Record of Work-based / Experiential Learning
Module Title:
Advancing the Practice and Application of
Cognitive Behavioral Therapy
Module Code:
ASP-OT-MH-M11
Candidate Name:
_______________________________
Candidate No.:
_______________________________
Program Committee:
-
Mr. Dicky Wong, Head (Institute of Advanced Allied Health Studies), HAHO
-
Dr. Serena Cheng, Department Manager, Occupational Therapy Department, Kowloon
Hospital
-
Ms. Flora Ko, Department Manager, Occupational Therapy Department, North District
Hospital
-
Mr. Maurice Wan, Department Manager, Occupational Therapy Department, United
Christian Hospital
-
Ms. Odelia Yeung, Senior Occupational Therapist, Occupational Therapy Department ,
Kwai Chung Hospital
-
Ms. Angela Tong, Training Officer (Allied Health), HOCS, HAHO
Foreword
In line with the corporate strategic direction to build up new capabilities and develop
enhanced roles of occupational therapists to meet the service needs, the Advanced
Specialty Program for Occupational Therapists in Mental Health Specialty is launched
to support the implementation of this initiative and the Allied Health Career
Progression Model.
Program Objectives
The Program is specially designed for occupational therapists to advance their
professional competency in the provision of specialized interventions to patients with
mental health conditions / problems. Upon completion of the program, participants
should be:

able to utilize critical clinical reasoning skills to enhance clinical judgment and
decision making in delivering mental health service;

capable of applying advanced knowledge and skills to different mental health
conditions;

competent in delivering highly specialized occupational therapy interventions to
patients with highly complex mental health conditions; and

proficient in improving the quality of care for patients with mental health
conditions.
The Advanced Specialty Program is a three-year program that will operate in modular
format. The notional learning hours of each module comprises three components:
−
Lecture / Theory
−
Work-based / Experiential Learning
−
Other Learning Activities
Work-based / Experiential Learning
It entails the practice of skills learned, utilization of newly acquired skills in clinical
practice and in-service training. Log book will be provided to register the category and
number of clinical cases done and countersigned by supervisor of candidate. Record
of in-service training will also be required for submission.
The calculation of work-based / experiential learning hours for each module includes
components of:
-
Hours for practicing / sharing newly acquired skills (e.g. in-service training)
-
Number of cases treated
-
Number of treatment session per case
-
Time used for each treatment session
Advanced Specialty Program for Occupational Therapists in Mental Health
Module Outline
Module Title:
Advancing the Practice and Application of Cognitive Behavioral
Therapy
Module Code:
ASP-OT-MH-M11
Date of training
9-12 November 2011 (4 days)
Time
8:30 a.m. – 5:30 p.m.
Venue
— 9-10 & 12 November 2011
— 11 November 2011
: Seminar Room M02, M/F., HAHO
: Rooms 1, 2 & 3, Main Building, Kowloon Hospital
Trainer
James A. Carter, Ph.D.
Independent Clinical and Consulting Clinical Psychologist, Specialty Behavioral Health, La
Jolla, CA.
Assistant Clinical Professor, Department of Psychiatry, University of California – San Diego
School of Medicine
Target participants
Occupational therapist with at least 5 years of working experience and of which a minimal of 3
years is in mental health conditions.
Capacity
30
Module Description
This course aims to provide knowledge and practical skill training for occupational therapists
on cognitive behavioral therapy (CBT) in primary and tertiary care treatment systems. Skill
building and experiential training will be emphasized throughout the course by interspersing
exercises to develop a therapeutic alliance with patients, assess patient needs, motivate
patients to engage in case conceptualization and treatment process, structure treatment
sessions, select appropriate interventions and assign and process patient homework
exercises.
Module Objectives
1. Educate and review on cognitive behavioral therapy model
2. Develop skills to detect and assess problems
3. Develop skills to provide cognitive behavioral therapy
Teaching Format
1. Lectures
2. Videos
3. Patient and Therapist role play exercise
4. Small group discussion and presentation
Assessment
1. In-class participation (40%)
Participants are expected to come to class as scheduled with readings and other
assignments completed. Participants are also expected to participate in activities and
discussions in class.
2. In-class written assessment (20%)
3. In-class group project (40%)
Participants are expected to conduct an actual CBT session with a patient and to present
the case formulation of the case conducted.
Contact Hours
Theory:
30
Pre-course reading and other learning activities:
30
Total:
60
Trainer
Dr. Jim Carter Ph.D., Independent Clinical and Consulting Clinical Psychologist, Specialty
Behavioral Health, La Jolla, CA.
