EMDR CLINICAL SUPERVISOR/ CONSULTANT REFERENCE

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EMDR EUROPE ACCREDITED CLINICAL SUPERVISOR/ CONSULTANT
COMPETENCY BASED FRAMEWORK
EMDR EUROPE PRACTICE SUB-COMMITTEE – DECEMBER 2009 (RATIFIED VERSION)
APPLICATION FORM TO BE COMPLETED IN MICROSOFT WORD (OR EQUIVALENT),
PRINTED OUT, SIGNED WHERE APPROPRIATE, SCANNED, AND SENT AS EMAIL
ATTACHMENT TO:
EMDR Association UK & Ireland
info@emdrassociation.org.uk
PLEASE NOTE THAT ONLY ELECTRONICALLY COMPLETED DOCUMENTATION WILL BE CONSIDERED. IN ORDER FOR YOUR APPLICATION TO BE
CONSIDERED THOROUGHLY, PLEASE ENSURE THAT ALL NECESSARY INFORMATION IS PROVIDED.
THANK YOU.
ALISON RUSSELL - CHAIR EMDR UK & IRELAND ACCREDITATION COMMITTEE
EMDR Europe Clinical Supervisor/ Consultant Evidence Checklist
Part A: EMDR Europe Minimum Requirements
Part B: EMDR Clinical Practice
Part C: EMDR Supervision and Teaching Skills & EMDR Consultation of Consultation (20 Hours)
Applicant’s Details
Name:
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Address 1:
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Address 2:
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Address 3:
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Mobile Tel:
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Email:
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Name of EMDR Europe Accredited Clinical Supervisor/ Consultant/Trainer supporting this application:
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EMDR Europe Clinical Supervisor/ Consultant’s email address:
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EMDR Europe Practice Sub-Committee Ratified Version December 2009/updated 06012015
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EMDR Europe Clinical Supervisor/ Consultant Evidence Checklist
PART A: EMDR EUROPE MINIMUM REQUIREMENTS
TICK BOXES IN RIGHT COLUMN TO CONFIRM
1. The applicant is a member of the appropriate EMDR National Association.
2. To your knowledge the Applicant adheres to the Professional and Ethical Standards as
defined by both the applicant’s professional registration body and the EMDR National
Association, and consistently promotes integrity in the science, teaching and clinical
practice of psychotherapy and in particular that of EMDR.
3. That the applicant is engaged in a minimum of 16 hours per week working as a clinical
psychotherapist (including supervising).
4. As a Clinical Supervisor/Consultant you have seen copies of the applicant’s professional
registration certificates, and where necessary evidence of their indemnity insurance.
5. The applicant has been working as accredited EMDR Europe Practitioner for at least
three years.
6. The applicant has treated a broad range of clients of varying diagnoses and complexity.
7. The applicant has conducted a minimum of 300 EMDR sessions since becoming an
EMDR Europe Accredited Practitioner.
8. The applicant has treated a minimum of 75 clients using EMDR since becoming an
EMDR Europe Accredited Practitioner.
9. The applicant has demonstrated competency in both their provision of clinical
supervision/ consultation and their clinical work, and has engaged in a minimum of 20
hours clinical supervision/ consultant with an EMDR Europe Accredited Consultant.
10. You have seen the second reference in support of the applicant’s application.
11. You have seen the Certificate of Competency from the EMDR Europe Consultants
training, and had feedback from a Consultant Trainer regarding the applicant.
12. You can confirm that since becoming an EMDR Europe Accredited Practitioner the
applicant has undertaken a minimum of 24 hours EMDR-related Continuing
Professional Development (CPD) and is aware of current EMDR research.
13. You can confirm that you have witnessed a minimum of three DVDs, or in-vivo
sessions, of the applicant’s professional practice, of which one must be clinical, the
second showing the provision of individual EMDR clinical supervision, and the third
showing the provision of Group EMDR clinical supervision. (Minimum of 6 hours to
meet the standard).
EMDR Europe Practice Sub-Committee Ratified Version December 2009/updated 06012015
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RECORD OF CLINICAL CONTACTS
[Form to be used for both EMDR Europe Practitioners and Consultants]
CLIENT'S
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EMDR Europe Practice Sub-Committee Ratified Version December 2009/updated 06012015
DATE FIRST
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SETTING WHERE
SESSIONS TREATMENT TOOK PLACE
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CLIENT'S
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EMDR Europe Practice Sub-Committee Ratified Version December 2009/updated 06012015
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CLIENT'S
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PRESENTING PROBLEM
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EMDR Europe Practice Sub-Committee Ratified Version December 2009/updated 06012015
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CLIENT'S
NUMBER &
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PRESENTING PROBLEM
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CLIENT'S
NUMBER &
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PRESENTING PROBLEM
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EMDR Europe Practice Sub-Committee Ratified Version December 2009/updated 06012015
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SESSIONS TREATMENT TOOK PLACE
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CLIENT'S
NUMBER &
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PRESENTING PROBLEM
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Totals
Clients Seen:
Name and Signature of EMDR Europe Clinical
Supervisor
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EMDR Europe Practice Sub-Committee Ratified Version December 2009/updated 06012015
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Name and Signature of Applicant
Date
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text.
