Ethical and Clinical Dilemmas FAQs
I want to start doing therapy with clients using an online video platform. Are there any guidelines I should be aware of?
BABCP does not currently have any guidelines but the IT Special Interest Group are working on some and when they are available we will make them available.
In the meantime there is some helpful information within the British Psychological Society’s guidelines document which can be found on their
practice guidelines webpage.
I want to provide therapy to someone who lives abroad. Are there guidelines I should be aware of?
Again, there are no specific BABCP guidelines on this, but it is important that you feel satisfied that you can meet the general guidelines for ethical and best practice even whilst practising remotely. In particular, it is important to consider issues of risk which may arise if you are providing therapy to someone in a country where you don’t know how the healthcare system works or are unable to liaise effectively, e.g. with their GP if necessary.
Does BABCP recommend a standard caseload for a full-time therapist?
BABCP does not give a guideline for how many patients is standard. This is because different settings and different levels of complexity can mean full-time caseloads vary significantly. BABCP does not want to be prescriptive about what is full or part time when there are a wide range of settings, case complexities, levels of specialism, and other factors.
What can I do if my organisation is not following BABCP guidelines for provision of supervision?
If your workplace is not providing you with supervision to enable you to re-accredit and your role is mainly CBT therapy it may be helpful to show your employer the BABCP guidance. BABCP cannot directly intervene in workplace disputes and would advise that if you are dissatisfied with supervision you try to resolve the issue with your manager, and that if this does not work, seek to resolve issues through your workplace’s protocols and possibly with the help of Human Resources and/or any union you are a member of. Seeking out peer supervision opportunities and considering funding private supervision are alternative ways of accessing supervision, although your work place may have guidance on whether or not it would recommend this.
Can you help me with a difficult situation at work where I think BABCP guidelines for good practice are being violated?
BABCP guidelines are voluntary, signed up for by members and accredited guidelines signed up to by accredited members, they are not mandatory regulations. Although we recognise that it can be hugely frustrating to be constrained in a service where guidelines are not being met, BABCP cannot act as a body to mandate that standards are upheld by services or by non-accredited therapists. We would recommend that you draw your service’s attention to the guidelines and seek to resolve the matter through your service protocols. BABCP is unable to become directly involved.
How long do we need to keep patient records for?
BABCP does not have specific guidelines for how long to keep therapy records. New General Data Protection Regulation (GDPR) guidelines mean that no-one should keep personal data for longer than needed. You need to be clear about how long you think you need to keep your records for and be clear about how long this is and why (e.g. a certain length of time to allow for auditing of data or to enable clients to return and you to still have their notes). If you are working in an NHS Trust or for another organisation your service is likely to have their own guidelines for the length of time to keep notes. You should refer to the ICO (Information Commissioner Office) for more guidance at www.ico.org.uk
How can I promote myself to clients?
Only accredited members are allowed to promote themselves as BABCP members. All of our accredited members are listed at www.cbtregisteruk.com and we can provide full contact details and a website link for an annual fee.
How can I link with other BABCP members?
All members are given membership of their regional branch and we have a range of active Special Interest Groups (SIGs) that members are free to join. Details of the SIGs available to join are listed here. We also host CBT Café , the online forum for members.
How can I get some opportunities to present on CBT topics?
There is an internal presenter directory which BABCP holds for those members who speak at our events. You could join this for a small fee.
How can I take part in CPD to improve my clinical, practical and theoretical knowledge?
We run a variety of CPD events through our Branch and SIG network. Current listings are held on our website at www.babcp.com/eventsS
Can you help me with a tricky clinical dilemma?
If you have a tricky clinical dilemma we recommend discussing it with your supervisor. You can also refer to the BABCP standards of conduct, performance and ethics [PDF]
We’re sorry but BABCP is unable to give specific clinical advice.