an end supervisors, we aim to gather honest and of placement visit to review progress and f inal constructive f eedback about their experience f eedback. If issues arise regarding trainee of providing a clinical placement. To this end, practice or conduct between the mid and end an email link to an online, anonymous survey 8
Clinical Psychology Supervisor Handbook 2021 will be sent to you near the end of placement. The placement provider has control of the The survey takes about 10 minutes to trainee whilst on placement and many complete and all responses remain responsibilities are their legal liability. For anonymous. f urther inf ormation about insurance, and health and saf ety see: Trainees are asked to complete a similar https://www.bath.ac.uk/guides/insurance- survey at the end of each placement. Both will services/#placement-students f eed into our three-yearly audit cycle of placement. Equal Opportunities • Due to its brief and anonymous nature, The University of Bath has an Equal this survey does not take the place of Opportunities policy which states that ‘It is the addressing specif ic issues arising on University’s aim that trainees are treated f airly placement. These should be managed in on the basis of merit regardless of age, the usual way, via the clinical tutor, disability, f amily responsibilities, gender, HIV placement co-ordinator or another status, marital status, nationality, race, member of the course team. religious or political views or af f iliations, sexual orientation, socio-economic background or trans-sexuality’. Please see: https://www.bath.ac.uk/publications/the- Work/ Placement Essentials dignity-respect-policy/attachments/dignity-and- respect-policy-agreed-14-october-2019.pdf . We ask that employers uphold these policies Security clearance, DBS checks and with regard to trainees on placement. Health Checks GDPR All clinical psychologists in training at the University of Bath have been subject to pre- The DClin course holds a spreadsheet that employment Occupational Health checks and contains inf ormation on all supervisors and the enhanced Disclosure and Barring Service placements they of f er. We use this (DBS), f ormerly CRB, checks prior to spreadsheet to plan placement allocation. It is commencing training. These checks are theref ore important that supervisors inform carried out by Somerset Foundation NHS us of any changes in their service so we Trust as the employing trust. The transf er of can update it. The University of Bath is these employment checks to a new placement committed to protecting your personal environment is supported by the Learning and inf ormation in accordance with the Data Development Agreement between the Protection Act and GDPR laws. In providing a placement provider (NHS Trust) and Health placement f or a Bath trainee either historically, Education South West. currently or in f uture, you are agreeing to us processing and storing your inf ormation. Your data will be used to contact you only. Length of the Placement and Working Hours Finance and the Placement Trainees typically spend 3 f ull working days in supervised clinical practice throughout the 3 Trainees are salaried employees of Somerset years of training. There are some variations, Foundation NHS Trust. They are entitled to f or example, as part of the 1st (Working Age claim travel expenses f or placement related Adult) placement, trainees will start with 2 days journeys they make f rom their clinical base. a week f or the f irst 4 weeks, increasing to 3 This is administered by the Programme Team days a week f or the remainder of the at the University and Somerset Foundation placement. NHS Trust. Health & Safety and Insurance in the The investment in learning and training on the Workplace part of the placement provider is supported by a non-medical placement tarif f administered by Anyone receiving relevant training or work Health Education South West (HESW). This experience should be treated as employees for tarif f is subject to personnel returns and key the purposes of health and saf ety legislation. perf ormance indicators as agreed by HESW. 9
Clinical Psychology Supervisor Handbook 2021 Tarif f payments are made directly to the Assessments on year-long placements placement provider at organisational level and For C1 and C2 (WAA / OA) placements, the we are not able to advise on how the tarif f is f ollowing guidelines are provided to ensure allocated to services. However the programme that the required placements assessments are can provide details of placement activity completed correctly: attributed to your placement. • Trainees will submit a case study af ter 6 Serious Incident Reporting months, f or one of the specialities (OA/WAA), in line with all their cohort. It is essential that any serious incident is • Trainees will submit a second case study reported to the University within 24 hours. f or the other speciality af ter 12 months. • We will send you a f orm to complete • Usually, the WAA case study will be f irst within this f irst 24 hours submitted, but this is not essential and will • The next section must be completed depend on the structure of the placement. within 72 hours There must be one case study f rom each • The f inal section between 4-7 days of speciality (WAA and OA) by the end of the the incident. 