Portfolio submission for applicants applying for test user qualifications in forensic testing contexts Route 2 applicants only Name:_____XXXXXXX_____ BPS Membership number:______XXXXXXX__________ Ref# Module Title Category Module contents Evidence of how you have applied the standards Module Set: 4C 107 Introduction to testing: Forensic Psychological This module introduces the Knowledge different types of test and other assessments used in forensic contexts, considers the role of testing in the broader assessment processes and issues in the administration of tests under different levels of supervision. DClinPsy teaching (Institute of Psychiatry, KCL) including specific components on both test use in clinical contexts and specific forensic teaching Supervised practice of test use within forensic placement as Trainee Clinical Psychologist under supervision of Prof. XXX Supervised practice of test use within specialist neuropsychology placement at XXXX Hospital under supervision of Prof XXXX, Neuropsychologist 5 years of continued practice as qualified clinical psychologist in forensic (medium secure) context, including supervision from experienced test users Self-directed reading in test use to answer clinically relevant questions, e.g. malingering 108 Administering tests to one or more candidates, part 1: Forensic Practitioner Skill This module covers practical skills in preparing a face-to-face test administration session, administering and scoring tests. Covered within DClinPsy teaching and supervision – e.g. being “passed out” on the WAIS assessment; specialist neuropsychology clinical placement; Conducted numerous assessments clinically using a range of neuropsychological, personality, and other clinical tests. 109 Administering tests to one or more candidates, part 2: Forensic Practitioner Skill This practical module covers the skills of developing rapport with test takers and conducting the test session and scoring in accordance with test guidelines. See 108 110 Maintaining security and confidentiality of the test materials and the test data: Forensic Practitioner Skill This module covers the ethical use of tests and test data including storage, confidentiality and compliance with relevant legislation. Covered within DClinPsy teaching; ongoing adherence to internal confidentiality procedures and national NHS IG procedures; advice and support given to importance of security of test materials (e.g. saved within ‘break-glass’ system) in Trust’s development of an electronic patient record system (consulting BPS guidelines); ensuring all tests are safely and securely stored – only accessible to psychologists; taking responsibility for ordering test materials within the department; ensuring supervision of newly qualified/trainee status staff is adequate and appropriate procedures are in place to ensure clinical safety; written reports where the level of test data expressed is modulated to the relevant context (e.g. in malingering assessments) certificate_284378.p df Ref# Module Title Category Module contents Evidence of how you have applied the standards Module Set: 5I 218 Ability and Aptitude Psychological Knowledge This module introduces the main models of intelligence that underpin tests of ability and aptitude, how test scores may interact with background and environmental factors and the impact of this, and alternative types of tests or assessments that may be used in occupational settings. Detailed teaching on intelligence testing methods and specific tests such as the WAIS; administration of multiple assessments of the WAIS (including WAIS-R and WAIS-III) and abbreviated tools such as the WASI across a wide range of contexts (e.g. on clinical training – national specialist autism child service; learning disability service; specialist adult neuropsychology service; medium secure forensic placement) and development of skills in interpretation (e.g. understanding when V-P discrepancy means a FSIQ is not consistent; reporting on the effects of medication/other environmental factors; reporting on the effects of fatigue, sensory impairment, etc); administration of the WAIS (WAIS-R, WAIS-III and WAIS-IV) within medium secure forensic settings as a clinical psychologist; administration of the RPM (Raven’s Progressive Matrices) where appropriate to non-English speaking clients. The applicant attached an anonymised Cognitive Assessment Report 219 Personality, Personality Disorder and Assessment Psychological Knowledge This module provides an overview of theories of personality, personality disorder and psychopathy. It explores issues of stability in personality over time and how background and environmental factors may affect the development and expression of personality. It covers the main issues in the assessment of personality, personality disorder and psychopathy, exploring different methodologies, the variety of measures available, how different approaches deal with bias and the issue of openness/honesty, and the impact of the ‘labels’ of PD and psychopathy. Detailed teaching on clinical models of personality disorder through DClinPsy teaching; assessment of personality disorder on forensic placement as a trainee clinical