UNIVERSITY OF SHEFFIELD CLINICAL PSYCHOLOGY UNIT DEPARTMENT OF PSYCHOLOGY FACULTY OF SCIENCE in collaboration with NHS YORKSHIRE & THE HUMBER AND THE PSYCHOLOGY SERVICES OF SOUTH YORKSHIRE PROGRAMME HANDBOOK Doctor of Clinical Psychology Pre-Registration Programme Intake September 2013 WELCOME TO THE SHEFFIELD CLINICAL PSYCHOLOGY TRAINING PROGRAMME CONTENTS CLINICAL PSYCHOLOGY UNIT STAFF 3 STAFF PHOTOS 4 CONTACT DETAILS 6 1 BACKGROUND INFORMATION 7 2 ORGANISATION OF THE PROGRAMME 11 3 TEACHING AND CURRICULUM 13 4 RESEARCH TRAINING 22 5 CASE PRESENTATIONS, RESEARCH PRESENTATIONS, YEAR MEETINGS, SEMINARS 24 6 PERSONAL AND PROFESSIONAL DEVELOPMENT 28 7 PRACTICAL INFORMATION 35 APPENDICES 1 Programme Specification 2 PTC Terms of Reference 3 Trainee feedback form 4 External speaker feedback form 5 Selection of new teachers 6 Information for teachers and module co-ordinators on integration of issues of racism, culture and gender within clinical psychology 7 Information for teachers on Formulation 8 E-Learning 9 Programme Policy on taking holiday leave during teaching time 10 Relevant names and addresses 11 Psychology Department Health and Safety Policy 12 Guidelines for Postgraduate use of Document Requests 13 Resource Library 14 Programme of Dates 15 List of Acronyms Please refer to website http://www.sheffield.ac.uk/clinicalpsychology or MOLE for any updates to this Handbook. CLINICAL PSYCHOLOGY UNIT STAFF September 2013 Further details on staff interests can be found on the CPU Website: http://www.sheffield.ac.uk/clinicalpsychology Professor Gillian Hardy Professor Michael Barkham Professor Glenn Waller Dr Andrew Thompson Dr Georgina Rowse Dr Lisa Berry Dr Stacey Lavda Dr Liza Monaghan Dr Susan Walsh Dr Kath Boon Sara Dennis Dr Katherine Hildyard Dr Jo Burrell Dr Paddy Howes Angie Rollinson Christie Harrison Maxine Boon Jacquie Howard Sue Maskrey Sharon Keighley Dr Stephen Kellett Melanie Simmonds-Buckley Gill Donohoe Paul Bliss Helen Macdonald Ingrid King Unit Director Director, Centre for Psychological Services Research Professor Reader/Practitioner Senior Lecturer/Practitioner Lecturer/Practitioner Lecturer/Practitioner Joint Director of Clinical Practice Joint Director of Clinical Practice Senior Clinical Tutor Senior Clinical Tutor Senior Clinical Tutor Clinical Tutor Clinical Tutor Unit Administrator Research Support Officer Placement Planning Administrator NHS Administrator Assessment Administrator Timetable Administrator IAPT Programme Director IAPT Secretary IAPT CBT Teacher IAPT CBT Teacher IAPT CBT Teacher IAPT CBT Teacher Head of Psychology Department Professor Paul Overton Honorary Professors in Clinical Psychology Professor Nigel Beail, Professor Graham Turpin, Professor Pauline Slade Dr Jason Davies, Dr Claire Isaac, Dr Rebecca Knowles Dr Adrian Simpson Honorary Lecturers Honorary Research Fellow Honorary Teachers in Clinical Psychology 2013 Tina Ball Mary Fearon Alick Bush Mike Fitter Gail Coleman Alan Gray Graham Cockshutt Teresa Hagan Gill Crow Patricia Hall Gwyneth De Lacey Laura Hill Jenny Donnison Steve Jones Maria Downs Carolyn Lawson Kathryn Lewis Anne-Marie Lister Paul Manning Sue Martindale David Newman Hazel Reynders Andrew Roberts Richard Rushe 3 Shonagh Scott Arleta Starza-Smith Pete Walpole Sharon Warden Sara Whittaker Amy Wicksteed Eamonn Wilde Lisa Winter 4 5 Clinical Psychology Unit - University of Sheffield Contact Details Tel no e-mail address Room no Michael Barkham 26527 m.barkham@ C6 Nigel Beail 26575 n.beail@ C10 Lisa Berry 26577 l.berry@ C13 Paul Bliss TBC TBC TBC Kath Boon 26633 k.boon@ C10 Maxine Boon 26573 m.boon@ B16 Jo Burrell 26572 j.burrell@ C16 Sara Dennis 26642 s.dennis@ C16 Gill Donohoe (IAPT) 26584 g.donohoe@ ML-C3 Gillian Hardy 26571 g.hardy@ C5 Christie Harrison 26650 c.harrison@ B4 Katherine Hildyard 26609 k.hildyard C16 Jacquie Howard 26576 j.a.howard@ B14 Paddy Howes 26634 p.howes@ C10 Sharon Keighley 26570 s.keighley@ B14 Steve Kellett (IAPT) 26537 s.kellett@ C18 Ingrid King (IAPT) 26640 i.king@ C12 Stacey Lavda 26614 a.lavda@ C7 Helen Macdonald (IAPT) 26584 h.macdonald@ ML-C3 Sue Maskrey 26635 s.j.maskrey@ B14 Liza Monaghan 26638 l.monaghan@ B12b Angie Rollinson 26649 a.rollinson@ B15 Georgina Rowse 26574 g.rowse@ B2b Melanie Simmonds-Buckley (IAPT) 26632 m.simmondsbuckley@ PsycholG.19 Andrew Thompson 26637 a.r.thompson@ B12a Sue Walsh 26567 s.walsh@ C3 Other phones 26636(Study Room) 36607(Room C8) 36608(Coffee Room) 26503 (Small Meeting Room) IT support Psy-it@ Dave Saxon (Stats support) 20718 (ScHARR) d.saxon@ Psychology Finance 26536 Porters’ Lodge 29272 Workshop psy-workshop@ 26542 Fax number 0114 2226610 6 1 BACKGROUND INFORMATION 1.1 Introduction to the Programme The Programme was established in October 1991 and was set up to meet both national and local demands for clinical psychologists. This three year doctoral programme is organised by the University of Sheffield, in collaboration with local Psychology Services, and is commissioned by NHS Health Education Yorkshire and the Humber. The Programme received the first full on-site visit from the BPS in June 1994. Full accreditation has been awarded to the programme on each visit since then for the maximum possible (i.e. 5 year) period. The programme is now registered with the Health and Care Professions Council (HCPC). In May 2012 HCPC and the BPS visited the Programme following which the Programme was given full approval and accreditation. Therefore successful completion of the programme means that trainees are eligible to apply for registration with HCPC and chartered status with the BPS. The programme was also subject to Major Review by the Quality Assurance Agency (QAA) in 2005, receiving the highest possible evaluation; see website for details http://www.qaa.ac.uk/reviews/reports/health/sheffield05.pdf. The orientation of the Programme is specifically to promote the unique contribution which psychology can make to the delivery of health care. The Programme actively encourages trainees to employ psychological theories and formulations to inform the content of their clinical work. Similarly, the design of the curriculum and academic programme reflects the clinical and service context in which clinical psychologists work. The Programme strives to integrate theory with practice and places importance on conducting and utilizing applied research. The core purpose of the Programme is to train high quality future practitioner clinical psychologists who are able to meet and influence the future client and organisational needs of the National Health Service underpinned by innovative approaches to applied clinical and psychological services research. We encourage the study of a broad range of evidence-based approaches. Particular emphasis will be placed upon developments concerned with organisational skills and service evaluation, and the needs of priority groups within health and social services and the development of team working and clinical leadership. The Programme is based within the Department of Psychology, which has an excellent research record (RAE: Grade 5A) and outstanding facilities for research and teaching. Placements are made available principally within the following locations; Barnsley, Doncaster, Scunthorpe, North Derbyshire, Rotherham and Sheffield. Trainees are expected to travel as required to placements, some of which may involve significant commuting time. Contacts with trainees from the University of Leicester and Trent (Universities of Nottingham and Lincoln) and from the University of Hull and Leeds Doctor of Clinical Psychology programmes are encouraged. 1.2 Accommodation and facilities The Psychology Department is housed in a purpose-built 5-floor building, which provides both general and specialised facilities for teaching and research. The Department has three teaching laboratories, one of which is an open-access computer lab equipped with 30 networked PCs with dedicated servers and printers; these machines are all connected to the campus network and Internet. Other teaching laboratory space includes 20 small laboratory cubicles for individual and small group practical work in the main building. Portable audio and video recording equipment and transcribers are available on loan to students and staff for project work. A fully equipped audio/video-editing suite is also available. When required the technical staff fabricate specialised apparatus using the Department’s mechanical and electronic workshops. A full-time IT technician, Dalbinder Shemare ([email protected]) manages the IT resources of the Department. The department network allows access to central resources such as Library catalogues, CD-ROM archives, e-mail and the Web, to which the University adds further open-access computing resources at a number of centres distributed round the campus. The University Computer Centre provides access to large statistical packages and other software as well as courses and technical support for both staff and students on most aspects of computing and IT. 7 The Clinical Psychology Unit is housed in a separate annex consisting of a spacious and attractive Victorian house, alongside the main Psychology Building, which has one large teaching room, and a study room with its own network of PC computers. Teaching is also scheduled in the Seminar Room of the main Psychology Building. 