12 months. • Trainees will complete 2 observations per We will manage the process but if you work 6 months, ideally using a DACC. There part-time please allocate someone else as a should be two WAA and two OA DACCs point of contact, as we must ensure that we completed over the 12-months. The timing adhere to Health Education England deadlines of these DACCs is f lexible, as suits the f or reporting. Any serious incident should be clinical work of the trainee. immediately reported to the trainee’s clinical • The lead supervisor f or the f irst speciality tutor and copied to the Clinical Director and (WAA/OA) should complete the mid- the Programme Manager placement review and paperwork at 3 months and end of placement paperwork at 6 months. The lead supervisor f or the other specialty (OA/WAA) will be invited to Year-long placements contribute to both if relevant. • The lead supervisor f or the second specialty (OA/WAA) should then complete There are currently two types of optional year- the mid and end-placement review and long placements possible within the Bath paperwork at 9 and 12 months DClinPsy: respectively. The supervisor f or the other specialty (WAA/OA) will be invited to - Year one working age adult (WAA) and contribute to both if relevant. older adult (OA): C1 & C2 • The supervisor f or the f irst specialty must - Year three elective placements: C5 & C6 be satisf ied that the breath and range of experience required f or a WAA/OA placement has been achieved so they can Year one working age adult and older sign of f the placement at the 6-month adult placement: C1 and C2 point. However, we recognise the f lexibility This 12-month placement includes supervisors within this on a year-long placement f or f rom both working age adult and older adult some experience in both specialties to services, or an age inclusive service. It covers happen in each half of the 12-month the f irst year of training (C1 and C2). Such period. placements can involve changing the f ocus of • If the trainee is on an ageless placement the placement half -way (i.e. 6-months f ocused with the same supervisor, they should aim on either WAA or OA clinical experience then, f or a minimum of 6 OA pieces of clinical swapping to f ocus on the other specialty f or work over the year. the second 6-months), or it can involve a 12- • The requirement to complete an month ‘ageless’ placement where WAA and appropriate cognitive assessment could be OA clinical work is integrated throughout the completed within either specialty. whole year. This is in line with the changes • Consider contingency planning at the being made to the taught programme, which outset of the placements e.g. in case of will allow this greater f lexibility f or the sick leave f or one or other of the f ormatting of year-long placements with OA supervisors. teaching being brought in earlier. 10
Clinical Psychology Supervisor Handbook 2021 Year three elective placements (year- Clinical Director long ‘long and thin’) Dr Liz Marks (Elective Placements) Trainees are on placement f or 3 days a week Email: E.Marks@bath.ac.uk f or their year 3 elective placements (C5 and C6). Typically, a year-long elective placement Research Director would involve 2 days in one service and 1 day Dr Jennif er Allen in the other service f or the f irst 6 months of the Email: ja980@bath.ac.uk placement. This would then reverse f or the second half of the placement. However, the Tutors: exact amount of time spent in each service Dr Cara Davis can be negotiated between supervisors (Child practice placements) provided this is clearly communicated at the Email: C.Davis@bath.ac.uk start of the year. Dr Cathy Randle-Phillips Types of issues to be negotiated prior to (Learning Disability practice placements; Co- Admission Tutor) setting up the placement include (based on Email: C.M.Randle-Phillips@bath.ac.uk f eedback f rom previous elective supervisors): Dr Maria Loades • Clarity around how f lexible the specif ic day (Supervisor Training co-lead) (or days) of the week the trainee will be on Email: M.E.Loades@bath.ac.uk placement in each service. • There can be alternative patterns e.g. 2 Dr Josie Millar days on one component of the placement (Working Age Adult practice placements) throughout the 12 months and 1 day on Email: J.F.A.Millar@bath.ac.uk the other component providing this is acceptable to both supervisors. Dr Gemma Taylor • It is key to ensure that both placement Email: G.M.J.Taylor@bath.ac.uk supervisors f eel able to sign of f the placements at the appropriate review Dr Pamela Jacobsen points having had enough experience of Email: P.C.Jacobsen@bath.ac.uk the trainee on placement. • Consider contingency planning at the Dr Rachel Paskell outset of the placements e.g. in case of (BABCP Prof essional Lead, Supervisor sick leave f or one or other of the Training co-lead) supervisors. Email: R.G.Paskell@bath.ac.uk Placement assessments