P O Box 1768, Glastonbury, Somerset BA6 8YP Tel: 01458 850350 Fax: 01458 852055 Email: admin@cpcab.co.uk www.cpcab.co.uk Statutory regulation of psychotherapists and counsellors – call for ideas Policy and Standards Department Health Professions Council Park House 184 Kennington Park Road London SE11 4BU 16th October 2008 - via email to policy@hpc-uk.org CALL FOR IDEAS - RESPONSE FROM CPCAB Introduction: As an awarding body delivering statutory counselling qualifications most of our responses focus on the issues of counselling rather than psychotherapy. 1. What are your views about how the Register should be structured for psychotherapists and counsellors? The argument about the difference between counselling and psychotherapy is longstanding and contentious. An experienced skilled counsellor undoubtedly engages in psychotherapy with some clients while a psychotherapist may well be doing counselling work in some settings. Our view, however, is that while there is undoubtedly an overlap between counselling and psychotherapy, the argument that there is no difference between counselling and psychotherapy is unhelpful for the purposes of regulation. There is a ‘continuum of practice’ and of training and experience in counselling and psychotherapy: at one end a practitioner may offer supportive counselling to someone coping with a common life problem (such as loss or bereavement) whilst in the middle of the continuum there is work with the common mental health problems and at the far end of the continuum, work with severe and complex mental health problems. CPCAB supports the conclusions of UKCP and the NHS which recognises this continuum of practice, training and experience but clearly differentiates between counselling and psychotherapy. The structure of the register would therefore look like this. Counselling & Psychotherapy Psychotherapists Counsellors /continued ... CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 -2There is a huge body of individuals who use “counselling skills” at lower levels of training in helping relationships but not formally contracted counselling relationships. While many of these individuals use these skills as part of another professional role (eg key worker, classroom assistant, nurse etc) there are others who do not. If there is a desire by HPC to regulate this group there would need to be an additional grouping at a lower level of training (level 3) on the register and an additional title to define this role. It may also be appropriate to add additional roles which currently fall outside the scope of this consultation. For example the low and high intensity workers introduced by IAPT do not necessarily correlate with counselling and psychotherapy although counsellors and psychotherapists may fulfil some of these roles. However, it could be argued that these titles would fit better under a psychologist banner. This would need further consultation. 2. Which titles should be protected and why? In relation to the categories suggested above, protected titles would be: 1. Psychotherapist 2. Therapeutic counsellor The argument for the title “psychotherapist” is straightforward although entry to the register would have to “weed out” those who currently use this title with inappropriate training and skills, mostly through some dubious and unaccredited training courses. This will be addressed by appropriate transfer of registers in the short term and clearly defined training and practice standards in the long term. The argument for the title “therapeutic counsellor” rather than simply “counsellor” is that the word “counsellor” is used widely in a non therapeutic/health context eg. debt counsellor, career counsellor, stress counsellor etc. This is confusing to the public. The term therapeutic counsellor would apply to those counsellors of an equivalent standard of training and experience as are currently recognised under the UKCP title of “psychotherapeutic counsellor” (those eligible to join the psychotherapeutic counselling section of their register) and those counsellors who met the standard of training and experience for “accredited counsellor” status via the BACP individual accreditation route. Any differentiation between these requirements would need to be ironed out and standardised. Furthermore, entry to the HPC register would be open to any individual who meets equivalent approved training and experience requirements (and any additional specified professional requirements) - not just via accreditation with professional bodies. There is a strong argument for modality-specific titles especially from the relevant interest groups (CBT counsellor, psychodynamic, humanistic, person-centred etc). However, our view is that in a changing field the possibility of continually updating titles as new approaches are adopted is unrealistic. Furthermore this does not reflect the way most practitioners practise which is rarely purely within one modality and which often changes over time. Finally such titles do not mean a great deal to members of the public. Individual practitioners could still append a modality to their title if they wanted to - provided the title itself, therapeutic counsellor or psychotherapist, was protected. /continued ... CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 -3We would like to argue strongly for not having modality-specific protected titles. We have some expertise to offer in this area having successfully offered qualifications in counselling using generic learning outcomes and assessment criteria mapped to common national standards for many years. However, if this argument is lost and there is a strong desire for approach-specific titles to be protected there needs to be a category of “integrative” in both counselling and psychotherapy. While this may be unpopular with the purists, “integrative” reflects how a great many counsellors define themselves and their practice. Some sectors are arguing for the language of “psychological therapy” rather than “counselling/psychotherapy”. We do not agree with this as the roots of counselling and psychotherapy are very different from mainstream psychology. The BACP core curriculum document refers, for example, to “psychological difficulties” and “psychological presentations”, the formation of “psychological conceptualisations” and the application of “psychological theories”. CPCAB wishes to challenge the blurring of distinctions between counselling and psychological therapy and encourage HPC to value and defend the epistemology of counselling. We would therefore not support titles or categories that use this language. 3. What criteria might be used in considering which voluntary registers should transfer and which should not? Some registers are highly regarded in the field and have strict entry and re-accreditation requirements (eg BACP and UKCP). In order to decide which voluntary registers should transfer we suggest that entry to the HPC register should include registrants from existing registers which include the following criteria for membership: minimum standards of training (size and level) including independent verification or external assessment as part of a robust accountable QA process accredited by either (1) a professional body or (2) a university OR (3) an approved awarding body offering statutory qualifications on the NQF/QCF, regulated by Ofqual and endorsed by a sector skills council; minimum number of client hours experience; on-going clinical supervision of client work; on-going CPD (recommended/required number of hours per year); access to complaints/appeals procedures; re-registration mechanism eg annual renewal of membership; being proposed by an existing member of the register (this ensures recommendation by at least one other accredited professional); requirement for public liability insurance at an appropriate level; no upheld complaints or sanctions against the individual. Many training centres offer national statutory qualifications by approved awarding bodies which are externally/independently assessed, mapped to National Occupational Standards with structured assessment criteria and learning outcomes and level descriptors. The awarding bodies themselves are subject to regulation by Ofqual. /continued ... CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 -4Successful students can apply to professional bodies for individual counsellor accreditation after achieving the required number of client hours. Many of the courses are not themselves accredited with BACP because this would mean double accreditation. These trainings are no less rigorous than a BACP accredited course and should have equal value to those accredited by BACP or other professional association. 4. If you represent a voluntary membership organisation …. We do not represent a voluntary membership organisation. 5. How long should the grandparenting period be open for and why? We suggest a minimum of five years and a maximum of 10 years for the grandparenting arrangements from the opening of the register because of: 1. the large number of counsellors who have qualified but don’t have sufficient experience because of the scarcity of paid and full-time work who are therefore not immediately eligible; 2. practitioners who have been working in the field (paid or voluntary) for many years and who therefore have considerable expertise but limited formal qualifications; 3. practitioners may be on career breaks and hence ‘out of the loop’; 4. practitioners may be living or working abroad; 5. the need to attract as many practitioners onto the register especially as many are resistant and may need time to “buy in” to regulation; 6. the need to allow time for current students to complete existing, possibly lengthy training courses (see also 6, below). 6. Are there any other matters which the PLG should consider in recommending appropriate grandparenting arrangements? 