1.3 Clinical Psychology Website The CPU website: http://www.sheffield.ac.uk/clinicalpsychology provides information for potential applicants to the Programme, current trainees, supervisors and teachers. Website resources include access to the catalogue for the CPU resource library, information about staff research interests, news and other relevant information. A wide range of resources is available to trainees via MOLE (My Online Learning Environment). These resources include timetables, useful forms and Programme documentation in addition to teaching materials, and electronic reading lists. 1.4 Health Education England Local Education and Training Boards (LETBs) have inherited contracts for clinical psychology training from the old Strategic Health Authorities (SHAs) and are responsible for education commissioning and planning for Health Education England. The LETBs now monitor the contracts they have with clinical psychology programmes Each year, LETBs require information to prove that programmes are meeting the requirements set down in the contract. Information is obtained from programme staff, trainees and placement providers. The organisation of health services in the UK went through a major restructuring in 2006 and 2011. In 2006 the government merged the 28 previously existing Strategic Health Authorities (SHAs) to produce 10 new larger SHAs. In 2011 these SHAs were merged into new national management framework. Three SHAs in the North of England including Yorkshire and the Humber combined to form NHS North of England. The area in which trainees usually undertake placements are within the old Yorkshire and the Humber SHA (Barnsley, Doncaster, Rotherham and Sheffield) with a total population of 5.04 million. Sheffield Health and Social Care NHS Foundation Trust employ trainees at the University of Sheffield. The Trust is contracted to undertake duties in respect of employment by the purchasing body. Along with all other NHS Clinical Psychologists in SHSC, trainees are members of Psychological Services. The Clinical Tutors are also employed by the same Trust. 1.5 Programme Structure The fundamental structure is a hybrid of day-release teaching, mini-teaching blocks (one, two or three weeks duration) and clinical placements. During the first year, trainees receive an introductory block (three weeks) consisting of academic teaching and clinical observation/familiarisation. This is normally followed by two five-month placements, separated by a two-week miniblock although there are also a number of year-long placements in the first year. Whilst on placement, trainees attend the University for between one and three days a week during semester time. In subsequent years, trainees only attend the University one day a week during semester time, the remaining four days being for private study (1) and clinical work (3). The second year consists of two 5-month placements, and the final year has two five-month specialist placements, which may be combined. In the second year a three-week miniblock precedes the first placement and a one-week miniblock precedes the second placement. In the third year there is a single two-week miniblock at the beginning of the year. The overall structure and important dates are listed in the Programme of Dates (see Appendix 14) and Table 1 provides information on the distribution of time for academic and clinical activity. Table 1. Distribution of Days against Activities Teaching Days Year 1 69 (27%) Year 2 44 (17%) 8 Year 3 35 (13%) Total 148 % over 3 years 19% (19.12) Placement days Study days Research days 146*(57%) 43 (16%) - 142*(55%) 66 (26%) 4 (2%) 147* (57%) 58 (22%) 20 (8%) 435 167 24 56% (56.20) 22% (21.57) 3% (3.10) Total days 258 256 260 774 100% Note 1. Holidays have been excluded. 2. Clinical placement time includes pre-placement planning days. 3. Research days are taken out of placement time. 1.6 Academic Framework In line with HCPC approval and BPS accreditation criteria, the teaching programme is delivered within a competency-based framework. The curriculum supports an integrative approach, emphasising core generic competencies, psychological models and evidence base, applications to specific client groups, and professional, ethical and service user issues. The academic programme also contains a strong research component. The programme is developmental with an emphasis on the acquisition of learning skills fit for the profession and at doctoral level, and that encourages life-long learning. 1.7 Clinical Placements Clinical placements and the academic programme are organised to link in with each other, wherever possible. In the first year, placement experience is focused on work with individuals, in the second year with staff and carers and in the third year we hope to retain an elective element to placements, depending on the experience AND competency development the trainee has gained. Year 1: The first two placements are directed at obtaining experience of services with individuals, often for adults within Adult Mental Health, Older Adults, Health and Medical and Psychosis and Recovery services. There are some opportunities to undertake a year-long, integrated placement. Year 2: Placements three and four are directed towards direct work and work with staff and carers often in services for children, adolescents and families, and people with learning disabilities. During Year 2, trainees are encouraged to begin the process of thinking about their Third Year Placements. Individual trainees consider their own training needs in conjunction with their clinical tutor by reviewing their first four placements and the experience gained of various therapeutic orientations, of in-patient and community settings, and of different psychology departments. They must also consider the competencies they have developed and if they have particular needs in any competency area. Year 3: Depending on the experience AND competency development of the trainee there may be a range of optional placements available in the third year. These may include: psychosis and recovery, primary care, psychotherapy, neuropsychology, health and medical psychology, looked after children, palliative care and forensic work. Further more specialised work with the client populations worked with in the first two years may also be undertaken. The decision regarding third year placements will be made in liaison with clinical tutors to ensure all experiences and core competencies have been covered within the three-year training period. Each placement generally lasts for approximately five months. However, at some point during training, and usually in the 3rd year, trainees should work with one client over a period of 6 months or longer. This requirement provides an opportunity for trainees to work in depth with a client and experience the processes of change as they unfold over time. Such learning is most readily accomplished in a year-long placement During the course of each placement, the Clinical Tutor meets with the trainee to discuss the Placement Plan section of the Assessment of Clinical Competence form and to review progress mid-way through at a mid placement meeting with trainee and supervisor at the 9 placement base. At the end of placement, Trainee and Supervisor meet together to discuss the feedback forms, including the End of Placement section of the Assessment of Clinical Competence. Trainees are based, wherever possible, for the majority of their clinical placements in commuting distance of the University. Whilst training needs are paramount, individual needs (e.g., health or carer needs) are accommodated wherever possible in the placement allocation process. Before commencing on the Programme, trainees are asked whether there are any factors that the Clinical Tutors should try to take into account when planning placements for