Dr Vuokko Wallace (Co-Admissions tutor/Co-PPE lead) All placement paperwork needs to be Email: vw273@bath.ac.uk completed f or both C5 and C6 placements as specif ied in the handbook. In the case of year- Programme Manager long elective placements the C5 supervisor Rachel Nee needs to be satisf ied that the trainee has had Email: rn403@bath.ac.uk enough experience on their placement to sign of f the paperwork at the 6-month point, and the Programme Administrators C6 supervisor takes the lead in signing of f the Dan Clif f ord placement paperwork in August. Sara Swan Capper Amanda Atherton Contact Information Email: bathcp-admin@bath.ac.uk Tel: 01225 385506 Programme Director Prof essor Paul Chadwick Postal Address Email: P.D.J.Chadwick@bath.ac.uk Doctoral Programme in Clinical Psychology Department of Psychology 10W Room 3.55 Academic Director University of Bath Dr Jo Daniels Claverton Down E-mail: J.Daniels@bath.ac.uk Bath BA2 7AY 11
Clinical Psychology Supervisor Handbook 2021 Summary of Placement requirements and documentation Requiring the Placement Requiring only the Requiring Clinical Tutor Supervisor’s Input Trainee’s Input Input Placement Induction Check list Develop plan with trainee to Within 1 week of placement start f eed f orward issues f rom previous placement Of f er early placement visit if indicated Placement Specif ication and Collaborate in contract Review when submitted and at Contract development and mid-placement Within 2 weeks of placement incorporate agreed issues start f rom end of placement meeting Observation of supervisor x2 Placement Observation Check at MPR this has been arranged in f irst f ew weeks of Form x 2 possible placement (Structured Observation of Supervisor) Observation of trainee x 2 Production of video / audio / Check at MPR this has been (Structured Observation of observational opportunities possible Trainee), ideally in the form of f or supervisor to complete DACCs competency assessments Mid-Placement Ratings and Mid-Placement Ratings and Feedback Feedback Review these at MPR No later than mid-point of the No later than mid-point of placement the placement Mid-Placement Review Meeting Mid-Placement Review Tutor to attend and f ormally with Programme Tutor Meeting with Programme document mid-placement review No later than mid-point of the Tutor meeting with supervisor and placement No later than mid-point of trainee. the placement If required, a remediation plan should be f ormally developed and agreed by the Clinical Director. Case Study – Supervisor review Case Study submitted at Check submission and f eedback End of Placement (except Prior to case study submission for C6) Sign and agree the Clinical Log Clinical Log Book Review signed log book and at end of placement gather inf ormation f or Clinical Tutor summary sheet End of Placement Ratings and End of Placement Ratings If no remediation plan, EPR with Feedback and Feedback. tutor is an inf ormal meeting to develop plans f or next Trainee to upload MPR, placement. EPR f orms and DACCs to Moodle f or tutor to sign of f. If remediation plan present, tutor will join a f ormal EPR meeting with supervisor and tutor. Tutor to sign of f final MPR / EPR / DACC documentation on Moodle to indicate placement pass. 12
Clinical Psychology Supervisor Handbook 2021 Appendix 1: Induction Checklist Background overview of service Other service settings and locations which may be visited when on placement Contact details/availability of supervisor e.g. telephone numbers, schedule/location Who’s who e.g. names, telephone numbers if appropriate, roles, responsibilities Site layout e.g. therapy rooms, client facilities, staff facilities Work space e.g. trainee desk space, telephone use, computer use Security & Restricted areas: e.g. access codes, passes, keys etc. Emergency procedures e.g. panic buttons, emergency numbers, fire procedures, first aiders, safeguarding procedures Health and safety e.g. accident reporting, hazard reporting, lifting risks, dangers Dress code Time and attendance system e.g. start and finish times, lunchtimes, attendance when not seeing clients Sickness reporting e.g. who to call, arrangements for cancelling client sessions General administration e.g. appointment arrangements, recording attendance, secretarial arrangements Records system e.g. clinical record keeping, psychology notes Local housekeeping e.g. tea and coffee facilities Stationery and supplies e.g. storage, supplies Local facilities and amenities e.g. canteen, shops Transport and parking e.g. local bus routes, train stations, parking permits, car park spaces 13