1. The arrangements should not be inaccessible to practitioners who mostly are qualified to level 4/5. Some who qualified earlier may only be qualified to level 3 or have few formal qualifications and may have excellent clinical experience. The levels at which courses are placed have also changed over the years and a numerical representation of achievement may be inappropriate. 2. It should take into account students who are midway through training, on courses which are not likely to fit into the narrow band of approved training courses, eg high quality private providers. 3. The cost of grandparenting arrangements, especially to volunteer counsellors. 4. Support and guidance for would-be registrants. 5. Care should be taken that new arrangements are sufficiently well publicised to reach all areas of the profession (ie many in private practice). 6. Criteria for deciding who is eligible are clear and fair to a very disparate group of people. 7. We would welcome any information about: The number and names of existing qualifications leading to the practice of psychotherapy and counselling. /continued ... CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 -5 Types of qualifications including the academic level or academic awards of those qualifications. The structure of qualifications including theoretical content and practical experience. Quality assurance mechanisms including existing internal and external quality assurance systems. CPCAB is the only specialist awarding body which offers nationally approved qualifications in the field of counselling. Please see attached progression ladder for full suite of CPCAB qualifications. Please note the following points: all CPCAB qualifications are statutory qualifications; all CPCAB qualifications are internally and externally assessed by public examination by an approved awarding body regulated by Ofqual. Students must be proficient in both assessments to achieve the qualification; all qualifications are mapped to National Occupational Standards (NOS) and endorsed by Sectors Skills Councils/bodies; all centres have to apply for approval to run the qualifications. Requirements include course outline including internal moderation/verification arrangements and tutor CVs, as well as meeting requirements for working with difference and diversity, student support, complaints and appeals. There is a requirement for annual standardisation of tutors and twice-yearly external verification visits. Centres are issued with an annual practising certificate when approval has been granted; all qualifications are based on the same seven processes which, as units within the qualifications, provide a coherent structure for progression from level 2 counselling skills through to level 6 counselling supervisor. The model is based on service levels, client need and practitioner competence but the course can be delivered within different theoretical approaches. The unit structure includes: working within an ethical framework, working through relationship, working with difference and diversity, working with a user-centred approach, working with self awareness, working within a framework of skills and theory and working as a self-reflective practitioner. Further information is available via the website at www.cpcab.co.uk. The Level 4 Diploma, which currently offers entry level to practise as a counsellor; in conjunction with its required entry qualifications of Counselling Skills/Studies comprises 600 guided learning hours, which significantly exceeds the current BACP requirement for individual counsellor accreditation; includes a requirement for 100 hours supervised client work in an agency setting; includes a minimum number of hours of personal development/therapy consistent with the model being taught; requires sound knowledge and application of theory to self and to client work; includes understanding of mental health issues and working with difference and diversity; /continued ... CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 -6 requires satisfactory reports from supervisors and agency managers; is externally assessed via both written paper and taped session, to allow assessment of relational skills rather than academic skills alone. There are a number of other nationally approved counselling qualifications offered by other approved (non specialist) awarding bodies eg. Edexcel/AQA/ABC which can be viewed by going to the government qualification site www.accreditedqualifications.org.uk. Not all of these offer the same standards of training, which has been a problem in the past. 8. What issues should the PLG consider in determining the threshold level of qualification for entry to the register? COUNSELLING Level Currently most counsellors (including those accredited by BACP which is the current “gold standard” for employers) are initially trained to Level 4/5 and become eligible for accreditation after a minimum period of supervised practice experience. It is also possible to gain entry to the UKCP Psychotherapeutic Counselling Section via a member organisation where an individual has counselling qualifications at Level 5. The entry level for counsellors proposed in, for example, the BACP core curriculum document (BACP 2007) is, however, Level 6/honours degree. We have been unable to identify any rationale for raising the entry to this level, nor can we find any evidence that this radical change in training level for counsellors is either necessary, beneficial or “proportionate to the risks” that currently exist (see DoH white paper “Trust Assurance and Safety” p.2). Raising the entry level to 6/honours degree could have a negative impact on the provision of counselling services. Currently most employed counsellors (paid and voluntary) work in a broad range of counselling agencies with very limited financial resources and raising the entry level to 6/honours degree would clearly lead to major cuts in these low budget services. Further, the NHS (the single largest organisation employing counsellors) has already completed work defining counselling roles and pay scales in the NHS Agenda for Change which sets counselling practice at Level 4 and 5. We also understand that NHS employers view the proposed new, more highly qualified counsellors (A4C level 7) as too expensive to employ. HE and FE training routes According to the BACPs research more trainees currently choose to train at Further Education colleges and private courses than at universities. We are not aware of any evidence or any coherent argument that an HE course is better at developing and assessing counsellor competence. We would argue that, in the case of counselling, developing the core emotional-interpersonal ways of knowing of the counsellor is best achieved in an environment that values a practical, hands-on vocational approach rather than one that emphasises the development of academic skills. Additionally, the current BACP proposal runs counter to the national policy of achieving parity between vocational and academic qualifications. /continued ... CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 -7We have also been advised by Skills for Health that they support “developing educational pathways underpinned by NOS and standards of proficiency” which “offer the widest opportunity for entry (to the register) rather than ‘hard wiring’ a particular qualification type to entry to the register.” Difference and diversity An HE-only route would narrow access to the counselling profession both in terms of traditional academic background and in terms of ethnic diversity. This has serious implications for principles of inclusion and widening access for both trainees and clients. Counselling requires the widest possible entry route because counsellors serve the communities they come from in both paid and voluntary capacities. The best way of achieving this is to enable trainees to have the choice of undertaking vocational qualifications at their local FE college with parity in any funding arrangements. Wherever the final entry threshold level is set, therefore, it is important that there is an explicitly described vocational route (via qualifications in the NQF/QCF) with the option of ‘topping up’ with an HE honours degree if required. Scope of the register Finally, if the entry level is set at Level 6/honours degree it is likely to leave many of those currently practicing counselling outside the scope of regulation with large numbers either choosing to practice under a non-regulated title or, in the case of agencies, choosing to offer services under a non-regulated title. Additionally, significant numbers of working counsellors, who will not qualify under, for example, the BACP’s proposed grand-parenting scheme, could be disenfranchised and potentially lose their jobs. PSYCHOTHERAPY Most psychotherapy trainings are at Masters level although many are in private training organizations. Therefore level 7 entry seems appropriate. We would therefore argue for: Therapeutic counsellor - at level 5 (to account for the practice experience required beyond level 4 training to reach BACP accreditation standard and UKCP psychotherapeutic counselling section requirements); Psychotherapist – at level 7. Please find attached the qualification summary for the Level 4 Diploma in Therapeutic Counselling similar documents for the Level 5 Diploma in Psychotherapeutic Counselling and all other documents can be found on the CPCAB website at www.cpcab.co.uk. 9. What existing standards or other work should the PLG take into account in putting together draft standards of proficiency? The work of the HPC needs to take account of the National Occupational Standards for Counselling, currently held by Skills for Health (SfH) which has recently been made responsible for developing and maintaining the currency of these standards and approving qualifications on the