the first year. Candidates should, however, be prepared to move both between local Psychology Services and occasionally to adjoining Regions for some placements. This may involve considerable periods of travel to and within the placement. Placement experience and the development of knowledge and skills is planned and evaluated in accordance with HCPC standards of proficiency and the BPS accreditation criteria. It is expected that trainees will take ownership of their learning needs on placement and will take responsibility for ensuring that the relevant sections of the Assessment of Clinical Competence form have been discussed and completed as far as possible prior to meetings with their clinical tutor. A placement audit process is in place to aid evaluation of placement resources, supervision and opportunities to develop core competencies. Together with placement visits and other conversations, this can form a basis for discussion between trainee, supervisor and the Programme about the quality of learning provided on placement. It also provides feedback to supervisors to aid their own development. The supervisor is given the opportunity to comment on the feedback from the trainee. This process also assists Clinical Tutors in planning both future placements and supervisor training. Further details on placements are available within the Supervisors’ and Trainees’ Information Packs. In addition a database of supervisors is maintained in the Unit and trainees can direct specific queries to Clinical Tutors or Maxine Boon. 1.8 Assessment and Evaluation Coursework is one of the fundamental foundations of the training scheme and exists to fulfil several important functions. First, assessment provides a system of standard setting whereby trainees are judged whether their academic and clinical performance is worthy of the award of a doctoral degree from the University. At the same time, it also serves a crucial role of professional gatekeeping ensuring that clients are not exposed to incompetent practitioners. Assessment also serves a second function whereby each individual's progress in meeting training objectives is assessed, and appropriate feedback and remedial action provided should this be required. Hence, the choice of assessment is important since it fulfils educational goals, in addition to providing standards for pass or failure. It is important that trainees familiarise themselves with the detailed guidance on assessment given within the Programme Assessment Regulations and Coursework Guidelines and also the University Regulations within the University Calendar (http://www.shef.ac.uk/calendar). It is also important that trainees familiarise themselves with the professional ethical and standards of conduct requirements as set out in the HCPC guidance on conduct and ethics for students and the Standards of conduct, performance and ethics and the BPS Code of Ethics and Conduct. 10 2 ORGANISATION OF THE PROGRAMME 2.1 Staffing The Programme is a partnership between the University and local NHS clinical psychologists. Accordingly, staff associated with the Programme include members of the Department of Psychology, the Clinical Tutor team, clinical supervisors throughout South Yorkshire and members from other departments of the University. Clinical supervisors who make a regular contribution to planning, teaching or supervision for the Sheffield Programme are recognised, at the University's discretion, with the title of Honorary Teacher in Clinical Psychology. For further details about Honorary appointments please contact the Unit Administrator. 2.2 Staff Year Teams Each cohort of trainees has a staff year team consisting of academic clinical staff and clinical tutors who will oversee their training throughout the 3 years. Staff in the team act as personal and clinical tutors and attend year group meetings for their year group. The aim is to develop strong and sustained relations for each trainee with a small number of the programme team. 2.3 Committee Structure The Programme Training Committee is the management committee for the Programme and meets twice a year. In addition, the Unit staff meet regularly on Monday mornings either as a whole team, in their year teams or in clinical tutor or academic staff meetings The Programme Training Committee (PTC) is responsible for the long-term strategic planning and management of the Doctorate of Clinical Psychology at the University of Sheffield. Its purpose is to provide a forum in which stakeholders associated with the Programme meet to plan, implement and review all aspects of Programme policy. The detailed implementation of the Programme policy is devolved via a sub-committee structure. The latter also includes regular meetings of the Programme Team. The Terms of Reference and membership of PTC are provided in Appendix 2. The detailed implementation of Programme policy is achieved via the following subcommittees: Curriculum Selection Personal and Professional Development Clinical Practice Research Training Advisory Group - Patient and Public Involvement ( Sub-committees are constituted by the PTC, and each has its own terms of reference and membership. Each sub-committee is directly accountable to the PTC and reports back regularly at its meetings. Other sub-committees may be formed at the discretion of the PTC. In addition the Board of Internal Examiners reports back to PTC about general issues regarding assessment and the academic performance of trainees but its business and minutes are kept confidential from the PTC. The PTC is accountable to the University via the Programme Director, the Head of the Department of Psychology, and the Pro Vice Chancellor of the Faculty of Science. The University is accountable to the purchaser via the training contract. 2.4 Other relevant committees and organisations Departmental There is a Psychology Department Staff Meeting, which meets every three weeks each semester and includes a postgraduate representative. The Unit Director also sits on the Department’s management group. Regional Local Branch of the Division of Clinical Psychology 11 This is the main professional advisory body in the Region. It meets throughout the year and organises a series of scientific meetings and other CPD activities. Regional Special Interest Groups These do exist for clinical psychologists working in the following services: Older Adults, Learning Disabilities, Child, Health Psychology, Psychosis and Recovery, Neuropsychology and Forensic. Trainees are welcome to attend these meetings. National Health and Care Professions Council (HCPC) On 1 July 2009 HPC (now known as HCPC) opened the Register to practitioner psychologists. This means that at the end of training you will need to register with HCPC in order to practise as a clinical psychologist. HCPC is the profession’s regulatory body. HCPC also approve and monitor practitioner psychologist programmes. The Programme is currently approved by HCPC. HCPC required us to have your consent for aspects of teaching; this is set out in the form that trainees sign at the beginning of training British Psychological Society (BPS), the Division of Clinical Psychology (DCP) and the DCP Affiliates Group. The BPS functions as both a learned society and also a professional institution. It is responsible for maintaining a voluntary Charter of Registered Psychologists. The profession of clinical psychology is represented by DCP. Trainees can be associated with the DCP either via the local regional branch, which organises regular scientific meetings or via the DCP Affiliates Group, which represents trainee clinical psychologists. Clinical Training programmes within the UK are also accredited through partnership by the BPS via the Committee for Training in Clinical Psychology (CTCP). In order to enable professional development and to keep abreast of contemporary developments within the profession, trainees are recommended to become members of the BPS and to register provisionally as Chartered Psychologists. Unite This staff association represents the interests of clinical psychologists, and other graduate scientists, within the NHS. Trainees are eligible to join the union. Other societies Other relevant societies include the British Association for Behavioural and Cognitive Psychotherapy (BABCP), the Society for Psychotherapy Research, the Association for Child Psychology and Psychiatry, Young Minds, and the British Association for Family Therapy. 