Assistant Clinical Professor, Department of Psychiatry, University of California – San Diego
School of Medicine
Dr James A. Carter, Ph. D. is the president of the Specialty Behavioral Health, La Jolla, CA. He
has been an Independent Clinical and Consulting Psychologist in Specialty Behavioral Health
since September 2003, and the Assistant Voluntary Clinical Professor in UCSD School of
Medicine, La Jolla, CA and as Teacher for Psychiatry Residents since March 2005. He has
been an Instructional Design Consultant in Learning Designs Inc.: Auburn Hills, MI since 1995.
During September 2004 to March 2005, he was an Independent Contractor for California
Department of Corrections in R. J. Donavon Correctional Facility, Otay Mesa, CA; and Inmate
Evaluation and Placement. From July 2002 to July 2004, he was Senior Staff Psychologist in
UCSD Psychological & Counseling Services, La Jolla, CA, Insomnia Group, Optimism Group
and Individual Evaluation and Counseling. He was the Associate Director, Addiction Treatment
Services; Johns Hopkins Bayview Medical Center, Baltimore, MD; Administrative oversight of
inpatient and outpatient units; Crisis Triaging, Psycho-diagnostic Evaluation, Individual and
Group during July 2000 to July 2002. In July 2000 to 2002, he was an Instructor in Department
of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine,
Baltimore, MD for Oversight of clinical trials involving complex protocols and Co-authorship of
manuals for structured CBT group therapies. He had been a Therapist in Johns Hopkins
Bayview Physicians: Baltimore, MD during July1998 to July 2000.
He has Professional Affiliations with Motivational Interviewing Network of Trainers since 2008
and with Academy of Cognitive Therapy: Certified Affiliate since 2007 and as Licensed
Psychologist: State of California (PSY18893) from 2003. He was Licensed Clinical Psychologist:
State of Maryland (03579) during 1999 – 2003. He is a member of San Diego Psychological
Association.
His Journal Review Activity included: Reviewer: Women and Health; Reviewer: Drug and
Alcohol Dependence; Ad hoc Reviewer: Psychology of Addictive Behaviors; Reviewer: Journal
of Nervous and Mental Disease; and Ad hoc Reviewer: Journal of Studies on Alcohol
References
King V.L., Stoller K.B., Hayes M., Umbricht A., Curran M., Kidorf M.S., Carter J.A., Schwartz R.,
Brooner R.K. (2002). A multi-center randomized evaluation of methadone medical maintenance.
Drug and Alcohol Dependence, 65, 137-148.
King, V.L., Kidorf, M.S., Stoller, K.B., Carter, J.A., Brooner, R.K. (2001). Influence of antisocial
personality subtypes on drug abuse treatment response. Journal of Nervous and Mental
Disease, 189, 593-601.
Carter, J.A., Herbst, J.H., Stoller, K.B., King, V.L., Kidorf, M.L., Costa, P.T., Jr., Brooner, R.K.
(2001). Short-term stability of NEO-PI-R personality trait scores in opioid dependent outpatients.
Psychology of Addictive Behaviors, 15, 255-260.
Corbin, W.R., McNair, L.D., & Carter, J.A.. (2001). Evaluation of a treatment-appropriate
cognitive intervention for challenging alcohol outcome expectancies. Addictive Behaviors, 26,
475-488.
Carter, J.A., King, V.L., Kidorf, M.L., Stoller, K.B., Brooner, R.K. (2000). Effects of Behaviorally
Contingent Pharmacotherapy on treatment outcomes of opioid dependent outpatients.
Proceedings from sixty-second annual scientific meeting of College on Problems of Drug
Dependence. San Juan, Puerto Rico.
Stoller, K.B, Carter, J.A., King, V.L., Kidorf, M.L., Brooner, R.K. (2000). Behaviorally Contingent
Pharmacotherapy in the treatment of opioid dependent outpatients on LAAM. Proceedings from
sixty-second annual scientific meeting of College on Problems of Drug Dependence. San Juan,
Puerto Rico.
Carter, J. A., McNair, L. D., Corbin, W. R. & Williams, M. (1999). Gender differences related to
heterosexual condom use: The influence of negotiation styles. Journal of Sex and Marital
Therapy, 25, 217-225.
Carter, J. A., McNair, L. D., Corbin, W. R., & Black, D. H. (1998). Effects of priming positive and
negative outcomes on drinking responses. Experimental and Clinical Psychopharmacology, 6,
399-405.
Corbin, W. R., McNair, L. D., & Carter, J. A. (1996). Self-esteem differences among problem
drinking males and females. Journal of Alcohol and Drug Education, 42, 1-14.
Carter, J. (2009). Cocaine Vaccine Shows Promise. Specialty Behavioral Health Newsletter.