national qualifications framework as well as the associated sector qualification strategy for counselling. All approved qualifications have had to and will have to map to these standards. SfH are also working on new psychological therapy NOS which are approach-specific. It is not clear how these will be integrated in any future requirements for mapping as part of qualification approval. /continued ... CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 -8It is clear that HPC standards and all relevant NOS should articulate. We are in favour of mapping to NOS in principle but have a number of specific concerns about the revised suite of counselling NOS (2007) which were developed by ENTO (another sector skills body) who previously had responsibility for these NOS. We believe the current NOS are not fit for purpose for the following reasons: the current counselling NOS do not embody the experiential, emotional and interpersonal knowledge and skills that lie at the heart of counselling epistemology and counselling practice; there is a lack of balance in the criteria with too much focus on practice management and service delivery and too little on therapeutic competence; there is insufficient focus on the therapeutic relationship. Research conclusively shows this to be the single most effective factor in therapeutic change - whatever the theoretical model or counselling approach being used. This key competency must, therefore, be central to the standards; the language used is frequently specific to one approach and is therefore not applicable to all counselling approaches; much of the language of the NOS is technically inappropriate for standards; additionally, the standards do not cover the use of counselling skills by professionals in, for example, health and social care even though this is a much larger group than that of fully qualified counsellors. Clearly we would want the HPC standards of proficiency to embody the relational heart of counselling and to address the deficiencies of the counselling NOS identified here. Other standards which need to be taken into account are those being developed by professional bodies and QAA. 10. Do you have any further comments? Regulation needs to align with the Sector Qualification Strategy which is being developed entirely independently from this consultation. Not all counselling takes place within the health sector and there is a question of how appropriate it is to develop standards for counselling and psychotherapy in health care settings when many clients seek counselling for personal development/growth with a wide range of practitioners and approaches, many of which may not meet a ‘one-size fits all’ set of standards. This agenda is far-reaching in its impact and will have a major impact on large numbers of practitioners and users alike. It should not be solely defined by researchers in the HE sector, however articulate and academically qualified they may be. The regulation of counselling and psychotherapy is often compared to the process of regulating nursing or social work. However, counselling is not a “normal” health profession. Unlike nursing it is not embedded in the NHS with clearly defined and properly resourced training establishments. It mostly takes place in under-resourced and diverse agencies with a wide diversity of training and application. It is therefore not amenable to the standard health professional model of regulation. CPCAB October 2008 CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 TC-L4 Info (2008-09): 16-Feb-16 2008-09 Information Summary Level 4 Diploma in Therapeutic Counselling (TC-L4) 1. 2. 3. 4. 5. Qualification information summary Qualification units Assessment programme – minimum requirements Tutor-assessor qualifications and experience Candidate entry requirements TC-L4 is accredited by the Qualifications & Curriculum Authority (QCA) into the National Qualifications Framework. QCA qualification accreditation number for TC-L4: 100/5034/6 Counselling & Psychotherapy Central Awarding Body (CPCAB) P.O. Box 1768 Glastonbury Somerset BA6 8YP Tel. 01458 850 350 Fax: 01458 852 055 Website: www.cpcab.co.uk Email: admin@cpcab.co.uk CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 1. Qualification information summary Status of qualification: 1 2 3 Accredited into the National Qualifications Framework by the Qualifications & Curriculum Authority (QCA): accreditation number 100/5034/6. 1 Formally supported by the Employment National Training Organisation (ENTO). This qualification attracts a Band C Programme Weighting in the LSC’s funding formula and is eligible for LSC funding. Target candidates This qualification is intended for candidates who want to train to become a counsellor working in a counselling service agency. Successful completion of this course means that the trainees will be able to provide a therapeutic counselling service within the context of an agency's service framework. Course length 420 – 690 GLH (minimum 420 GLH). Minimum age 19 years2. However, please see CPCAB candidate entry requirements in section 5. Entry requirements Candidates must have acquired both CPCAB’s Level 2 Certificate in Counselling Skills (CSK-L2) and CPCAB’s Level 3 Certificate in Counselling Studies (CST-L3), or their APL and/or APEL equivalents. Tutors can allow progression onto the first year of TC-L4 to candidates who have not yet completed their assessment for CST-L3. However, such candidates must successfully complete the assessment prior to entry into the 2nd year of TC-L4. Progression Successful candidates may progress onto CPCAB’s: » Level 5 Diploma in Psychotherapeutic Counselling (PC-L5); » Level 6 Diploma in Therapeutic Counselling Supervision (TCSU-L6).3 Assessment Candidate portfolio and externally assessed audio tape and written paper. 4 Additional study time Approx 6 – 8 hours per week – to include (for example) assignments, supervision, client work experience and personal therapy. The QCA accreditation number also appears in the LSC’s on-line Learning Aims Database (which can be used to ascertain funding eligibility), except there it is called the ‘Learning Aim Number’. 2 This age requirement is linked to QCA’s system for categorising qualifications. 3 To progress directly from TC-L4 to TCSU-L6, candidates require at least two years (parttime) of additional, post-TC-L4 (or equivalent), qualifying experience. 4 Candidates must be Proficient in both internal and external assessment to achieve the qualification. 1 CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 Personal counselling or therapy (for trainee) Minimum of 10 hours personal therapy during the life of the course (to accommodate a range of theoretical approaches) but centre requirements must be consistent with the counselling model being offered - in practice this is usually more than 10 hours. Client work requirements A minimum of 100 hours formally-contracted counselling with at least 5 different clients in an agency setting. Supervision requirements Candidates require clinical supervision for their agency client work.5 In addition, candidates require 30-50 hours group training supervision as part of the course. Staffing and other resources At least two tutor-assessors must be involved in all aspects of internal candidate assessment. See section 4 for tutor qualifications and experience. Staffing and other resources must reflect the Band C Programme Weighting factor available for this qualification. Internal moderation and verification Centres are required to have robust internal moderation and verification processes which are externally verified by CPCAB. Candidate registration fee £199 Year 1 £199 Year 2 Centre application for Centre application fee: £199 (one-off fee). CPCAB approval to Centres can design their own training programmes6 or use offer the qualification approved course material written to CPCAB specifications. 7 CPCAB recommends that the candidate’s agency provides appropriate clinical supervision to meet BACP supervision guidelines for trainees – currently a minimum of 1½ hours individual supervision per month (or the equivalent if in group supervision) or 1 hour’s supervision for every 8 hours client work. 6 All centre designed courses must be submitted to CPCAB for approval before candidates can be registered. Although the delivery of courses may differ from centre to centre, all delivery must enable the candidates to achieve the learning outcomes specified in the units. 7 Please contact CSCT on 0870 163 6900 or visit www.counsellingtraining.com for further details. 