2.5 How do trainees influence the Programme? Trainees contribute to the PTC either via their representatives or by sitting on the various subcommittees. Similarly, supervisors have access to the committee via their Service/Specialty Representatives, membership of the sub-committees or their Special Interest Groups who are represented on relevant sub-committees. The Programme always welcomes comments and feedback from Supervisors either informally or formally. Clearly, the PTC is the appropriate formal venue for trainee feedback and suggestions for changes in Programme operation and policy. However, there are less formal but, hopefully, equally effective channels. These include informal contacts with Programme staff, and through representations to Personal Mentors, Personal Tutors and Clinical Tutors. There are specific opportunities within the Year Meetings to provide feedback and feedforward information on the academic teaching and other aspect of the programme through teaching feedback forms and the annual feedback survey. Copies of the constitution of the Programme Training Committee and the terms of reference of the various sub-committees are available from the Unit Administrator. 12 3 TEACHING AND CURRICULUM 3 TEACHING AND CURRICULUM 3.1 Curriculum Design The Programme’s required learning outcomes are grouped into four areas: Knowledge and Understanding; Transferable skills; Subject Specific skills; Personal and Professional skills. These areas are linked to the four themes of the academic teaching: Psychological Models, Theories and Evidence Base Clinical Skills Research Skills Professional and Ethical Skills These four themes run through the three years of training. They provide an overall structure to the syllabus, and are developmental in that the second year builds on skills and knowledge gained in the first year, and the third year similarly builds on first and second year teaching. Most of the ‘core’ teaching takes place in Years 1 and 2 and Year 3 provides opportunities for specialist teaching, as well as focusing upon consolidation of therapeutic skills and development of the skills required to provide consultancy, supervision, and clinical leadership. The Year 1 intended learning outcomes focus on working with adults, primarily in one to one work; Year 2 intended learning outcomes extend this to include working at the systems and organisational level, developing this work with children, families and people with a learning disability; and Year 3 intended learning outcomes include working with more complex issues, and extension and consolidation of learning and skills achieved in Years 1 and 2. More details about the intended learning outcomes and themes for each year are provided below. 3.2 Teaching Administration Sharon Keighley, is responsible for managing teaching arrangements and can be contacted on 0114 2226570. Christie Harrison, is responsible for maintenance of online information/ materials and can be contacted on 0114 2226650. Dr Lisa-Marie Berry, curriculum co-ordinator, is responsible for the integration and coherence of the timetables by facilitating appropriate links between external speakers and liaising with Programme team specialism links. The curriculum is further divided into specialist areas that are nested within the themes. These specialisms allow programme team members to liaise with appropriate advisors within the NHS. Please see Table 2. Each specialism represented in the timetable has a designated programme link from the academic or clinical tutoring staff. This team member maintains links with relevant Faculties and Special Interest Groups where appropriate, ensures appropriate coverage and advises the curriculum co-ordinator on appropriate external speakers. 3.3 NHS Advisors and Local SIGs/Faculty Chairs To ensure the curriculum reflects current best practice and service developments, NHS advisors drawn from services, specialities Faculties and SIGs are invited to sit on the CSC. Specifically these advisors aid in the setting of teaching objectives and planning teaching content. They advise on identifying speakers and allocating teaching hours. NHS advisors also provide an additional link to local Faculties/ SIGs where appropriate. A list of the current Programme team links and NHS advisors is provided in Table 2. Table 2. CSC and NHS Advisors Service/ Speciality Adult Mental health Child/ Adolescent Forensic Clinical Health Psychology Programme Team Link Stacey Lavda Lisa-Marie Berry Georgina Rowse Andrew Thompson 13 Advisor Teresa Hagan Fiona Myles Rhodri Hannan Maria Jarman Learning Disabilities Neuropsychology Older Adults Psychosis & Recovery PPD Professional and ethical issues Research Psychological models PPI / DAG Programme induction Katherine Hildyard Glenn Waller Glenn Waller Georgina Rowse Stacey Lavda Liza Monaghan Andrew Thompson Lisa-Marie Berry Kath Boon Unit and Clinical Directors Zara Clarke Hazel Reynders Sophie Payne Sue Martindale PPD Sub-committee Research Sub-committee PPI Sub-committee PTC members NHS advisors link with the local faculty/ SIG where appropriate when planning the teaching. In addition, the Personal and Professional Development, Research and Clinical Practice Subcommittees review aspects of the curriculum and these subcommittees also have NHS and trainee involvement. 3.4 Year One Curriculum Psychological Models, Theories and Evidence Base Aims The overall aims of this theme are threefold, for trainees to have the skills, knowledge and values to 1) integrate psychological theory with practice; 2) recognise common forms of psychological distress in adults; and 3) develop evidence-based practice. This theme is developed around the following areas of work: Adult Mental Health Psychosis & Recovery Older Adults Neuropsychology Health Psychology Forensic Psychology Intended Learning Outcomes Knowledge and understanding of contemporary theory in clinical psychology and related fields Knowledge and understanding of evidence base related to health care and the promotion of physical and psychological well being Knowledge and understanding of specialist adult client group knowledge across the profession of clinical psychology Skills to generalise and synthesise prior knowledge and experience in order to apply them in different settings and novel situations Skills to evaluate the applicability of scientific literature for clinical practice Clinical and research skills to work effectively as a reflective practitioner and scientist practitioner Clinical Skills Aims The overall aims of this theme are fourfold: to develop skills in a) establishing good working relationships with clients; b) a range of assessment methods c) developing psychological formulations; and d) a range of specific psychological interventions. This theme includes the following areas of practice: Psychological Therapies Formulation Interviewing Skills Intended Learning Outcomes Knowledge and understanding of a range of models of assessment, formulation and intervention designed for individual clients Skills to apply scientific theory, models and evidence to clinical problems and data Skills to reflect on one’s own clinical practice and scientific understanding Psychological assessment skills including: developing and maintaining effective working relationships and appropriate use of a range of assessment methods, including the use of standardised tests, interview and other structured procedures 14 Psychological formulation skills including: integration of assessment information, psychological models and evidence and understandings and clients’ perspectives; use of formulation to plan interventions; and revising formulations where appropriate Understanding of the theory and main concepts of level 1 psychological intervention Professional and Ethical Skills Aims The overall aims of this theme are to develop trainees’ awareness and critical understandings of the clinical, professional and social context of the professional practice of clinical psychology; to develop trainees’ self reflective skills and to enable trainees to better manage the demands of learning within both academic and NHS settings. This theme is, therefore, organised around three aspects: Personal: Personal and Professional Development Module Professional: Professional Issues Module Social: Working with Difference Module Intended Learning Outcomes Trainees are expected to gain the knowledge, understanding and skills in the following: a) Personal: Supervisory methods and processes Skills to reflect on one’s own clinical practice and scientific understanding Using supervision to reflect on practice and making appropriate use of feedback received Effectively managing own personal learning needs Developing