Assessment of Clinical Skills / CBT Competencies via Formative and Summative asessments using the CTS-R for recordings of clinical sessions submitted on Encrypted Storage Devices (ESDs) or via secure data transfer.

You will have to formally submit four therapy video recordings over the year. One will be formative and three will be summative; these are to be submitted to the course administrator at the end of terms 1 and 2, around mid-term 3 and at the end of term 3. In addition, three formative assessments of therapy sessions will be completed within university group supervision, in terms 1, 2 & 3. All these video recordings should be of those clients you use as your closely supervised clients and link to some of the other course assessments (case reports and case presentation).

Two additional “live competency assessments” using actors, will be assessed by course supervisors at the beginning and end of the course. These are formative assessments and are intended to assess your training needs, inform supervision and to provide formative feedback for ongoing clinical skills development at the end of the taught course. The outcomes are also used to assess the contribution of the training course to CBT skills development.

To aid understanding of the CTS-R, there will be opportunities to view previous trainees' clinical sessions and feedback as part of the teaching programme, where consent has been given for this purpose.  Audio CDs of previous trainees' clinical sessions can also be borrowed from the course administrator (must be kept on site) during university hours.

 

Guidance on Recording Sessions

In CBT, it is standard practice to record therapy sessions which can be given to the client to listen to between sessions and used for supervision and reflective practice. For the purpose of assessment and supervision, with client consent, video recordings will be used to assess your clinical skills. 

You will be expected to submit recordings on Encrypted Storage Devices (ESDs) or via secure data transfer as part of the clinical assessment and bring recordings to supervision.  It is essential that you obtain the consent of your client for the recording to be used for supervision and/or assessment and submit the consent form with your recording.  The consent form also asks whether your client will be willing for the recording to be used in future training.  You should consult your work place supervisor and manager about your Workplace policies on making, transporting, storing and disposing of the recordings in line with Information Governance policies and procedures

You will formally submit four video recordings on ESDs/via secure data transfer for assessment of clinical sessions (one formative, three summative) over the year.

 

Recording Equipment

All employers should provide trainees with video recording equipment. Please ensure that the recordings are saved in a file format playable on Windows media player or VLC media player when submitting recordings.

 

Reflective summaries and self-ratings

Each of the formative and summative assessments of CBT competences via CTS-R submitted/viewed need to be accompanied by a written reflective summary on 1 or 2 themes/issues relevant to the session and a self-rating using the CTS-R.  Please see the 'reflective practice' section of the handbook for further guidance and the 'forms for download' section for the relevant paperwork to complete.

Guidance on Formative CBT Competencies Assessments via CTS-R

Within university group supervision - formative assessment of CBT competencies.

Term 1 - the focus of training in term 1 will be working with depression. Therefore, it is anticipated that you will bring a client, with a presenting problem of depression, as your closely supervised client throughout term 1 supervision. You will bring a video recording of a full therapy treatment/intervention to be observed within group supervision for formative assessment using the CTS-R and also present your CTS-R self-rating and CTS-R Reflection for formative feedback. It is anticipated that you will obtain a minimum overall mark of 30% for this work.

 

Term 2 – the focus of training in term 2 will be working with anxiety disorders. Therefore, it is anticipated that you will bring a client with a presenting problem of one of the anxiety disorders as your closely supervised client throughout term 2 supervision. You will bring a video recording of a full therapy treatment/intervention to be observed within group supervision for formative assessment using the CTS-R and also present your CTS-R self-rating and CTS-R Reflection for formative feedback. It is anticipated that you will obtain a minimum overall mark of 40% for this work.

 

Term 3 - the focus of training in term 3 will be working with complexity/co-morbidity across anxiety and depression. This does not mean that the client brought for close supervision at the university needs to be presenting with complexity/comorbidity. In Term 3, you will bring a client, presenting with a different anxiety disorder than you worked with in term 2 as your closely supervised case throughout term 3 supervision. You will bring a video recording of a section of a therapy treatment/intervention session (10 – 20 mins in length), highlighting an area for development in line with a specific CBT competency/CTS-R item (that will be linked to your supervision goals), to be observed within group supervision for formative assessment using the CTS-R. You will also present your full CTS-R self-rating and CTS-R Reflection for formative feedback. It is anticipated that you will obtain a minimum overall mark of 40% for this work.

 

End of Term 1 Formative Assessment of CBT Competency in Assessment and Formulation skills using the CTS-R.

Your video recording must be submitted by the deadline at the end of Term 1.  The recording must be clearly audible and be of a complete session.  Both therapist and client must be front facing and clearly visible. This session should demonstrate your Assessment & Formulation skills (e.g. either session 1, 2 or 3). You will also need to self-rate your CBT competencies using the CTS-R. You must submit your recording along with a completed front cover sheet which includes your own ratings and a CTS-R Reflection of the recording presented.  You should also include a copy of the formulation and consent to record form. The recording should be of work carried out with the client you have selected for your Assessment and Formulation Case Presentation. This can be on any of your 8 cases (except the 3 you will bring as closely supervised clients in Terms 1, 2 & 3 as these will be your 3 Summative CBT Competencies assessments).

 

We expect trainees to obtain a minimum CTS-R mark of 40% on the submitted formative CBT competencies assessment at the end of term 1.

 

Guidance on SUMMATIVE CBT Competencies Assessments via CTS-R

The Summative CBT Competencies Assessments (CTS-R & Reflection) must be submitted by the deadlines in term 2 (PYCM038) and term 3 (PYCM039 and PYCM040). The video recording must be clearly audible and be of a complete therapy treatment/intervention session (50 – 60mins, unless extended time agreed and in accordance with relevant NICE Guidance, e.g. PTSD and Social Anxiety Disorder). Both therapist and client must be front facing and clearly visible. Your recording must be submitted along with a completed front cover sheet which includes your own self-ratings of CBT competencies and a CTS-R Reflection of the recording presented. You should also include the formulation and completed consent to record form.

 

You MUST achieve a minimum CTS-R mark of 50% which corresponds to a raw score of 36 and above. However, you MUST also achieve a rating of at least 2 on EVERY item in order to pass. Your CTS-R Reflection must also be passed as satisfactory.

 

Depression Module (PYCM038) – you will submit a video recording demonstrating CBT competencies for depression at the end of term 2. This submission should be of a session from the treatment phase (session 3- 4 onwards) of your work with the same client that you have written up for your Depression Case Report and be the same client you have brought to University supervision during term 1 as your closely supervised client.

 

Anxiety Module (PYCM039) - you will submit a video recording demonstrating CBT competencies for anxiety at mid-term 3. This submission should be of a session from the treatment phase (session 3- 4 onwards) of your work with the same client that you have written up for your Anxiety Case Report and be the same client you have brought to University supervision during term 2 as your closely supervised client.

 

Clinical Practice Module (PYCM040) - The end of term 3 submission of a session video recording demonstrating CBT competencies should be of the client you have brought to University supervision during term 3 as your closely supervised client with a different anxiety disorder presentation than the term 2 assessment. This submission should be of a session from the treatment phase (session 3- 4 onwards) of your clinical practice.

 

Download form

Please refer to the Download Forms page.