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PART B: EMDR CLINICAL PRACTICE
EMDR CLINICAL SUPERVISOR/ CONSULTANT ACCREDITATION REFERENCE
GUIDELINE AND CHECKLIST
EMDR CLINICAL SUPERVISOR/ CONSULTANT COMMENTS
PLEASE PROVIDE DETAILED COMMENTS IN SUPPORT OF
EACH COMPETENCY
PART A:
Section A:
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Standard EMDR protocol and procedure
1. History Taking – Past, Present & Future,
AIP Case conceptualisation, target
sequencing plan
2. Preparation
3. Assessment
o Image
o Negative cognition
o Positive cognition
o Validity of Cognition (VoC)
o Emotions
o SUD
o Body location
4. Processing (Desensitisation)
i. Strategies for blocked
processing/ Acceleration/
Deceleration
ii. Blocking Beliefs
iii. Cognitive Interweaves
5. Installation of positive cognition
6. Body scan
7. Closing techniques
o Complete session
o Incomplete session
8. Re-evaluation
Section B:
Evidence of knowledge and experience of scripted
protocols for specified populations and knowledge of
research:
1. EMDR, Dissociation and Complex Post
Traumatic Stress Disorder (C-PTSD)
2. EMDR with Phobias
3. EMDR and Clients with addictive
behaviours
4. EMDR and Clients with Pain
5. EMDR Protocols for acute trauma
(Recent Events Protocol)
6. EMDR & Traumatic Bereavement, Grief
& Mourning
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EMDR Europe Practice Sub-Committee Ratified Version December 2009/updated 06012015
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PART C: SUPERVISING AND TEACHING SKILLS & CONSULTATION OF CONSULTATION (20 HOURS)
EMDR CLINICAL SUPERVISOR/ CONSULTANT ACCREDITATION
REFERENCE GUIDELINE AND CHECKLIST
EMDR CLINICAL SUPERVISOR/ CONSULTANT COMMENTS
PLEASE PROVIDE DETAILED COMMENTS IN SUPPORT OF EACH
COMPETENCY
Basic approach and attitude towards supervisees, duties
and responsibilities:
 Development of a co-operative clinical
supervision alliance with supervisees
 Demonstration of a high level of professional
attitude and competence
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Rapport-building with supervisees
 Create a safe atmosphere within clinical
supervision
 Providing adequate and constructive feedback to
supervisees
 Developing an effective attunement and
adequate coaching style
Ability to transfer of knowledge effectively
 Psychotraumatology
Focuses in supervision on following issues:
 Practice of the Standard EMDR Protocol
 Correct application of the protocol
 Acknowledge recognition of other approaches,
treatment plans and interventions
 Demonstrate an ability to answer supervisees’
questions effectively, considering the following:
a. Explore and clarify the question
b. Answer from a theoretical background
c. Answer on a practical level
d. Give specific hints and suggestions for
specific case
e. Teach about differential diagnosis and /
or alternative treatments
Identify and effectively manage group processes
EMDR Europe Practice Sub-Committee
December 2009
EMDR Europe Practice Sub-Committee Ratified Version December 2009/updated 06012015
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EMDR Clinical Supervisor/Consultant Signature:
Please print name:
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Date Click here to enter text.
Applicant’s Signature:
Date Click here to enter text.
Second Reference in Support of an Application for EMDR Europe Accreditation
This reference forms part of the application process for accreditation as an EMDR Europe Clinical Supervisor/
Consultant
I support this application for EMDR Europe Accreditation as an EMDR Europe Clinical Supervisor/ Consultant
for:
Name of Applicant:
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I know the applicant from the following context:
Head of Service/ Clinical Manager
Professional Colleague
Academic Colleague
Clinical Supervision Group member
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I can confirm the applicant’s experience in the practice of EMDR, and that the applicant’s professional practice is in
accordance with the ethical guidelines of their respective professional organisation.
Please print name: Click here to enter text.
Signature:
Date:
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EMDR Europe Practice Sub-Committee Ratified Version December 2009/updated 06012015
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