5 CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 2. Qualification specifications including guidance for tutors TC-L4 UNIT ONE: Work ethically and safely as an Agency Counsellor LEARNING OUTCOME: Use a professional framework to work ethically and safely as an Agency Counsellor Element: 1.1 Work within an ethical and legal counselling framework GUIDANCE TO CRITERIA: Notes for Tutors (guidance only) Criterion: 1.1.1 Work within an appropriate ethical framework Ensure relationships with clients are bounded by a professional framework. Essential reading: “Ethical Framework for Good Practice in Counselling and Psychotherapy” (www.bacp.co.uk) or similar. Show understanding and skills via reference to, and record of, appropriate reading, supervision, seminars and counselling practice sessions. Discuss the values and integrity of a working relationship bounded by a professional framework. Essential reading “Ethical Framework for Good Practice in Counselling and Psychotherapy”, www.bacp.co.uk Practise language and timing during skills exercises. Assess via (for example) client records/case studies, supervision and counselling practice. Criterion: 1.1.2 Understand and apply relevant legal requirements to counselling work and record keeping Study relevant up-to-date legislation, including data protection, child protection and mental health. Apply legislation to your practice (e.g. data protection and note taking: need to tell clients during the 1st session what notes are kept, where kept and who reads them). Identify and apply understanding of relevant legislation in presentations and counselling practice. Illustrate your learning by reference to relevant texts and references to records of supervision, seminars and counselling practice sessions. Discuss the legal requirements of professional practice. Explore relevant legislation – e.g. Data Protection Act, The Children Act, The Mental Health Act – with reference to safe practice and legal responsibilities. Discuss equal opportunities and antidiscriminatory legislation, with examples of the many forms discrimination takes. Assess via e.g. assignment, client records and supervisor/agency report. GUIDANCE TO CRITERIA: Notes for Tutors (guidance only) Criterion: 1.2.1 Work within the ethical, legal and procedural framework in which a given agency operates Look at and discuss (e.g. with your supervisor) the ethical, legal and procedural framework of your agency. Record insights (to show your understanding) gained from supervision, seminars and counselling practice sessions. Share between group members examples of the policies of the different agencies. Assess via e.g. agency/supervisor’s report, case study and assignment. Criterion: 1.2.2 Use teamwork skills to work with agency team members Practise interpersonal skills with members of supervision group, peer group and agency members. Explore with peers in the training, supervision and agency groups how you relate and collaborate with others. Record ability (through Learning Review and Self-Review) to use teamwork skills applied in work experience, group-work and peer feedback. Facilitate discovery of interpersonal skills and discuss their role in collaborative working in agencies and within the training group. Set up situations within class sessions and the personal development group, to practise interpersonal skills. Assess via e.g. the Learning Review, agency report, tutor observation, Learning Review, Self-Review and peer feedback. Element: 1.2 Work in a team within an agency framework CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 Element: 1.3 Use clinical supervision to support your client work GUIDANCE TO CRITERIA: Notes for Tutors (guidance only) Criterion: 1.3.1 Use clinical supervision to make suicidal risk assessments and work with emergency situations. Research, identify and discuss use of strategies and tools for risk assessment; e.g. suicide, self-harm, harm others. Use supervision to (a) explore your actual or potential reactions to suicidal or other ‘at risk’ clients; and (b) clarify how to prepare for suicidal and other emergency situations. Provide examples and document your experience, responses and learning through Learning Review, case & supervisory records. Discuss the use of supervision in making risk assessments, together with risk assessment strategies and tools. Explore this criterion in group supervision, discussion/feedback on counselling practice sessions and in relation to the trainees’ agencies. Assess via e.g. case study, supervision, client records and supervisor/agency report. Criterion: 1.3.2 Use clinical supervision to monitor your limits of proficiency and support referral where appropriate Use supervision to (a) explore client needs which are beyond your professional capability; and (b) clarify how to manage referral situations. Identify referral options. Record your capability in supervision records, case study and case presentations. Highlight the role of supervision in ensuring safe practice. Example activity: small group discussion/roleplays – based on case scenarios focusing on identifying appropriate levels of expertise and referral. Promote greater understanding through group supervision of case presentations, and request inclusion of this criterion in case studies. Assess via e.g. case study, supervision, client records & supervisor/agency report. Criterion: 1.3.3 Use clinical supervision to monitor your effectiveness and identify issues that require personal counselling. Record increased critical awareness of your effectiveness through review and evaluation during supervision. Show (in supervision records) developing awareness of the impact of personal issues on the counselling process. Reflect in a Learning Review on the relationship between your personal use of counselling and your practice. Discuss the distinction between supervision and personal counselling. Explore this criterion in group-work, group supervision of case presentations and (where appropriate) in feedback on counselling practice sessions. Assess via e.g. Learning Review, supervision record and supervisor’s report. UNIT TWO: Work within a counselling relationship LEARNING OUTCOME: Use relationship understandings and skills to facilitate the counselling process Element: 2.1 Establish and sustain the boundaries of the counsellor role Criterion: 2.1.1 Establish the nature and constraints of counselling within a given agency setting and within the limits of available time GUIDANCE TO CRITERIA: Notes for Tutors (guidance only) Establish what you can offer a client within a particular agency context. Clarify the limits of confidentiality within the agency, develop understanding of ‘team confidentiality’ and explore examples of difficult confidentiality issues. Practise and discuss appropriate skills in counselling practice sessions. Clearly record in Learning Reviews your experience, responses to feedback and development. Explore and discuss this criterion in relation to different agency settings with reference to funding, resources, policies, time-limited work and agency focus. Explore, in group supervision, the nature of counselling and the particular constraints in the settings of trainees’ agencies. Design role-play exercises to help trainees practise the skills related to applying this criterion. Assess via e.g. tutor observation of counselling practice sessions, case study, peer feedback and supervisor/agency reports. CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 Consider: (a) how clients test boundaries; (b) how counsellors can cross boundaries; (c) the management of boundary changes. Use supervision to explore the meaning and implications of changes and challenges to boundary limits. Show (via client/supervision records) development of understanding and skills. Discuss the different aspects of the boundaries of the counsellor role, together with examples of how they can be tested by the client. Highlight implications of counsellors crossing boundaries inappropriately. Explore the importance of sustaining boundaries and the management of potential role-plays and exercises to help trainees practise this criterion. Assess via e.g. counselling practice sessions, case study, supervision of client work, assignment and/or peer feedback. GUIDANCE TO CRITERIA: Notes for Tutors (guidance only) Criterion: 2.2.1 Establish a therapeutic relationship Relate counselling theory (your core theoretical model) to the way in which you establish the beginning of the therapeutic relationship. Apply your core theoretical approach to your understanding of the development of the counselling relationship. Show (in your Learning Review and in the case study) how theory informs your practice. Discuss your Centre’s core theoretical approach to the counselling relationship using examples from group-work and counselling sessions. Practise in skills sessions the application of theory to the management of the therapeutic relationship Assess via e.g. assignment (reviewing theory), tutor observation of counselling practice sessions, written case studies / presentations and/or Learning Reviews. Criterion: 2.2.2 Manage interruptions and breaks in the counselling relationship Increase awareness and understanding of the impact of interruptions and breaks on the counselling relationship. Identify strategies and interventions to manage interruptions and breaks. Apply this understanding and these skills in client work and in counselling practice sessions. Using either the course or personal (trainee) experiences, explore and discuss the impact of interruptions and breaks on the counselling relationship. In group supervision of client work, highlight and explore the parameters of interruptions and breaks to the counselling relationship. Practise criterion-related skills through role-play and simulation in class. Assess via e.g. assignment (reviewing theory), tutor observation of counselling practice sessions, written case studies / presentations and/or Learning Reviews. Criterion: 2.2.3 Manage difficulties and conflicts within the counselling relationship Identify and consider the range of difficulties and conflicts that can arise in the counselling relationship. Develop strategies and interventions to deal with specific difficulties – e.g. late attending, bringing children to sessions, avoiding difficult topics, inappropriate emotions (client’s and counsellor’s), sexual transference, non-payment. Record (via client records and Learning Review) your insights and developing skills in managing difficulties and conflicts. Generate awareness of a range of difficulties and conflicts within the counselling relationship by inviting trainees to discuss in pairs or fours, then brainstorm using one or two words to indicate what difficulties emerged. Write these words up for all to see. Generate strategies and interventions by seeking solutions to the issues raised by tutors and trainees. Relate these appropriately to the counselling relationship and explore and reflect on the nature of difficulties and conflicts during further group-work. Provide opportunities for trainees to practise managing some of the difficulties discussed. Assess via e.g. Learning