skills to manage the impact of clinical practice and seek appropriate support when necessary, with good awareness of boundary issues b) Professional Organisation and management structures within the NHS and other relevant health care and voluntary service settings, including current policies on health care planning, delivery and resourcing Communicating effectively clinical and non-clinical information from a psychological perspective in a style appropriate to a variety of audiences Development of an ethical and professional value base Skills to work effectively as part of a multi disciplinary team Skills to work collaboratively and constructively with colleagues and service users c) Social The impact of difference and diversity on people’s lives and its implications for working practices Skills to manage effectively issues of difference and diversity within clinical practice Understanding the inherent power imbalance between practitioners and clients and how to work in ways that are empowering Research Skills Aims To equip trainees with the knowledge, skills and attitudes which will enable them successfully to initiate, conduct, collaborate with and advise others on research, service evaluation and audit as relevant to clinical practice within the NHS. Intended Learning Outcomes For trainees to: Be knowledgeable of research design; both qualitative (statistical) and qualitative methods Be able to conduct and monitor research projects. Be able to evaluate the quality of published research Be able to communicate effectively, and to the relevant audiences, research findings and the results of service evaluations 3.5 Year Two Psychological Models, Theories and Evidence Base Aims 15 The theme continues from the skills and knowledge gained in year 1. The curriculum in year 2 seeks to provide knowledge for effective clinical practice with people with learning disabilities and their carers and provides trainees with an understanding of the factors that impede psychological development and the ways in which young people manifest psychological distress. This theme is developed around the following key topics: Developmental Perspectives Social context Legal & Ethical Issues Service Provision & approaches Intended learning Outcomes For trainees to: Be able to describe children, young people and people with learning disabilities from a developmental or psychological perspective Gain an understanding of systemic approaches to intervention(including family therapy) having due cognisance of various theories and therapies relating to family functioning and the impact of culture on these Be aware of social, legal and ethical issues relating to young people and those with a learning disability Be able to describe the client group from a psychological perspective Have an understanding of service provision and to consider its development from a historical perspective Have an appreciation of the current philosophical and ideological debates Be able to describe manifestations of psychological difficulty and distress Be able to describe the psychological frameworks applied to learning disability; to discuss evidence for their benefits and limits to their applicability Be able to use the concept of levels of intervention to understand how psychologists work at the interface between client and family; between client and staff; and between the client's organic impairments and their emotional response to them Clinical Skills Aims Building on the skills developed during year 1 and year 2 aims to provide skills necessary for effective clinical practice with children and people with learning disabilities and their carers Intended Learning Outcomes For trainees to: Be acquainted with the various psychological interventions and therapeutic approaches appropriate to the age range stage of development, and to be able to formulate problems with this in mind Develop skills in engaging young people and people with learning disabilities in therapy. Be able to analyse the reasons for problem behaviours bearing in mind contextual issues that may be impinging, including race and culture, and to carry out appropriate behavioural interventions. Professional & Ethical Skills Aims This theme continues from the skills and knowledge gained in Year 1. The curriculum in Year 2 extends trainees knowledge surrounding the organisation and delivery of clinical psychology services, and seeks to further trainee’s ability to reflect on diversity and practice and how it is affected by the complex inter-relationship between their personal and professional development. Intended Learning Outcomes For trainees to: Have an appreciation of different models of service delivery Be able to describe services and organisations for children and families Be able to describe legal issues concerning services for children and people with learning disabilities Have an appreciation of equal opportunities issues and their implications for services Know the implications for working with "difference" 16 Have an appreciation of organisational aspects of clinical practice Be able to describe ways of working indirectly with clients Better manage the demands of learning within both academic and NHS settings through Make use of a 'tool-kit' of self-care skills Use an ongoing and long-term (throughout the three years of training) experience of work within a reflective practitioner group facilitated by an outside practitioner Work with an identified mentor throughout the three years of training Research Skills - II Aims To equip trainees with the knowledge, skills and attitudes which will enable them successfully to initiate, conduct, collaborate with and advise others on research, service evaluation and audit as relevant to clinical practice within the NHS. Intended Learning Outcomes For trainees to: Be knowledgeable of research design; both qualitative (statistical) and qualitative methods methods Be able to conduct and monitor research projects. Be able to evaluate the quality of published research Be able to communicate effectively, and to the relevant audiences, research findings and the results of service evaluations 3.6 Year Three Psychological Models, Theories and Evidence Base Aims The theme continues and develops the skills and knowledge gained over years 1 and 2. The curriculum in year 3 seeks to expand trainees’ knowledge about working with clients with complex presentations. It includes teaching workshops relating to specialist client groups, different ways of working and evidence base related to health care. This theme is developed around the following key topics: Working with complex presentations Working with specialist client groups Working with different models of service provision Intended learning outcomes For trainees: To expand and deepen knowledge around working with specialist client groups To expand and deepen knowledge around different clinical approaches To expand knowledge relating to service provision Clinical Skills Aims Building on skills gained in years 1 and 2. The aims in year 3 are to deepen knowledge relating to interventions previously covered and to broaden the range of interventions. Intended Learning Outcomes For trainees to: Broaden and deepen knowledge of models taught in years 1 and 2. To introduce a range of other models To consolidate clinical skills Professional and Ethical Skills Aims This theme builds on the skills and knowledge gained in years 1 and 2. The curriculum in year 3 further extends trainees knowledge surrounding the organisation and delivery of clinical psychology services and prepares them for working as qualified clinical psychologists in the current NHS. It seeks to further trainees’ ability to reflect on diversity, practice and self in relation to personal and professional development. 17 Intended Learning Outcomes For trainees: To be able to critically appraise the ethical aspects of working in a complex organisation. To develop effective and appropriate interpersonal skills for the workplace. To be able to reflect on the ways in which aspects of diversity impact on our work as clinical psychologists. To have an understanding of the methods of clinical audit. To be prepared for the transition to qualified clinical psychologist Research Aims To equip trainees with the knowledge, skills and attitudes to enable them successfully to initiate, conduct, collaborate with others and advise others on research, service evaluation and audit. Intended Learning Outcomes For trainees to: Be knowledgeable of research design and statistical methods (including computer packages) Be able to plan and monitor research projects and to identify common practical difficulties and pitfalls. To be able to communicate effectively, and to the relevant audiences, research findings and the results of service evaluations. 