ACTP-76 Assessment of capabilities Type: Transitional program Profession: Psychology The purpose of this form is for the supervisor to confirm to the Psychology Board of Australia (the Board) that the provisional psychologist has met the requirements of the Board's transitional program for overseas trained applicants. This form is to be completed by the supervisor when he or she is satisfied that the provisional psychologist has successfully completed the Transitional Program and demonstrated capabilities in ethical legal and professional matters and cross-cultural studies relevant to an Australian context as required for general registration. The provisional psychologist must have undertaken the transitional program over a minimum of 3 continuous calendar months/12 continuous weeks and must include a minimum of 17.5 hours of psychological practice per week and a minimum of one hour of supervision per fortnight. This completed assessment form should be included with an Application for general registration as a psychologist - AGEN-76. Provisional psychologist's details Name Registration number P S Y Supervisor's details Name Registration number P S Y Approved workplace(s) SECTION A: Reporting of hours What are the start and finish dates of the transitional program? Has the supervisee undertaken at least 17.5 hours of psychological practice per week during the transitional period? How many hours of supervised practice has the supervisee completed? Has the supervisee received at least one hour of direct individual supervision per fortnight? How many hours of direct individual supervision has the supervisee received? Effective from: 2 May 2016 Start date Finish date Yes No Total hours Yes No Total hours Page 1 of 4 ACTP-76 SECTION B: Direct observation Number of direct observations by supervisor of supervisee’s training in psychological assessment and diagnosis (minimum 2 sessions) Total observed sessions Number of direct observations by supervisor of supervisee’s training in intervention strategies (minimum 2 sessions) Total observed sessions The hours reported are a true and accurate reflection of the hours completed during the transitional program. Principal supervisor signature Date SECTION C: Reporting on capabilities Ethical, legal and professional matters The training objectives for this capability centre on the provisional psychologist’s knowledge of ethical, legal and professional issues and their application to psychological practice in Australia. Knowledge of the provisional psychologist’s practice The provisional psychologist has demonstrated to me a satisfactory level of knowledge and competence in the following training objectives relevant to the Australian context: Training objectives - ethical Supervisor’s initial if competency demonstrated Detailed knowledge of the Board-endorsed Code of Ethics Confidentiality and privacy issues Consent issues (including minors and those unable to provide informed consent) Sexual propriety Boundary issues Psycho-legal issues (e.g. disclosure of information; rights of clients to their files) Training objectives - legal matters The provisional psychologist has knowledge of the main provisions and is aware of when to consult relevant legislation as it pertains to a psychologist’s work in the following areas: Supervisor’s initial if competency demonstrated Health Practitioner Regulation National Law, as in force in each state or territory Freedom of information Mental health Workers compensation Disability services Effective from: 2 May 2016 Page 2 of 4 ACTP-76 Training objectives - legal matters The provisional psychologist has knowledge of the main provisions and is aware of when to consult relevant legislation as it pertains to a psychologist’s work in the following areas: Supervisor’s initial if competency demonstrated Guardianship Privacy Health records Equal opportunity Victims of crime Children and adolescents Mandatory reporting Ethical human research Training objectives - professional matters Supervisor’s initial if competency demonstrated Personal presentation Role of the psychologist within the profession and the workplace Roles of other professions and capacity to report to other professionals appropriately and work collaboratively Propriety of relationships amongst psychologists, and between psychologists and other professionals, employers and clients Mechanisms for the resolution of conflict between psychologists and clients, colleagues, employers and other professionals Working effectively at an appropriate level of autonomy, with awareness of the limits of one’s own competence, and accepting accountability to relevant professional and service managers Managing own personal learning needs and developing strategies to meet these Using supervision to reflect on practice and making appropriate use of feedback received Developing self-reflection or self-assessment skills Developing strategies to manage the emotional and physical impact of psychological practice and seeking appropriate support when necessary, with good awareness of boundary issues Understanding the impact of difference and diversity and implications for working practices Gender, sexuality and cultural issues Service needs of vulnerable groups in society Effective from: 2 May 2016 Page 3 of 4 ACTP-76 Supervisor’s initial Training objectives - professional matters if competency demonstrated Registration issues, i.e. requirement for maintaining and notifying Advertising and public statements Administrative and record keeping procedures (including adequate clarification of any financial arrangements, including billing) Note-taking Negotiated work place agreements Working within a cross-cultural context / working with people from diverse groups The training objectives for this capability centre on the provisional psychologist’s ability to work effectively within a cross-cultural context. Knowledge of the provisional psychologist’s practice The provisional psychologist has demonstrated to me a satisfactory level of knowledge and competence in the following training objectives: Supervisor’s initial Training objectives if competency demonstrated Demonstrated awareness of their own cultural background and any resulting bias or skewed perception of client experience Demonstrated ability to acquire relevant knowledge of client’s cultural background Demonstrated the skills and special abilities required to assess and intervene with culturally different clients in an effective and culturally-relevant matter SECTION D: Supervisor's signature and statement Based on my knowledge of the provisional psychologist’s practice through direct observation of their practice and discussion in supervision sessions, I am satisfied that the provisional psychologist has met the training objectives and acquired proficiency to a level where they are able to practice independently, competently and ethically as a psychologist in Australia. Principal supervisor signature Effective from: 2 May 2016 Date Page 4 of 4