Review, supervision record and case studies/presentations. Criterion: 2.1.2 Sustain the boundaries of the counsellor role both throughout the session and the work as a whole Element: 2.2 Manage the counselling relationship CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 Show understanding of ending issues in counselling work (session endings & end of the relationship). Use skills sessions to explore a variety of ways of ending a session. Demonstrate ability to leave the client ‘safe’. Use supervision to ensure a safe conclusion of the counselling relationship. Show understanding in supervision/client records and/or in Learning Review. Examine theories about endings. Discuss difficulties associated with endings – e.g. reopening issues at the end of a session that have been dealt with during the session. Discuss the wide-ranging emotions experienced by people completing the counselling relationship. Assess via e.g. observed practice sessions, case study, supervision. GUIDANCE TO CRITERIA: Notes for Tutors (guidance only) Criterion: 2.3.1 Use a coherent theory of the counselling relationship to enhance the effectiveness of counselling process Study your Core Approach(es) and its understanding of the counselling relationship. Show how you have used your understanding of the therapeutic relationship specifically in your work with clients. Practise applying theory of the relationship (and how it links to the counselling process) to client work as well as in counselling practice sessions. Give example of your use of this skill and show your understanding via your Learning Review. Discuss: the application of the Centre’s theory(s) to the therapeutic relationship. Enable trainees to experience, in skills practice sessions and with colleagues in the training group, the application of specific theory to the counselling relationship. Provide time to integrate theory & skills to provide trainees with an effective method of working underpinned by theoretical understanding. Allow time for practise, experimentation, discovery, development and self-awareness. Discuss, in seminars and group supervision, the application of the Centre’s theory(s) of counselling and the counselling process. Allow time for practise, experimentation, discovery, development and self-awareness. Assess via e.g. Learning Review, SelfReview, tutor & peer feedback on counselling practice sessions, supervision and case studies / presentations. Criterion: 2.3.2 Use clinical supervision to develop understanding and awareness of both the explicit and implicit aspects of the counselling relationship Clearly differentiate between those aspects of the relationship which are explicit (surface and clearly identifiable) and those that are implicit (unspoken and suggested). Show ability to consider these dimensions appropriately – e.g. by reference to these implicit and explicit aspects of relationships in the training process/group. Give example(s) of a supervision session in which these dimensions were discussed in relation to client work. Show understanding in supervision/client records and/or in Learning Review. Define and clarify these two dimensions of the counselling relationship – explicit (surface and clearly identifiable) and those that are implicit (unspoken and suggested). Use the training group to illustrate the relevance of these dimensions. Model, in group supervision, how supervision can be used to explore the relevance of the explicit and implicit aspects of a counselling relationship. Assess via e.g. case study, supervision/client records and supervisor reports. Criterion 2.2.4 Manage endings appropriately Element: 2.3 Use the counselling relationship therapeutically CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 UNIT THREE: Work with client diversity LEARNING OUTCOME: Use diversity understandings and skills to facilitate the counselling process Element: 3.1 Develop your understanding of diversity GUIDANCE TO CRITERIA: Notes for Tutors (guidance only) Criterion: 3.1.1 Use clinical supervision and selfreflection to develop understanding of diversity List key diversity issues that you have encountered with clients or peers and identify gaps in your diversity understanding. In Learning Review, reflect on insights gained through reading, seminars, supervision and role-playing clients – to show understanding of specific diversity issues. Discuss the use of supervision to develop understanding of diversity. Explore a range of diversity issues. Assess via e.g. case study, supervision/client records, supervisor reports or Learning Review. Criterion: 3.1.2 Explore and challenge your own issues, fears and prejudices concerning working with client diversity Recognise types of people and issues that touch your prejudices and fears. Reflect on your experience of identifying types of people that you find very difficult to understand and/or accept, and imagine being those people. Record your learning by, for example, writing up your responses to seminars, experiential workshops and supervision – to develop personal understanding of this criterion. Discuss how diversity issues may help or hinder counselling work. Design experiential exercises to practise this criterion. Example exercise: ask trainees to identify types of people that they find very difficult to understand and/or accept and to imagine being those people. Explore feelings and responses in pairs. Assess via e.g. the Learning Review, supervision records or assignment. GUIDANCE TO CRITERIA: Notes for Tutors (guidance only) Criterion: 3.2.1 Identify & explore diversity issues between yourself and your client during the counselling relationship Identify and explore diversity issues between yourself and others (e.g. between yourself and your tutor, supervisor or any group members). Show how you have applied this criterion in client work and counselling practice sessions. Discuss: (a) examples; (b) diversity issues and the referral process; and (c) explore diversity issues between yourself and your trainees. Assess via e.g. the Learning Review, case studies, supervision reports/records and counselling practice sessions. Criterion: 3.2.2 Use understanding of diversity to enhance your empathic accuracy Watch a film such as ‘Monsoon Wedding’, ‘The Day I Became a Woman’ or ‘The Road Home’ and then imagine being a main character. Develop empathic accuracy via work experience, role-playing and counselling practice sessions. Discuss empathy and diversity and how a deeper understanding of diversity can enhance empathic accuracy. Show how you have applied this criterion in client work and counselling practice sessions. Provide opportunities to experiment with responses to diversity. Example activity: show or introduce a film such as ‘Monsoon Wedding’, ‘The Day I Became a Woman’ or ‘The Road Home’ – and then invite trainees to imagine being a main character. Discuss their experiences. Practise empathic resonance in Empathy Labs/ stop start or goldfish bowl sessions. Assess via e.g. the Learning Review, case studies, supervision reports/records and feedback on counselling practice sessions. Element: 3.2 Use understanding of diversity to enhance counselling practice CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 Element: 3.3 Widen access to your counselling service GUIDANCE TO CRITERIA: Notes for Tutors (guidance only) Criterion: 3.3.1 Explore how to widen access to counselling provision Explore in class (and if appropriate with agency members) things to consider and do that might help to widen access to counselling in the community and in given agencies. Document insights from reading, seminars and supervision. Record these in a Learning Review to develop understanding of methods of widening access. Brainstorm and discuss methods of widening access to agency services. Explore case examples of widening access. Assess via the Learning Review, agency report and assignments. Criterion: 3.3.2 Explore how to work with a third party to aid communication with specific clients Develop understanding of the possibility of communicating through a third party (e.g. translator or signer) who is present in the counselling room. Discuss the difficulties that would be present in these circumstances. Role-play a session with a 3rd person. Discuss the use of a third party in the client/counsellor relationship. Explore examples of when working with a third party might be necessary – e.g. Urdu-speaking client and English speaking counsellor, or hearingimpaired client and non-signing counsellor. Assess, via the Learning Review, a counselling practice session. UNIT FOUR: Work within a user-centred Agency approach LEARNING OUTCOME: Manage the counselling process from within a user-centred approach Element: 4.1 Work within a service user-centred contract for the counselling work GUIDANCE TO CRITERIA: Notes for Tutors (guidance only) Criterion: 4.1.1 Negotiate a usercentred contract for the counselling work User-centred means putting the client at the centre of the counselling process. Negotiate an agreement with the client re. a therapeutic contract/plan for working together. Understand the difference between business contract/agency policies etc. and a therapeutic agreement with focus on the counselling work. Discuss and demonstrate ability to form a working alliance with the client, both business and therapeutic. Confirm your understanding of this criterion via examples or discussion in, for example, Learning Review and feedback on counselling practice sessions. Explore the formation of a contract with agency clients that is based on the client’s needs, but which also reflects agency policies, resources and provision. Design skills exercises to practise negotiating a user-centred contract. Assess via e.g. counselling practice, case studies/presentations and supervision reports. Criterion: 4.1.2 Regularly review the therapeutic contract