3.7 How the timetable is organised Timetable content relating to clinical specialisms is reviewed by relevant Programme Team Links in consultation with NHS Advisors, Special Interest Groups/Faculties and Teachers. Proposed alterations and updates to timetable content are reviewed each year at the May meeting of the Curriculum Sub-Committee. Changes to the timetable will also be made as a consequence of trainee feedback, which is also reviewed at this meeting. Provisional timetables, together with a programme of dates, are circulated to Programme staff during June. Changes to the timetable are co-ordinated by the Curriculum Administrator. A final timetable is circulated to trainees and supervisors by the start of the semester. 3.8 Programme feedback from trainees and speakers The aims of the feedback system are: • To enable Programme team members and teachers to adjust the teaching programme appropriately, bearing in mind responses to structure, teaching style, organisation and presentation of content etc. • To facilitate a more formal feedback process for trainees enabling them to highlight their perception of strengths and weaknesses of the teaching programme with the potential for making good any significant deficits or repetitions. The feedback process is as follows: • Trainees complete electronic feedback forms (see Appendix 3) within 1 week of the teaching session.. Trainees are emailed a link to an online survey immediately after each teaching session. A reminder email is sent after 3 days to those who have not yet completed the feedback. • Trainees are reminded on the forms to keep in mind the aims of the evaluation i.e. for comments to be constructive and helpful to the process of adjustment. • The completed feedback data is collated and reviewed by the programme team link and curriculum co-ordinator. After review, the feedback is sent to the speaker. If for any reason feedback is not sent to the speaker, then the programme team link or curriculum co-ordinator will contact the speaker and discuss the feedback. • The programme retains an electronic copy of all feedback. Trainee feedback is anonymous. However, if concern is raised with regard to inappropriate or unprofessional (directly offensive or derogatory comments), then the programme team may decide to trace the feedback of individual trainees. This situation is extremely rare, and our 18 trainees are encouraged to make honest and constructive feedback. All feedback will always remain anonymous to speakers. The feedback and teaching content are reviewed by the programme team links and curriculum co-ordinator to ensure that the teaching is of a standard in line with University quality assurance. Where consistent issues are identified with any one specific teaching session (consistent feedback over three consecutive years; or an urgent issue raised within one year), the curriculum coordinator would liaise directly with the speaker regarding this feedback and their contribution to the programme curriculum. This may also involve a direct observation of this teaching session. Further support within teaching would be provided to the speaker where any specific needs were identified. Feedback about the overall teaching programme, gaps and overlaps etc. is obtained by year tutors within the year group meeting at the end of each semester and by the CSC representative for the year group. This information is fed back to the CSC to allow the relevant action to be taken. External teachers are also invited to complete feedback on the planning and co-ordination of their input with the programme team link or curriculum co-ordinator, and the adequacy of the background information and facilities required for their teaching. They are also asked about the interaction with the trainees, and whether they are happy to teach subsequent years (see Appendix 4). This feedback is collated to allow general themes to be identified and where appropriate acted on. These formal policies will enable staff to know and act upon any areas where the quality of teaching is in doubt. In addition the member of staff who is responsible for a specialist area of teaching will hold review meetings every three years with all people involved in teaching this topic to update and consider new teaching methods etc. The University provides high quality workshops on up to date teaching methods. The Programme has agreed access to these resources for all teachers, including external teachers, which also enables the programme to offer advice to individual teachers. 3.9 Feedback Systems From 2013-2014, an electronic feedback system operates to enable trainees to give their views on your teaching session. A sample questionnaire is available from our website. Trainees will be emailed a link to an electronic survey immediately following your teaching session. Following collation of the responses, the feedback will then be forwarded to you via email. Please ensure that we have an up-to-date email address to contact you on. You will also be invited to complete feedback. Shortly after your teaching session, you will be emailed a link to an online survey. We would be grateful if you could complete this at your earliest convenience. Please note this is not given back directly to trainees but is reviewed by staff and points noted may be raised with trainees by year team staff during a year group meeting. If you wish to provide verbal feedback directly to programme staff or wish to discuss your teaching please contact Sharon Keighley on 0114 2226570 or [email protected], who will be able to direct you to the appropriate person. 19 3.10 Information for External Teachers External teachers are local clinicians with specialist knowledge that they are able to contribute to specific aspects of the curriculum. Many external teachers have provided teaching on the curriculum for a number of years. Where no issues or concerns are identified, these teachers will be re-invited to continue teaching each year. External teachers are able to contact the Curriculum Coordinator should they feel that they wish to evaluate their contribution to the teaching and any specific training needs they may have regarding teaching. There are circumstances under which new teachers need to be recruited, for example, when a new topic area is introduced to the curriculum to meet a particular learning outcome, or when an established teacher is no longer able to provide teaching. The process by which teachers are recruited is outlined in Appendix 5. Expenses and fees Information on expenses and fees is available on the website www.shef.ac.uk/clinicalpsychology/information-for-externalspeakers. Confirmation letter When suitable times and dates are agreed the Administrator sends out a confirmation email. Further information is available on the Clinical Psychology website: www.shef.ac.uk/clinicalpsychology/information-for-externalspeakers. Recognition as an 'Honorary Teacher of Clinical Psychology' within the Department of Psychology It is recognised that the success of the DClin Psy Programme is dependent upon the significant contribution to teaching and supervision by clinical psychologists working within local Services. The University wishes to recognise and reward such individual contribution by awarding the title of Honorary Teacher in Clinical Psychology. Honorary Teachers receive an Associate UCard entitling them to use University computer facilities to access library resources, which can be done either on site or remotely from home. They also gain access (on request) to the CPU intranet (MOLE) where they can view all teaching materials. Another benefit is the right to use the USport Facilities (on payment of fee). Criteria Individual clinical psychologists may apply to the Programme for recognition as an Honorary Teacher of Clinical Psychology. Senior programme staff consider applications at any time. Recommendations are passed to the Faculty of Science for approval via the Head of the Department of Psychology and an approved list of names is published in the University Calendar. To make an application you should write to the Programme Director, with evidence that you meet one or more of the following criteria: i) ii) iii) iv) v) A significant contribution to the profession of clinical psychology within the region (e.g. Head of Psychology Service) A significant contribution to the organisation