psychologist and as a qualified clinical psychologist; specialist training in PCL-R assessment and additionally CAPP (Comprehensive Assessment of Psychopathic Personality) including completion of cases under supervision; specialist training in other assessment measures such as the IPDE (International Personality Disorder Examination); attendance at training in the DSM-5 and self-directed reading around the new hybrid dimensionalcategorical model of PD; clinical application of all the above scales and additionally self report instruments including the MCMI-III, the PNI (Pincus Narcissism Inventory), the DIN (Diagnostic Interview for Narcissism) and use of these tools within a comprehensive assessment and individual formulation based approached; assessment of a wide range of clinical personality presentations including narcissistic, histrionic, schizoid, paranoid, schizotypal and obsessivecompulsive personality disorders; teaching DClinPsy students about personality disorder and introduction to assessment in a forensic context. See relevant training certificates and anonymised exemplar reports. 2014 1st + 2nd May CAPP Comprehensive.pdf DSM-5 conference-June 2013.pdf Journal Club - 1st July 2013.pdf (PCL-R training completed in 2009 by XXXXX at Institute of Psychiatry; certificate not available) The applicant attached an anonymised IPDE and PCLR Psychology Assessment Report The applicant attached an anonymised Psychology Assessment, encompassing mental health, actuarial risk and sex offending 220 Mental Health Assessment Psychological Knowledge This module provides an overview of the theories and models of mental health functioning and difficulties that are relevant for forensic practitioners. It considers the ways in which mental health difficulties are assessed, the strengths and weaknesses of each approach, when mental health assessments are/should be made, and how they are used in forensic contexts. Hopefully demonstrated through successful completion of DClinPsy training and subsequent experience in this area. 2012 June 28th Aspergers Assessment.pdf Summer School Certificate 2013.pdf The applicant attached an anonymised Psychology Assessment, encompassing mental health, actuarial risk and sex offending 221 Risk Assessment Psychological Knowledge This module provides an overview of the different approaches to risk assessment including clinical, actuarial, structured professional judgement approaches and measures such as OASyS, LSIR. It explores the strengths and weaknesses of each approach and the most appropriate uses of each approach. It also considers the relationship between psychopathy and risk, how assessments of psychopathy can add to risk assessments, and when psychopathy should be assessed. Completed specific training in the HCR-20 (version 2) and the HCR-20 (version 3). Significant experience in completion of HCR-20 reports in a forensic context. Involvement in systemic (unit wide) approach to completion of HCR-20s and contribution to policy development. Teaching of HCR-20 assessment to: DClinPsy trainees; nursing staff and other clinical staff; psychology staff outside a forensic context needing to develop some forensic assessment skills. Teaching includes significant information on differences between clinical/actuarial/SPJ approaches, history of the above, and current evidence base (i.e. SPJ approaches). Assessments of psychopathy and personality disorder more generally completed as appropriate and included within the risk assessment, particularly where relevant to part of overall risk formulation. Completed training in the RSVP and use of within forensic settings; used the assessment within forensic medium secure and forensic learning disability contexts. Completed specific fire setting risk assessments e.g. NFRA See training certificates. See anonymised report. 2012 January 30th+31st - HCR V3.pdf Clinical skills 12-10-11 - feedback from teaching.pdf Risk assessment 15 5 12.pdf Teaching Confirmation Risk Management.pdf Clinical Skills Teaching Confirmation Risk Assessment and Manag The applicant attached an anonymised HCR-20 (Version 3) Violence Risk Assessment Report The applicant attached an anonymised RSVP (Risk of Sexual Violence Protocol) Risk Assessment Report Module Set 5J: 206 207 The basic principles of scaling and standardisation Psychometrics This module covers the fundamental statistical principles used to describe and interpret test scores, different types of test scores and how these can be applied. Basic principles of norm-referenced Psychometrics This module introduces the different ways in which test scores can be interpreted Undergraduate psychology degree (BA Experimental Psychology; University of Oxford) included a significant taught component on test score approaches and methodology. This was covered again within the DClinPsy qualification. Undergraduate psychology degree (BA Experimental Psychology; University of interpretation 208 and contextualised, including issues in obtaining accurate and representative comparison groups on which to base interpretations. Oxford) included a significant taught component on test score approaches and methodology. This was covered again within the DClinPsy