with your client Plan how and when you will review your contracts with each client and monitor the implementation of agreed plans. Ensure client participation when agreeing plans and contracts. Demonstrate an understanding of the changing needs of your clients and show ability to be flexible and responsive to their needs. Show (e.g. via supervision/client record keeping and Self-Review) your ability to develop and use a review plan. Discuss good practice in regularly reviewing the contract. Explore, in supervision, the review of contract. Practise using information from reviews to inform future practice. Assess via case studies/presentations, client and supervision records. CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 Element: 4.2 Focus on the client’s agenda GUIDANCE TO CRITERIA: Notes for Tutors (guidance only) Criterion: 4.2.1 Enable the client to identify, prioritise and stay focused on their agenda throughout the counselling sessions Identify and explore the client’s stated and unspoken agenda. Explore the ways in which both counsellors and clients may try to avoid painful agendas. Develop skills via supervision, work experience and counselling practice sessions. Record your competence with these skills via e.g. Learning Review, case studies, supervision reports/records and/or feedback on counselling practice sessions. Explore the idea of stated and unspoken agendas, together with examples of how both counsellors and clients try to avoid painful agendas. Design skills exercises to help trainees practise this criterion. Example exercise: working in pairs, trainees identify unspoken and stated agendas of colleagues with regard to doing the course. Assess via e.g. Learning Review, supervision/client record, and case studies. Criterion: 4.2.2 Use regular reviews and clinical supervision to help the client focus on their agenda throughout the counselling relationship Record and develop good practice of regular reviews and use of supervision to help maintain the focus on the client’s (stated and unspoken) agenda throughout the relationship. Give examples of your skills via e.g. supervision/client records, case studies and the Learning Review. Discuss, during group supervision, how to maintain focus on the client’s (stated and unspoken) agenda throughout the counselling relationship as a whole. Explore examples of maintaining focus in the counselling relationship. Assess via e.g. supervision records/reports, tutor observation of counselling practice, case studies and client records. GUIDANCE TO CRITERIA: Notes for Tutors (guidance only) Criterion: 4.3.1 Communicate an openness to listen to your client’s unspoken agenda Experiment in group-work by listening to what your peers are not saying and by communicating an openness to listen to those unspoken messages. Develop your capacity to relate appropriately, with congruence and honesty as both a person and a professional. Reflect your understanding and increasing competence in using this skill – via, for example, Learning Review following group-work, supervision/client records and/or in feedback on counselling practice sessions. Discuss: (a) Examples when trainees (in client mode) have felt able to expose their unspoken agenda to another person. (b) The importance of personal awareness in developing an openness to listen to unspoken agenda. Trainees to practise this criterion during group process, supervision and counselling practice sessions. Assess via e.g. case studies, feedback on counselling practice and the Learning Review. Criterion: 4.3.2 Communicate an emotional warmth and safety that encourages your client to explore uncomfortable thoughts and feelings Explore your experiences of (a) receiving emotional warmth; and (b) feeling a sense of emotional safety with another person. Experiment in group-work and counselling practice sessions with different ways of communicating emotional warmth and safety. Show your ability to communicate emotional warmth in client work, groupwork, supervision and counselling practice sessions. Discuss (a) the nature of emotional warmth and safety; and (b) ways in which trainees may communicate this to clients. Explore what trainees need to feel, within the group, in order to share uncomfortable thoughts and feelings with the group. Assess via e.g. case studies, feedback on counselling practice and the Learning Review. Element: 4.3 Provide your client with an opportunity to explore his/her unspoken agenda CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 UNIT FIVE: Work with self-awareness in the counselling process LEARNING OUTCOME: Use personal awareness & understanding to facilitate the counselling process Element: 5.1 Use counselling theory to understand the self GUIDANCE TO CRITERIA: Notes for Tutors (guidance only) Criterion: 5.1.1 Use counselling theory to understand the explicit and implicit structure of the self Refer to your Core Theoretical Model(s) to explore the meaning of ‘Self’. Refer to your Core Theoretical Model(s) to explore the structure of your own (explicit) and unspoken (implicit) self. Reflect (using counselling theory) on the explicit and implicit selves of your clients. Develop your personal understanding through your own therapeutic counselling/personal development workshops/group process work. Show your understanding in Learning Reviews and case studies/presentations. Examine in experiential exercises: (a) Theories of the structure of the self (e.g. if using TA, explore parent/adult/child; if using Person Centred, explore the ‘organismic self’ and ‘self concept’ ‘configurations of self’); (b) The known (explicit) and unspoken (implicit) self – e.g. fears and prejudices. Ensure the Core Theoretical Approach is evident in the self development or process group. Foster deeper understanding of this concept through group supervision. Assess via e.g. Learning Review and case study/presentations. Criterion: 5.1.2 Use counselling theory to understand recent and formative personal history Use your Core Theoretical Approach to inform your understanding of your own past and recent personal history. Show how increased theoretical understanding helps you to understand the past and recent history of your clients. Develop your personal understanding through personal therapeutic counselling and personal development workshops, and record your insight via the Learning Review. Examine in experiential exercises theories of personal history/development as appropriate to your Core Approach. Examine development issues as per the Core Approach and their impact on the trainee’s adult self. Explore client’s personal histories in group supervision or case study. Assess via e.g. assignment, case study/presentations, supervision/client records and/or the Learning Review. Criterion: 5.1.3 Use counselling theory to understand explicit and implicit patterns of relating With reference to your Core Theoretical Approach explore your own explicit (surface) and implicit (unspoken) patterns of relating. Document your use of supervision to explore the explicit and implicit patterns of the relating of your clients. Show your development of understanding through reflecting on personal therapeutic counselling, personal development workshops and the Learning Review. Examine in experiential exercises: (a) Theories of relating as per your chosen approach(es); (b) Personal (explicit and implicit) relationship patterns: e.g. explicit response to rejection and implicit transference. Relate this to the hidden self, e.g. Johari window. Explore, in group supervision, case presentations, clients’ (implicit and explicit) patterns of relating. Assess via e.g. case study / presentations, supervision/client records and the Learning Review. CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 Element: 5.2 Work on personal issues that resonate with client work GUIDANCE TO CRITERIA: Notes for Tutors (guidance only) Criterion: 5.2.1 Identify and work on own emotional difficulties / internal conflicts that could impact on client work Identify (through supervision and/or personal therapeutic counselling) personal emotional difficulties and internal conflicts that resonate with client work. Reflect on insights and changes which emerge from personal therapeutic counselling and personal development workshops, and record these in the Learning Review. Discuss how to identify and work on (explicit and implicit) emotional difficulties and conflicts through personal development, counselling and psychotherapy. Enable trainees to identify relevant personal issues in supervision and to explore them in personal development workshops and their therapeutic counselling. Assess via e.g. case study, assignment and the Learning Review. Criterion: 5.2.2 Identify and work on own recent and past life events that could impact on client work Identify formative personal life events. Use supervision/personal therapeutic counselling to understand how they resonate with client work. Practise this criterion in personal therapeutic counselling and personal development workshops, and reflect on the process in the Learning Review. Discuss how to identify and work on recent and formative life events through personal development and counselling/psychotherapy. Enable trainees to identify relevant personal issues in group supervision and to explore them in personal development workshops and counselling. Assess via e.g. case study, assignment and the Learning Review. Criterion: 5.2.3 Identify and work on own explicit and implicit relationship difficulties that could impact on client work Use personal therapeutic counselling and supervision to help with personal relationship difficulties that resonate with client work. Practise this criterion in personal therapeutic counselling and personal development workshops, and reflect on the process in the Learning Review. Discuss how to identify and work on (explicit