of the Programme (e.g. member of the PTC or subcommittees) A significant contribution to teaching on the Programme (providing regular teaching sessions or acting as adviser in a particular teaching area) A significant contribution to placement supervision (e.g. offering regular placements) A significant contribution to trainee support (e.g. regular personal mentor). An individual decision may be based upon all five criteria mentioned above. A significant contribution is usually regarded as a regular commitment of at least two years. The decision of the Executive Group will be final as regards any individual's recommendation. Please send your letter of application together with a brief CV by email to [email protected] Further guidance for teachers Sheffield Teaching Assistant The University of Sheffield offers teachers the opportunity to complete a professional development programme to support their teaching. The Sheffield Teaching Assistant (STA) consists of half-day (3-hour long) workshops, which provide an introduction to four areas of teaching provision: large group teaching, small group teaching, supervising research projects, and assessment & feedback. All participants will receive a certificate of attendance 20 immediately after each workshop. Participants who attend workshops in all four areas will also receive the Sheffield Teaching Assistant Award. Speakers are able to access further information about the programme through the CPU web pages. In order to book a place on any of the workshops, please contact Sharon Keighley. • Teaching Style Our current intake is now 18 trainees in each year. Teaching presentation is likely to be in the style of a short formal lecture that will be complemented by tasks that involve the trainees in active learning, such as small group and syndicate work, demonstrations, role plays and other trainee-focused exercises. Teachers should be sensitive to the possibility that their teaching may be distressing for trainees. Sometimes particular topics (e.g. bereavement, profound learning disability, selfharm, severe chronic illness) may be inherently distressing and the Programme would suggest that presenters are sensitive to these issues and allow trainees the opportunity to explore them within the teaching session. It may also be appropriate for trainees to take away with them to their Personal and Professional Development sessions, certain themes or topics that have been identified as difficult or challenging. Occasionally, trainees will be sensitive to topics or issues due to their own personal experiences or history. If this is anticipated as an issue, they should discuss it further with either their academic or clinical tutor, or the speaker and if necessary, should leave the session. Trainees should be advised to say where they can be found if they need to leave a session, and if possible, to try and return to the session before it finishes if they feel able to. Session outline and learning outcomes Prior to your session you will be asked to complete a short form summarising your teaching session, the intended learning outcomes, and any further reading to compliment the content. Please also ensure that the intended learning outcomes are inserted at the beginning of your presentation. There should be approximately three learning outcomes per session, which will relate to what trainees should be able to do or know following the session. For specific guidance on writing learning outcomes please see the ‘Learning Outcomes Guide’ available to download through the CPU web pages. • Reading list Please provide a reading list. Ideally this should contain at least one good introductory review and two recommended readings. Please leave a copy in the office for our resource files. • Photocopying teaching materials We can produce photocopies of any teaching materials you wish to distribute to the trainees, providing these are received at least a week prior to the teaching date. If you bring any teaching material with you to give to the trainees on the day, could you please leave a copy in the office for our resources file. All handouts will be printed 6 slides per page and double sided, unless you request otherwise. • Electronic Presentations We would like to put a copy of any electronic presentation, which you have used for teaching, onto MOLE (My Online Learning Environment): the trainees' intranet. This is not accessible to anyone other than trainees and staff. We will save any documents as pdf files, so that they cannot be modified. If you would rather not have your presentation accessible in this way, please let us know as soon as possible. Involvement Please consider how you might bring into your session an experiential element to the user being covered. This might include co-presenting with service users or asking service users to lead on a particular aspect of the session. It might also involve the use of personal disclosure and DVD or audio material. Please let us know in advance if you intend to work with service users so that their contributions are acknowledged on the feedback form etc. It is possible to reimburse service users for their contribution and various methods of payment are available. CPU has a forum for discussing/developing patient and public involvement in its programmes and if you are interested in attending this forum please contact Kath Boon ([email protected]) or Andrew Thompson ([email protected]). • Diversity 21 Issues of diversity are important factors that influence clinical theory and practice. The Sheffield programme supports the integration of these issues across all aspects of the teaching. Although there are a number of sessions which specifically address these issues it is envisaged that all speakers will give some consideration to them in their teaching. The Programme has produced a document to assist you in incorporating information and discussion of diversity issues into your teachings sessions (Appendix 6) • Clinical Formulation Formulations underpin our clinical work and are the link between theory and practice. The Sheffield Programme provides a number of sessions covering the general principles underlying clinical formulations. However, it is envisaged that all people teaching will consider issues of formulation within their session. The Programme has produced a document summarising the content of the formulation sessions and some ideas for incorporating formulation issues into lectures (See Appendix 7) • Parking and Equipment needs Please let us know if you require a parking space reserved for you in one of the University’s car parks and we will send you a permit. A PowerPoint projector, video equipment, overhead projector and flip chart are provided in all teaching rooms. We will assume that you do not require anything further unless we hear from you to the contrary. Some E-learning principles are given in Appendix 8. 22 4 RESEARCH TRAINING 4.1 Introduction The Director of Research Training, Andrew Thompson, oversees the research programme with assistance from the Research Support Officer. Research training and practice is one of the major emphases of both the programme and Unit as a whole. All academic staff are research active and the programme has sought to develop active research collaborations with colleagues within the Department of Psychology, The School of Health and Related Research (ScHARR), the Centre for Psychological Services Research (CPSR), the NHS, local and national Voluntary Agencies and charities (for a fuller description of collaborations and research activity see the staff web pages; publications board; and Staff Research Booklet). 4.2 Aims and purpose The object of the research programme is to equip trainees with the knowledge, skills and attitudes that will enable them successfully to initiate, conduct, collaborate with and advise others upon research and service evaluation. It is intended that the quality and relevance of such research will, in the longer and shorter term, contribute to the quality of care provided by the National Health Service and further the knowledge base of the profession of Clinical Psychology. Trainees are required to carry out research associated academic work (an experimental single case study and a service/need evaluations) evaluation, usually derived from issues or needs arising on placement. In the case of the service evaluation, the work maybe performed for a third sector organisation, where a charity or service has submitted an approved request for a service evaluation (details available on the service evaluation page of the CPU website). Trainees are also required to carry out a major research project in an area applicable to the Unit’s or Department’s research priorities as described above. This consists of a literature review and an empirical study. 