qualification. Test theory – Psychometrics This module covers the Classical test central issue of the accuracy theory and reliability of test scores, showing how accuracy is estimated, the factors that affect a test’s accuracy and how knowledge of a test’s accuracy can be used to treat test scores appropriately. Undergraduate psychology degree (BA Experimental Psychology; University of Oxford) included a significant taught component on test score approaches and methodology. This was covered again within the DClinPsy qualification. Additionally, use of various psychometrics tools within DClinPsy research project (published article) required strong statistical knowledge and analysis of various types of reliability (e.g. Cronbach’s alpha) of the tests used within that project, but also of the reliability statistics reported in the literature (e.g. test-retest reliability, split-half reliability, etc). Reviews of various papers for various journals requiring knowledge of statistical concepts including validity/reliability – some examples attached Ongoing attendance at Trust main Research Governance Group where issues of statistical knowledge and test methodology are commonly needed Motivating inpatients to engage with treatment.pdf Patient_Preference_ and_Adherence_peer_review_acknowledgement.p 222 Validity: Forensic Psychometrics This module covers the central concept of validity or ‘fitness for purpose’, describing the different methods by which the validity of tests can be judged and the relationship between reliability and validity. It also considers issues of reliability and validity in relation to the different risk assessment approaches and the meaning of ‘scores’ on risk assessment tools. Significant experience in HCR-20 use and avoidance of “counting up the numbers”, knowledge of how actuarial tools (e.g. RM2000, VRAG) are based on specific populations and extending beyond these populations is of questionable validity; Practitioner Skills Use of tests is always as part of a hypothesis-led approach where clinical hypotheses are tested and excluded; “reason for report” is clear within my reports providing a clear justification why a test has been chosen and used See exemplar reports The applicant attached an anonymised HCR-20 (Version 3) Violence Risk Assessment Report Module Set: 5K 223 224 Deciding when psychological tests should or should not be used as part of an assessment process: Forensic Making appropriate use and interpretation of test results: Forensic Practitioner Skills This practical module involves the selection of one or more tests for use in a range of specific forensic contexts, requiring both technical and practical considerations, and ensuring that the test and testing process would meet best practice standards, be fair to all test takers and meet the requirements of all relevant legislation. See exemplar reports included elsewhere within this document This module covers the practical skills of test See exemplar reports interpretation, including included elsewhere within putting scores into context this document and providing accurate descriptions of score meanings, interpreting scores with due regard to the technical properties of the test and any adjustments made to the test session, and making appropriate links between test scores and the reason for assessment. Module Set: 5L 225 226 Providing written feedback: Forensic Providing oral feedback: Forensic Practitioner Skills Practitioner Skills This practical module covers the ability to provide written feedback on the outcome from one or more tests, including a rationale for test use, clear and accurate descriptions of scores and how these have been derived, and any predictions based on test scores. The application of computergenerated reports for feedback is also explored. The module includes reports written for a variety of purposes, such as reports for case reviews, parole board reviews, development of risk management strategies etc. See exemplar reports This practical module covers the ability to provide oral feedback on the outcome from a test, including accurate descriptions of the instrument, scores and the meanings attached to scores, in an appropriate, supportive and nonjudgemental manner. The module covers oral feedback given to test takers and in oral ‘hearings’ such as to case reviews, parole board reviews, courts etc. Verbal feedback is typically provided to the patient in a summarised form; though I will also go through an entire report with a patient where this is judged clinically appropriate; patients are offered copies of reports where appropriate and if this is taken up they are then offered a discussion session. Also provided evidence verbally for the criminal and family courts relating to various cases (e.g. Oral evidence at XXX Crown court in a criminal trial involving a case of dependant personality disorder; oral evidence at various family court hearings on a range of different personality disorder types). Email exchange demonstrating feedback from written ev (this feedback related to complex interviewing and assessment of a client with antisocial personality disorder features) Email exchange demonstrating feedback from providing evidence in