and implicit) relationship difficulties through personal development, counselling or psychotherapy. Enable trainees to identify relevant personal issues in supervision and to explore them in personal development workshops and counselling. Assess via e.g. case study, assignment and the Learning Review. GUIDANCE TO CRITERIA: Notes for Tutors (guidance only) Criterion: 5.3.1 Use awareness of your self during counselling sessions to enhance the counselling process Identify examples of the use of selfawareness in client-work. Apply ’awareness of your self’ in client work, group-work, supervision and counselling practice sessions. Reflect (in the Learning Review and/or client records) on understanding and application of this skill. Discuss the use of self-awareness during counselling sessions. Highlight and explore, in group supervision and other group work, examples of the use of self-awareness in client work. Assess via e.g. case studies and the Learning Review. Criterion: 5.3.2 Regularly reflect on your self as a counsellor and apply insights to subsequent counselling work Explore the ways in which your way of being/your personality as a counsellor can be both a help and a hindrance to client-work. Reflect (e.g. in the Learning Review, SelfReview and client/supervision records) on your application of this criterion. Discuss ways in which the personality of the counsellor can be a help and a hindrance in client-work. Enable trainees to explore how self reflection can aid their client work. Assess via e.g. Self-Review and the Learning Review. Criterion: 5.3.3 Use clinical supervision to develop awareness of implicit processes in your counselling work Explore, in supervision, examples of implicit processes within client-work. Develop understanding of implicit processes within the training group. Practise this criterion and document developing skills in Learning Reviews, case studies and supervision/client records. Discuss how supervision can be used to raise personal awareness of implicit processes in counselling work. Explore, in supervision, examples of implicit processes within client-work. Assess via supervision, assignment, case studies and the Learning Review. Element: 5.3 Use self awareness to enhance the counselling process CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 UNIT SIX: Work within a framework of counselling theory and skills LEARNING OUTCOME: Use knowledge, understanding and skills to facilitate the counselling process Element: 6.1 Use counselling theory to enhance your client work GUIDANCE TO CRITERIA: Notes for Tutors (guidance only) Criterion: 6.1.1 Use a coherent theory of counselling and the therapeutic process to enhance your client work Understand what ‘process’ means in your core theoretical model Apply your understanding of your core theoretical model and process to enhance effectiveness of your counselling. Develop understanding and skills via reading, seminars, supervision, counselling practice sessions and work experience. Identify (e.g. in client/supervision records, assignments, Self-Review) examples of your application of this criterion. Discuss and model the Centre’s theoretical approach to counselling and the therapeutic process. Explore, in group supervision of case presentations, the application of this criterion. Assess via e.g. supervision/client records, assignments, case presentations and the Learning Review. Criterion: 6.1.2 Use a coherent theory of self, personal history and relationships to enhance your client work Study theories of self, personal history and relationships as applied to your Core Model. Understand how a thorough understanding of your Model(s) can further your work with clients and in skills practice. Develop and show understanding and skilful application – via e.g. reading, seminars, supervision, counselling practice sessions and client work. Discuss the importance of understanding and skilfully applying to client work the Core Model of self, personal history and relationships. Provide exercises to ensure trainees are reading about and understanding their Core Approach and its application to client work. Assess via e.g. supervision records, assignments, case presentations and the Learning Review. Criterion: 6.1.3 Use evidence-based research to enhance your understanding of your client work Consider the importance of applying evidence-based research (interventions, approaches and techniques) to client work or particular client issues e.g. depression, anxiety, self-harm and stress. Show your understanding of how evidence-based research can inform client work through reading, seminars, supervision and reflections on client work. Discuss what evidence-based research is. Discuss the importance of being aware of research and its application to client work. Look at outcomes of research in relation to particular client issues. Recommend resources: “Treatment choice in psychological therapies and counselling” www.doh.gov/mentalhealth and “Evidencebased Counselling and Psychological Therapies”. Eds. Rowland, N. & Goss, S. pub. Routledge, 2002. Explore examples of using evidenced-based theory and practice to enhance trainee’s client work. Assess, via e.g. supervision records, assignments, case presentations, Learning Review. CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 Element: 6.2 Use counselling skills and techniques to enhance your client work GUIDANCE TO CRITERIA: Notes for Tutors (guidance only) Study and practise skills and techniques associated with your theoretical model. Become thoroughly grounded in your Core Model(s) and know the techniques and skills relevant to the model(s) to further enhance your client work. Develop understanding and skills via seminars, supervision, client work and counselling practice sessions. Document your competent use of skills in Learning Reviews, supervision/client records and feedback on observed counselling practice. Discuss a range of counselling skills, techniques & interventions specific to Centre’s theoretical model (e.g. in cognitive therapy you might use Challenging Irrational Beliefs, in psychodynamic counselling you might use free association). Explore the practise of this criterion in skills practice sessions, case presentations and supervision. Assess via e.g. supervision reports, feedback on counselling practice, assignments and case presentations. GUIDANCE TO CRITERIA: Notes for Tutors (guidance only) Criterion: 6.3.1 Use understanding of common life events and situations to work effectively at Service Level A Understand the CPCAB model of Service Levels. Study theories of common life events: e.g. loss and bereavement. Show development of understanding and practise via reading, seminars, supervision, counselling practice sessions and client work. Discuss theories of common life events: e.g. loss and bereavement. Explore (a) personal experiences of common life events through exercises & group-work; (b) the practise of this criterion in supervision and counselling practice. Assess via e.g. supervision, counselling practice, assignments & case presentations. Criterion: 6.3.2 Use understanding of common mental health problems to work effectively at Service Level B1 Research common mental health problems. Have an understanding of the medical and non-medical approaches to mental health problems. Demonstrate an ability to manage clients with mental health issues at Service Level B1. Show development of understanding and practise via reading, seminars, supervision, counselling practice sessions and client work. Introduce, through seminars or presentations, common mental health problems. Recommended resource: www.doh.gov/mentalhealth Explore (a) personal experiences of common mental health problems through exercises and group-work; and (b) the practise of this criterion in supervision and counselling practice. Assess via e.g. supervision, counselling practice, assignments & case presentations. Criterion: 6.3.3 Use understanding of implicit psychological and interpersonal processes to begin work at Service Level B2 Be able to discuss the underlying issues connected with specific mental health problems – e.g. the formation of eating disorders or depression. Show developing understanding via reading, seminars and supervision, and show counselling and skills via reference to counselling practice sessions and client work. Show your learning in practice sessions and client work. Provide time to discuss specific client problems, their possible causes and treatment. Know what would be beyond their level of competence at this service level. Explore practise of this criterion in group supervision and counselling practice. Assess via e.g. supervision records, observation and feedback on counselling practice, assignments and presentations. Criterion: 6.3.4 Use clinical supervision to identify clients with severe mental health problems and support the referral process Become familiar with signs and symptoms of severe and complex mental health problems. Clarify with your supervisor how to utilise clinical supervision to identify and refer clients requiring this level of help and support. Show developing understanding via reading, seminars and supervision; show skills via reference to counselling practice sessions and client work. Introduce and discuss (a) severe and complex mental health problems; and (b) the use of supervision to identify and refer clients requiring this level of help and support. Explore the practise of this criterion through supervision. Assess via supervision, counselling practice, assignments and case presentations. Criterion: 6.2.1 Use counselling skills and techniques associated with your theoretical model to enhance your client work Element: 6.3 Work effectively at Service Levels A and B1 8 8 See the TC-L4 Tutor User Guide for a description of these (and other) Service Levels. CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 