Mar., www.shb-sd.com/category/selfhelp.com.
9
Carter, J. (2007). A Cognitive Approach to Combatting Procrastination. Specialty Behavioral
Health Newsletter. Feb., www.shb-sd.com/category/selfhelp.com.
Carter, J. (2006). Cognitive Therapy Helps Cope with Accepting Criticism. Specialty Behavioral
Health Newsletter. Sep., www.shb-sd.com/category/selfhelp.com.
Carter, J. (2006). What is “Ecstasy” (MDMA) and What Are the Risks? Specialty Behavioral
Health Newsletter. Sep., www.shb-sd.com/category/selfhelp.com.
Carter, J. (2004). Day Light Saving Time Change Affects Your Mood and Sleep. Specialty
Behavioral Health Newsletter. Jul., www.shb-sd.com/category/selfhelp.com.
Book list
Cognitive Therapy: Basics and Beyond by Judith Beck
Anxiety Disorders and Phobias: A Cognitive Perspective by Beck and Emery
Mind Over Mood:Change How You Feel by Changing the Way you Think by Greenberger and
Padesky
Clinical Handbook of Psychological Disorders, Fourth Edition: A Step by Step Treatment Manual
by Barlow
10
Details of notional learning hours:
Module Title
(Code)
Course
Commencement
Date
Lecture
Hours
Work-based /
Experiential
Learning Hours
Other Learning
Activities Hours
Notional
Learning Hours
Advancing the Practice and
Application of CBT
9-12
November
2011
30
90
30
150
(ASP-OT-MH-M11)
Details of Work-based / Experiential Learning hours:
Module Title
(Code)
Hours for
Practicing
Newly
Acquired
Skills
No. of
Cases
Treated
No. of
Treatment
Session
per Case
Time for
each
Treatment
Session
(hour)
Total
Clinical
Learning
Hours
(a)
(b)
(c)
(d)
(e) = (b.c.d)
10-30
At least
8
At least
3
Around 1
60-80
Work-based /
Experiential
Learning
Hours
(f)=(a+e)
Advancing the Practice and
Application of CBT
90
(ASP-OT-MH-M11)

Work-based/Experiential Learning Hours can be of any combination of activities from
“Practicing Newly Acquired Skills (a)” and “Total Clinical Learning Hours (e)”, accumulating to
no less than 90 hours in total.
11
Record of Work-based / Experiential Learning Hours
Objectives:
This record serves as a partial fulfillment for the completion of each of the
corresponding module of the Advanced Specialty Training for Occupational Therapists
in Mental Health, For this particular module it is also hoped that the candidate is able to
reflect what they have learned in the lecture and / or workshop and how they apply this
CBT concept in the mental health services of our clients.
This module requires a record of “hours of practicing newly acquired skills” and the
intervention details of the patients treated by the participants.
For record of hours for practicing / sharing newly acquired skills, please use the
attached Templates 1 – 6 of this logbook. Participants are required to submit the
records to the Allied Health Grade Department, HAHO via their OT Department incharge within 9 months after the completion of the training, i.e. on or before 12 August
2012.
1. Patient treatment using CBT Criteria
Number of patient treated
1.2
: at least 8
Number of treatment session per patient
: at least 3
Duration of each treatment session
: around 1 hour
Duration
60-80 hours. (i.e. at least 8 patients x at least 3 sessions x around 1 hour)
1.3
Record
1.3.1 History and treatment, using Template 2 : for 3 patients treated
1.3.2 Experience log, using Template 3: for at least another 5 patients treated
2. Practice of newly acquired skills
2.1
Recognized activities in using CBT
Either any combinations or just one of the following activities:
2.2
2.1.1
Peer group case study or case consultation or case formulation
2.1.2
Case/ Knowledge sharing in in-service training sessions
2.1.3
Training-related service development work / project
Duration
10-30 hours
2.3
Record
Records of the activities done can be made through Templates 4 – 6.
12
Template 1: Record of the Duration of Work-based Experiential Learning Activities
Activities
1.
Hours
Patient treatment using CBT (refer to Templates 2 and 3) :
1.1
Patient 1
1.2
Patient 2
1.3
Patient 3
1.4
Patient 4
1.5
Patient 5
1.6
Patient 6
1.7
Patient 7
1.8
Patient 8
Sub-total hours of “patient treatment” (should be 60-80 hours)
2.
Practice of newly acquired skills (refer to Templates 4, 5 and 6):
2.1
Peer group case study / case consultation / case formulation
2.2
Case/ Knowledge sharing in in-service training sessions
2.3
Training-related service development work / project
Sub-total hours of “practice of newly acquired skill” (should be 10-30 hours)
Total hours of “Work-based / Experiential Learning Activities” (at least 90 hours)
13
Template 2: Record of Patient Treatment - History and Treatment
(Please insert more pages as needed)
Patient No.
