Supervision Guidelines

Below are the Statement of Standards and Recommendations of CBT Practitioner Accreditation Committee. The standards apply to Provisional, Full Accreditation and Re-instatement Applications as well as the MQSP process which will be launched later in 2017.

Qualifications of Supervisors

Supervision should be provided by an appropriately qualified BABCP Accredited Practitioner or with a practitioner who is trained and qualified in CBT to postgrad diploma level (or would meet minimum training standards) – is currently utilising CBT as a dedicated practitioner (ie at least 50% of own clinical practice is CBT) – and is in receipt of specifically CBT supervision.

Amounts of Supervision

Accredited practitioners should be receiving regular specifically CBT supervision – and for a full time clinical caseload this should a minimum of one and a half hours per month. This can mean an average, providing the contact is regular. However, it is considered that the minimum of one and a half hours of group supervision alone would be inappropriate for a full-time experienced clinician.

You should have sufficient supervision arrangements for your case-load and level of expertise.

For those working less than half time clinical work, it would be reasonable to pro-rata the overall amount of supervision time to 45 mins or one hour.

Accredited supervisors should be receiving appropriate levels of supervision for their supervisory practice – equivalent to 5% of their supervisory caseload or one hour per month.

Accredited trainers should be receiving appropriate levels of support or supervision for their delivery of training – equivalent to a minimum level of two hours per year.

Duration of Supervisory Relationship

Supervisor’s Reports supplied with accreditation applications should be from your current supervisor. If you have had supervision with them for less than six months, your previous supervisor should also supply a report.

Recording Supervision

It is recommended that records of all supervision sessions are kept. The contemporaneous use of the supervision log (available below) for use of recording supervision is highly recommended, but optional if you are keeping details of your supervision sessions elsewhere.

Download:

Provisional Applications

Supervision Logs are incorporated into provisional application forms.

Level 2 Provisional Applications

No supervision logs or supervisors’ reports are required for these applications.

Full Applications

Please include the downloadable supervisions logs (above) with these applications.

MQSP – Accredited Practitioners

The Committee highly recommends that records be kept to these standards in lead up to MQSP launch. Full MQSP guidelines will be issued when it is launched. In the meantime, use of the existing supervision log is recommended for your own supervision records.

Re-instatement of Accreditation

Supervision logs using the downloadable forms are required at Full Re-instatement, but not provisional.

Supervisor’s Reports

These are required for submission with Provisional (not Level 2) and Full and Full Re-instatement applications. They will not be required in this format for MQSP – further details will be published at the launch later in 2017, however it is recommended that accredited supervisors have an annual review of their practise with their supervisors using the supervisor’s report as a guide.

Download:

Types and Methods of Supervision

Types of Supervision may be individual, in a CBT Supervision Group, by Skype, Microsoft Messenger or telephone, peer review, or by e-mail (but there should be some direct personal contact on occasions).

CBT Clinical Supervision is not the same as professional or managerial supervision (although these may be provided by the same person as Clinical Supervision).

Clinical Supervision is also more than professional consultancy.

All time spent in group supervision will count providing the group has no more than six members; all group members must present their own material regularly, and you must have an opportunity for individual supervision should it be needed, or quickly available alternative supervision, e.g. advice in a crisis situation.

The supervisor and supervisee should agree elements suited to the clinical (or supervisory or training) practice ensuring that some elements of what would be regarded as good supervisory practice are present, such as live sampling; use of CTS R or equivalent skills measure; experiential methods (like live observation) etc.

Evidence of episodes of live sampling within supervision logs and supervisor’s reports are required within Provisional, Full and Re-instatement applications. Use of regular live sampling at all stages of clinical practice is highly recommended.

Literature demonstrating the evidence base of live sampling is available:

Evidence to support benefits of live sampling

*Bennett-Levy,J. and Lee,N.K. Self Reflection and Self Practise in Cognitive Behaviour Therapy Training. Behavioural and Cognitive Psychotherapy, 2014, 42, 48-64.

*Milne,D.L. and Reiser, R.P. Observing Competence.. The CBT'ist, 2011, 4, 89-100

*Milne,D.L. Reiser,R.P. et al. SAGE: preliminary evaluation... The CBT'ist .2011, 4, 123-138

*Milne etc An N=1 Evaluation.. B&CT, 2013, 41, 201-220

*Bambling, M. et al, Psychotherapy Research, 206, 16, 317-331

*Falander,C.A and Schafranske,E.P. Psychotherapy Based Supervision models.... Psychotherapy:theory, Research, Practise, Training. 2010, 47, 45-50