Clinical Psychology Supervisor Handbook 2021 Appendix 2: Guidelines for the Preparation of Clinical Placement Contracts Primary Supervisor: Trainee: Placement dates: Type of Placement: 1. Aims of the placement List the key aims of the placement as relevant for the clinical area (e.g. as outlined by DCP guidelines) but also taking into account the trainee’s needs which they will have identified in their training needs assessment and which may also form part of a pre-placement meeting. Please also state if another supervisor/s is to be involved and if so, in what capacity. 2. Clinical experience to be provided List the particular experiences that form the core competencies (BPS) for the relevant clinical area. It may be useful to have sub-headings – e.g. Assessment, Intervention, or any other grouping appropriate to the placement. 3. Other experiences including teaching Consider experiences other than direct clinical practice which might be available as part of the placement experience. Ideally this would include opportunities to prepare and deliver teaching/training, attending teaching/training specific to the placement experience, attendance at relevant staff groups, visits to other services etc. 4. Supervision arrangements Specify how supervision will be delivered according to minimum standards for supervision i.e. at least 1 hour weekly of individual supervision and total 3 hours contact time per week. If the primary supervisor (clinical psychologist) is not the person providing weekly individual supervision, please specify who will do this and outline the schedule for meeting with the primary supervisor (which should occur at least fortnightly). If your supervisor is not BABCP accredited, has a 2nd supervisor who is a BABCP accredited been appointed from within the service? If so, please specify how and when this supervision will take place. (If a BABCP 2nd supervisor is not available within the placement, the course BABCP lead- Rachel Paskell- will advise regarding supplementary CBT supervision). 5. Direct Observation During the placement, the trainee needs to conduct at least 2 structured pieces of observation of their supervisor or other relevant professional using the observation forms to encourage active watching and theory-practice links. The supervisor needs to observe the trainee on at least 2 occasions and provide the trainee with feedback. The placement observation forms can be used for this purpose if helpful. Please discuss and document how and when these pieces of observational work will occur. Ideally these observations will be direct assessments of competence. Competency assessments should be completed used the structured tools available. The trainee will discuss the schedule of competency assessments and their needs within this with you. For example, CBT competencies are assessed in a developmental fashion throughout the course of training. It is likely that they will require rating of clinical competence using the CTS-R (or variant) and this should include discussion of the development needs identified within previous CTS-R ratings. Additional observation of trainee informally, early on in placement, is also recommended. 7. Mid-placement feedback Date of feedback to be arranged at this point, precisely if possible, or at least the week in which this will be done. The mid-placement review with the Programme Clinical Tutor will be convened separately but in light of this date. 14
Clinical Psychology Supervisor Handbook 2021 8. Reflective Practice Developing reflective practice skills is an important aspect of training, consider the trainee’s needs in this area with them, opportunities to develop skills on the practice placement and your supervisory style in facilitating reflective practice as part of supervision. 9. Annual Leave & Cover Please make a note of any University closure dates and DClinPsy. Programme Fixed Leave dates if relevant and any annual leave arrangements for both trainee and supervisor. Please nominate a colleague who will, in general, be available for the trainee to consult when the supervisor is not there and also nominate a cover person for periods when the primary supervisor is on annual leave. 10. Detailed case reports There is a requirement for trainees to complete case studies for assessment purposes. Please could you enter, as an aim of the placement, that the trainee will do at least one such study whilst on placement with you. 11. Carry over cases If the trainee is to continue with a case/s from previous placements, please specify. The time to be devoted to this should be estimated and entered. 12. Log Books It is a requirement that the trainee keeps a log book of clinical activities, which has t o be seen and signed by the supervisor at the end of the placement. Please specify this in the contract. 13. Service related project It is a requirement of the programme that a small scale, service-related piece of research is undertaken. If this is being done on your placement, please include it as part of the contract. 14. Induction Please review the Induction checklist at the very beginning of the placement and ensure that the trainee documents the information required in terms of room/desk space available, clinical space and safety procedures, emergency contact and other essential safety information etc. 15. Other Other matters, like special considerations or adjustments to be noted here. 16. Signatures 17. Date Please have the Contract typed. A copy should be kept by trainee and one by supervisor, and a third copy sent to your Clinical Tutor. 18. Changes following mid-placement feedback: If changes to the contract are required following the mid-placement feedback and review meeting, please attach on a separate sheet, trainee and supervisor to sign and date accordingly. 15