1
Treatment Session
Session No.
(minimum 3 sessions)
Duration (Hours)
(around 1 hour /session)
Date
Total
Identifying
Information
Treatment began on (date)
Treatment ended on (date)
Sex :
Age :
History
Status : ( ) In / Day / Out-patient ; ( ) Community
Presenting
Problems/
Assessment
Summary
Diagnostic
Impression
Precipitants
Cognitions and
Behaviours
Case Formulation
Current
CrossSectional
View
Longitudinal
View
Strengths and
Assets
Treatment Course
Treatment
Plan
Summary of
Conceptualization
Problem List
Treatment Goals
Treatment Plan
Obstacles
Outcome
14
Patient No.
2
Treatment Session
Session No.
(minimum 3 sessions)
Duration (Hours)
(around 1 hour /session)
Date
Total
Treatment began on (date)
Treatment ended on (date)
Identifying
Information
Sex :
Age :
Status : ( ) In / Day / Out-patient ; ( ) Community
History
Presenting
Problems/
Assessment
Summary
Diagnostic
Impression
Case Formulation
Cognitions and
Behaviours
Precipitants
Current
CrossSectional
View
Longitudinal
View
Strengths and
Assets
Summary of
Conceptualization
Treatment
Course
Treatment Plan
Problem List
Treatment Goals
Treatment Plan
Obstacles
Outcome
15
Patient No.
3
Treatment Session
Session No.
(minimum 3 sessions)
Duration (Hours)
(around 1 hour /session)
Date
Total
Treatment began on (date)
Treatment ended on (date)
Identifying
Information
Sex :
Age :
History
Status : ( ) In / Day / Out-patient ; ( ) Community
Presenting
Problems/
Assessment
Summary
Diagnostic
Impression
Cognitions and
Behaviours
Case Formulation
Precipitants
Current
CrossSectional
View
Longitudinal
View
Strengths and
Assets
Summary of
Conceptualization
Treatment Plan
Problem List
Treatment Goals
Treatment Plan
Treatment
Course
Obstacles
Outcome
16
Template 3: Record of Patient Treatment - Experience Log
Patient
CBT
Diagnosis
Initials
No.
Total No. of
Sex / Age
Date Began
Date Ended
Sessions
(e.g. Chan TM)
4
/
5
/
6
/
7
/
8
/
17
Template 4: Record of Peer Group Case Study / Case Consultation / Case Formulation
(Please insert more pages as needed.)
Case No.
Treatment Session
Session No.
Date
Total
Identifying
Information
Sex :
Age :
History
Status : ( ) In / Day / Out-patient ; ( ) Community
Presenting
Problems/
Assessment
Summary
Diagnostic
Impression
Precipitants
Cognitions and
Behaviours
Case Formulation
Current
CrossSectional
View
Longitudinal
View
Strengths and
Assets
Summary of
Conceptualization
Treatment
Plan
Problem List
Treatment Goals
Treatment Plan
Treatment
Course
Obstacles
Outcome
18
Template 5: Record of Case/ Knowledge Sharing in “In-service Training Session”
(Please insert more pages as needed.)
Date
Venue
Hospital
Duration
( ) hours
No. of Participants
Knowledge /
Case Sharing
Outline
Template 6: Record of the “Training-related Service Development Work / Project”
Work / project title
Work
Involved
Brief description
Output
Individual work
Group work
Total = (
) hours
Date of
Meeting
Venue
No. of
Participants
Total hours (Individual work + group work)
19
Hours
Thank you for participating in this module (ASP-OT-MH-M11) of the Advanced Specialty
Program for Occupational Therapists in Mental Health.
Please submit this case logbook to the Allied Health Grade Department via your OT Department
i/c within 9 months after the completion of the training, i.e. on or before 12 August 2012:
−
send the original hard copy of this logbook to Miss Kit LO, HOCS, O(AH) at the address of
“Room 106N, Hospital Authority Head Office, 147B Argyle Street, Kowloon” ;
−
write “Logbook submission of Advanced Specialty Program for Occupational Therapists in
Mental Health (ASP-OT-MH-M11)” on the envelope ; and
−
keep a photocopy of this logbook before submission.
If participant would like to submit the soft copy, please send the soft copy and the scanned
signature page to Ms Kit Lo (intranet address: Kit LO, HOCS O(AH)).
Countersigned by Occupational Therapy Department i/c:
Signature:
Name:
Hospital:
Cluster:
Telephone:
Date:
20