PART I
Placement logbook
Name: ……………………………………………………………………………….
Supervisor’s name:…………………………………………………………………..
Type of placement:…………………………………………………………………..
Address of placement:……………………………………………………………….
……………………………………………………………………………………….
Official Start Date
Actual Start Date (due to leave)
Official End Date
Actual End Date (due to leave)
Number of days Annual Leave
Please note that 8 days annual leave is
from Placement
allocated per placement; any other
arrangements need to be discussed with the
clinical coordinator
Number of days taken as sick
You need to have informed your Clinical
leave:
Coordinator, Coordination Secretary, and HSE
Psychology Dept.
Number of days on placement
Please note that this includes time for small
scale research project on first placement
Signature of psychologist in clinical training:…………………. ……………..
Date: …………..
Supervisor’s signature:……………………………………………Date: …………….
Individual Supervision
Number of formal,
Please note that for first years a formal session is
scheduled sessions with
two hours; for second and third years it is at least
supervisor
one hour
Average total contact
Minimum is three hours contact time per week
time with supervisor per
for all years (including formal supervision above).
week
Please see ‘Guidelines to completion of logbook’,
attached, before you complete this section.
Please give a description
of the nature of this
contact in a typical week
Other Supervision
Type of Supervision
Number of Sessions
Number of Attendees
Group supervision
Peer supervision
Observation Opportunities
Please outline the activity (e.g., clinical interview), number of opportunities, and methods of
observation used (e.g. live, video tape, audiotape) in the boxes below:
Assessment
Intervention/Therapy
Other
Trainee observing
supervisor
Supervisor
observing trainee
Summary Tables
(a) clients
No. of
clients
Age range
Male/female
Assessments/
ratio
approaches used
Direct involvement
with individuals/
couples for
assessment only
Direct involvement
with individuals/
couples for
assessment and
intervention
Work with families
Work with care
n/a
staff
Consultation
n/a
(b) DNAs
Client
No of
Reasons for
How managed
A/B/C, etc
DNAs
DNA, if known
the DNA
Outcome
(c) Groupwork
Function of
group
Model used
Role of
psychologist
Open/closed
group
No of clients
No of
(if varied
sessions
in clinical
number, give
training
range)
(d) Older adult requirement
Please indicate if PSI requirements re older adult experience is met, and give details.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
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List of assessment tools
TEST
Client initials
Age
Sex
Log of Clinical Experience – Client contact
Please indicate in the second column whether the work was independent (mark with ‘I’) or joint (J). If joint work, please note if other
psychologists/ disciplines are involved. Where observed by supervisor, please mark with ‘O’.
Date
Role
I/J/O
Client
A/B/C
etc.
Gender/
age
Identified
difficulty
Assessment
Type of
intervention/
Management
(Inc. non-face to
face contact)
No. of
sessions
Outcome
Supervisor
Log of Clinical Experience – Contact with families
Please indicate in the second column whether the work was independent (mark with ‘I’) or joint (J). If joint work, please note if other
psychologists/ disciplines were involved. Where observed by supervisor, please mark with ‘O’. Also, if a family referred to here is related to
a client mentioned in the previous table, please indicate by giving the client reference in brackets eg family A (C).
Date
Role
Family
Identified
I/J/O
A/B/C etc
difficulty
Assessment
Intervention/
No. of
Management
sessions
(incl. non-face to
face contact)
Outcome
Supervisor
Log of Clinical Experience – Groupwork
Please indicate in the second column whether the work was independent (mark with ‘I’) or joint (J). If joint work, please note the
discipline/s of the other clinician/s. Where observed by supervisor, please mark with ‘O’.
Date
Role
Open or
Gender/
No of clients
Identified
(from
I/J/O
closed
age
attending
difficulty
–to)
group?
Assessment
Intervention
No. of
sessions
Supervisor
Log of Clinical Experience – Other Activities*
Date
Activity
Time involved
Role
Disciplines involved (if relevant)
* This may include written administration (eg. reports, letters), telephone calls, liaison, reading, preparatory work, meetings, consultations,
journal clubs, research relevant to clinical work (eg literature reviews, policy development), etc. It may be more practical to summarise this.
For example, rather than giving separate accounts of admin time, it may be that over the course of placement a prescribed number of hours
were set aside for admin. This may be summarized in one row in this table.
Service User and Carer Involvement
Please give an account of your experience of service user/carer involvement on this
placement. This may be at the level of individual care planning (eg., incorporating advocacy
and support for clients across aspects of their care), at the level of community and service
delivery (eg., establishing how service users can give feedback, or service research on
service user/carer involvement) and/or at the level of national strategic policy development
(eg. familiarization with national policy, visiting national service user/carer groups).
Small scale research
You can take 20 half-days, or equivalent, in total over placement one to complete your
small-scale research. If this is relevant, please note here the dates and times taken from this
placement for the purpose of small scale research.
Supervisor’s signature:…………………………………………………………………….