Clinical Psychology Supervisor Handbook 2021 Appendix 3: Statement of minimum standards in clinical supervision 1. There must be a f ormal, scheduled supervision meeting each week that must be of at least 1 hour’s duration. Longer supervision will sometimes be needed, especially where team or group supervision is used. In addition, supervisors should try to make themselves available f or inf ormal discussion of matters that arise between f ormal supervision sessions. The total contact between the trainee and supervisor must be at least 3 hours a week, and will need to be considerably longer than this time at the beginning of training. 2. In cases of team or group supervision, trainees must always receive, in addition, an appropriate amount of individual supervision. Individual supervision must provide opportunities to discuss personal issues, prof essional development, overall workload and organisational dif f iculties as well as on-going casework. 3. Nominate a ‘cover’ supervisor that the trainee can turn to when on leave/holiday. 4. Provide an induction programme to the trainee when a placement starts. 5. Ensure that the Placement Contract is f inalised and signed within ten days of commencement of placement. 6. Ensure that f eedback/rating f orms are f illed and discussed at mid -placement and at end of placement. 7. Ensure that the Log Book is f illed by the trainee, and sign it at end of p lacement. 8. Discuss the trainee’s requirements (e.g. case study, service research, time f or carry-over cases) at the outset, and include these in the Placement Contract. 9. In addition to discussing clinical work, it is essential that the trainee and supervis or have opportunities to observe each other at work: the trainee can learn much more f rom this and it is essential in order f or the supervisor to give the trainee accurate and constructive f eedback. Placements may dif f er in the most appropriate opportunities f or such direct contact: some may use joint clinical work, others may pref er audiotape, videotape or a one-way screen. Some f orm of mutual observation of clinical work is regarded as essential. 10. Ensure that the trainee has the opportunity to observe you at work (with clients) at least on two occasions during the placement and completes the structured placement observation f orm. 11. Ensure that you observe the trainee at work on at least two occasions and provide f eedback to the trainee based on the observation. The structured observation f orms can also be used f or this purpose. 12. Ensure that the trainee gets a good range and quantity of experience. For core placements, these are def ined by the BPS guidelines f or clinical specialities and the Department’s own more detailed documents. If necessary, arrange f or the trainee to see clients f rom a colleague’s team. 13. Be alert to the trainee’s workload. Make sure he/she is not overburdened. It is important no t to use a trainee as an extra pair of hands. The active treatment case load of a trainee should not exceed seven at any given time. 14. Provide the trainee with constructive f eedback on an ongoing basis, in addition to the f ormal written f eedback at mid-placement and end of placement. 15. Provide guidance of reading, discuss theoretical issues, and f oster theory -practice links as part of supervision. 16
Clinical Psychology Supervisor Handbook 2021 Appendix 4: Key Placement Documents You should also have been provided with the f ollowing documentation: 1. Guidelines f or the preparation of placement contracts 2. Induction checklist 3. Placement Observation f orms 4. Placement f eedback f orms (Mid and End of placement rating f orms) 5. Direct Assessments of Clinical Competence (Index of tools and Assessment f ront sheet) 6. Sickness and Absence recording 7. Case Study Guidelines 8. Clinical Supervisor Case Study Review and Feedback Form 17
Clinical Psychology Supervisor Handbook 2021 Appendix 5: Online Supervisor Resources We are pleased to announce a new online system providing a wide range of resources which may be useful for your role as a regional supervisor on the University of Bath Clinical Psychology Programme. You will be able to access: • general information about the doctorate programme • specific placement information • a range of tools for the direct assessment of clinical competence • materials from CPD events • various psychometric measures for adults and children • information and introductory videos from staff members amongst many other resources Gaining access to the online system is a quick process. Please send an email expressing your interest to our administration team, bathcp- admin@bath.ac.uk. It would be greatly appreciated if you make the subject of your email ‘Supervisor - Moodle Help’. You will then be sent a unique username and password to access Moodle. The admin team will be happy to help you with any queries relating to these resources. 18
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