UNIT SEVEN: Work self-reflectively as an Agency Counsellor LEARNING OUTCOME: Use self-reflection and supervision to facilitate the counselling process Element: 7.1 Manage your development as a counsellor GUIDANCE TO CRITERIA: Notes for Tutors (guidance only) Criterion: 7.1.1 Identify your progress and learning needs through self-reflection and feedback Reflect on progress in understanding course requirements at this level and identify areas to work on. Explore difficulties in receiving feedback. Show development of your skills via the Learning Review, Self-Review and peer and tutor feedback. Discuss good practice in identifying personal progress and learning needs. Explore trainee difficulties in receiving feedback. Assess via e.g. tutor and peer feedback, Self-Review and the Learning Review. Criterion: 7.1.2 Use feedback skills to help other counselling trainees identify their progress and learning needs Be clear how to give good feedback to others. Reflect on any difficulties in giving feedback to others. Identify your skills via the Learning Review and Self-Review, and also in counselling practice sessions through peer comment on your feedback skills. Discuss good practice in providing feedback to peers. Facilitate exploration of trainees’ strengths and weaknesses in giving good feedback. Assess via the observer role in counselling practice. Element: 7.2 Evaluate your counselling practice GUIDANCE TO CRITERIA: Notes for Tutors (guidance only) Criterion: 7.2.1 Use supervisee skills to prepare for and utilise clinical supervision sessions effectively Identify effective supervisee skills. Prepare client notes to use supervision effectively. Use examples to show your supervisee skills via the Learning Review and supervision record. Discuss supervisee skills, together with examples of good practice. Provide opportunity for trainees to practise this criterion before and during supervision. Assess via e.g. supervision reports, tutor observation of case studies/presentations. Criterion: 7.2.2 Evaluate the effectiveness of your counselling practice through regular reviews of your work as a trainee counsellor Explore ways of evaluating the effectiveness of your counselling practice. Confirm completion of this criterion via samples/examples of good practice in the Learning Review, Self-Review and supervision records. Discuss examples of good practice in reviewing and evaluating the effectiveness of counselling. Assess via Self-Review, peer feedback, and the Learning Review and/or supervision records. Criterion: 7.2.3 Understand how to evaluate the effectiveness of your counselling practice using a tool for monitoring client outcomes Research tools for monitoring client outcomes – e.g. Clinical Outcomes for Routine Evaluation: www.coreims.co.uk Increase your understanding via reading and seminars. Show understanding of this criterion by providing and commenting on an example of a tool designed for monitoring client outcomes. Discuss the nature and use of tools for evaluating client outcomes: e.g. Outcomes for Routine Evaluation www.coreims.co.uk Assess via e.g. client records, case studies/presentations and assignment. CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 3. Assessment programme – minimum requirements Candidates must be assessed as Proficient in both internal and external assessment to achieve the qualification. Candidates must give two pieces of evidence for each criterion and the Candidate Learning Record must include evidence from all three assessment methods (documents, tutor observation and testimony) for each unit of this qualification. INTERNAL ASSESSMENT – must include all three methods of assessment Programme activities Agency work experience Professional discussion and workshops Seminars, personal development workshops and group work Projects and presentations Review of understanding, skills and client work Review of learning Assessment method 9 Documents Types of evidence (2 references for each assessment criterion) Learning review 10 2 self-reviews 11 2 case studies 12 2 Assignments: a) On the service level framework (client-need & outcomes) b) On the theoretical framework (application of understanding to self and client work) Client record (100+ hrs - at least 5 different clients) Clinical supervision record 13 Therapy record (10+ hours) 14 4 tutor-observed counselling practice sessions (2 via audio or video) 15 2 case presentations Workplace simulations Assessed counselling Tutor practice observation Assessed case presentations Assessed workplace simulation Agency work place 1 supervisor report experience 1 agency report and/or feedback Counselling practice Peer feedback Group work Testimony Case presentations 16 30 – 50 hours group training supervision Seminars and workshops Tutorials EXTERNAL ASSESSMENT Candidates submit a 30 minute audio tape and a two hour Candidate Review Paper (related to their audio tape) to CPCAB for assessment. 17 9 Proforma and guidesheets for internal assessment can be downloaded from the tutor CD or CPCAB website. 10 This is an on going review of learning during the course (also called a “learning journal”). 11 Self-evaluation of learning, goals, progress, learning needs and completion of the learning tasks (criteria). 12 The case study and case presentation may be linked. 13 CPCAB recommends that the candidate’s agency provides appropriate clinical supervision to meet BACP supervision guidelines for trainees – currently a minimum of 1½ hours individual supervision per month (or the equivalent if in group supervision) or 1 hours supervision for every 8 hours client work. 14 The therapy requirement should be consistent with the centre’s own theoretical model/approach. In practice this means that many centres will require more than the minimum of 10 hours. 15 One of these will be the external assessment audio tape and tutor feedback. 16 Testimony can include tutorial records and direct questioning by a tutor-assessor. CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 4. Tutor-assessor qualifications and experience The core tutor-assessor needs to be an experienced counselling practitioner, an experienced trainer and group-worker and at least a developing counselling supervisor. Additional members of the tutor-assessor team may bring varied strengths but each needs to be a developing counselling practitioner, a developing trainer and group-worker, and a developing counselling skills supervisor. Tutorassessor Minimum practice qualification Required personal therapy + professional accred On-going CPD Minimum practice experience Minimum training experience TC-L4 core Therapeutic counselling tutor (diploma level /450 hours minimum) Experience of therapeutic counselling personal Supervised (therapeutic) counselling practice agency or independent setting (450 hours post qualification practice) Counselling skills training additional tutor(s) Therapeutic counselling (diploma level/350 hours minimum) AND …member of a professional association Experience of therapeutic counselling AND …member of a professional association profession al current practitioner personal profession al current practitioner AND …supervisory role in related field Supervised (therapeutic) counselling practice (agency or independent setting) Trainer in related field (human relations, professional development etc) 5. Candidate entry requirements This qualification is accredited for candidates aged 19 or over. They must have already acquired either: » CPCAB’s Level 2 Certificate in Counselling Skills (CSK-L2) and CPCAB’s Level 3 Certificate in Counselling Studies (CST-L3); or … » The equivalents of CSK-L2 and CST-L3, as ascertained by pre-course APL and/or APEL centre assessment. Tutors can allow progression onto the first year of TC-L4 to candidates who have not yet completed their assessment for CST-L3. However, candidates must successfully complete the assessment prior to entry into the second year of TC-L4. Special arrangements can occasionally be made to allow entry of suitably qualified trainees into year two of TC-L4 – please contact the CPCAB head office for further details. Criteria considered important in selecting applicants for a programme leading to TC-L4: 17 Guidance to prepare candidates for external assessment and mock papers are available on the tutor CD and CPCAB website. CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656 Identify reasons for training beyond just personal development. Be aware of the time and other resources required to meet demands of the course. Provide references. Be academically and emotionally able to cope with this level of training. Ability to work with difference and diversity. Possess personal qualities, imagination, intuition, openness and ability to benefit from self-development. Possess the ability to form a helping relationship. Have self-awareness, insight, honesty and the ability to make links. Possess emotional stability and the absence of personality disturbance. Ability to challenge and be challenged. Ability to respond sensitively and empathically to others. Centres need to ensure that all potential TC-L4 trainees (especially those that have not completed the prior CPCAB qualifications): » » » » Are made aware of the nature of the course (and “what they’re letting themselves in for”) and have been asked to self-assess themselves with regard to the necessary personal resources to cope with the demands of the programme. Have provided evidence of personal development and their ability to cope with this aspect of the course. Have the capability to begin working with clients within an agency setting. Are intending (and actively seeking) to begin work with clients during Year 1 of the programme. CPCAB Ltd. Registered in England & Wales. Registered office (not correspondence address): Pawlett House, West Street, Somerset TA11 7PS. Company No. 2952656