4.3 Outline of the teaching programme The taught Research Skills Curriculum outlines the taught component of the research programme and illustrates the balance given between quantitative and qualitative methods, the importance of ethical considerations, Research Governance and data protection, teaching on single case methodologies and service evaluation, identifying and critically appraising literature, statistics, public and patient involvement, and writing-up and dissemination. In keeping with the importance of this aspect of clinical training, relevant teaching commences in the first year and continues throughout the programme. There is a consistent emphasis upon research methods that are applicable to the practical issues that arise in health care settings. The teaching is oriented towards the acquisition of useful skills, a realistic perspective on applicable research, and sensitivity to ethical issues. Teaching during the research module includes consideration of ethical and governance issues in research and provides trainees with an understanding of the importance of NHS research ethics and governance procedures. Trainees also participate in workshop style training that has the specific learning objective of developing professional responsibility and proficiency in line with the British Psychological Society’s code of conduct and ethical guidelines and The Health and Care Professions Council Standard of conduct, performance and ethics and Standard of proficiency for practitioner psychologists. 4.4 Summary of procedures for selection of research topics and supervision of projects Trainees are required to choose a topic area related to potential University supervisors’ and their NHS collaborators’ interests. This emphasises the importance of appropriate supervision and support. Academic and Honorary Academic staff interests are described in a staff research booklet (circulated annually early in year one). Research active staff also provide seminars where their interests and expertise are presented. 23 Trainees are encouraged to approach potential supervisors to initiate preliminary discussion of possible projects following the circulation of the staff research booklet. Trainees are required to submit a request for an academic supervisor in May of the first year. On the basis of this academic supervisor/s are assigned (usually by the end of May). In addition, a liaison supervisor who will typically be a NHS clinician may also be identified. In October at the beginning of the second year, trainees are required to submit a full-project proposal for review, so as to ensure the viability and quality of the research, together with costings and a detailed timetable of the work. All roles of those involved in the research are explicitly specified in a research contract that forms an appendix within the research proposal. The protocol is independently reviewed by at least two academic members of staff, and an independent statistical expert in the case of quantitative research, and a qualitative expert for qualitative research. Trainees then attend a protocol review meeting with the reviewers in October/November. Following this they are provided with detailed feedback and required to make alterations to their proposal accordingly, prior to receiving approval to proceed with the project. These procedures are outlined in detail in the Guidelines on the Research Thesis within the Assessment Regulations and Coursework Guidelines booklet and additional supporting information is provided within teaching and is available on MOLE. 4.5 Research governance (scientific review) & and the site file All research undertaken by students at the University must be registered on the University system (URMS). Research taking place within the NHS requires scientific review and registration by the participating Trusts. The internal approval process of the programme meets the national criteria for peer review of research proposals and therefore we have arranged that projects successfully approved can apply for exemption from further scientific review from the local NHS Trusts (Sheffield Health and Social Care Trust (SHSC), Sheffield PCT, Sheffield Teaching Hospitals Trust (STH) and Sheffield Children’s Hospital (SCH)). The Director of Research training if required will provide assistance in seeking exemption from further scientific review at other NHS sites. All research undertaken may be audited to ensure that good governance and ethical procedures have been adhered too. To enable audit trainees are required to maintain an ongoing research site file, which must be kept for a minimum of five years following completion of the research. Detailed information relating to the preparation and maintenance of this is provided with the Assessment Regulations and Coursework Guidelines Handbook and on MOLE, along with further information regarding the other approvals required prior to a trainee commencing their research project and other information regarding the research process. 4.6 Research indemnity Trainee projects are automatically covered by the University of Sheffield insurance. For trainee projects sponsored by the University (most projects) confirmation of indemnity should be covered by the sponsorship letter issued when the project has received ethical approval. For projects sponsored outside the University, confirmation of indemnity may need to be sought from the specific NHS sponsor. Please see the Research Support Officer with any queries. 4.7 Research funding A research budget Research funding (of up to £500) is available where necessary to assist the conduct of high quality research. All potential expenses must be justified and specified in advance within the protocol. If additional funding is required trainees should liaise closely with their supervisor/s who may be able to assist if possible in seeking funding in the from external bodies and other sources (charities, research collaborators; NHS Trusts). Alternatively the scope of the proposed project may need to be revised. 4.8 Statistical and computing advice and facilities Statistical software (e.g. SPSS and SINGWIN) is available on computers within the Unit’s computing room, as well as software for the management of references (e.g. ENDNOTE). These facilities are for the exclusive use of the trainees. In addition, trainees have access to MAC computing facilities within the Department of Psychology and also the University Computing Service/library. Additional statistical consultation is available from an independent statistical consultant (Dave Saxon, [email protected]) and trainees are advised to make use of this additional expertise in preparing their research proposal. 24 25 5 CASE PRESENTATIONS, MEETINGS AND SEMINARS RESEARCH PRESENTATIONS, YEAR 5.1 Introduction Several different seminar slots and meetings are incorporated into the timetable. Their overall purpose is to provide more informal opportunities for learning and also to facilitate communication within the programme. During all three years trainees participate in case presentations. 5.2 Guidelines for Case Presentations Case Presentations are a mandatory part of the programme. They provide an opportunity for trainees to develop their presentation skills and to benefit from discussion of clinical work within a peer group setting. A member of the staff year team also attends the case presentations. Trainees will be required to assess their own performance and will receive formative feedback from the staff member. Whilst this is not part of the formal assessment process, trainees’ self-evaluation and the tutor’s comments can be used to inform the annual Personal Review process. The aims of the case presentations are to provide an opportunity to present and share clinical work with other trainees. Specifically to: present clinical formulation embedded within the available evidence based literature facilitate discussion of clinical work, allowing new ideas to be considered self-evaluate and obtain feedback on presentation skills Presentations will be timetabled according to the following structure: Year 1 Trainees will present to their own year and will also receive timetabled slots to hear case presentations from Year 2 trainees in mixed groups (Yr1 & Yr2). Year 2 Trainees will present to a mixed group of Year 1 and Year 2 trainees and will also hear case presentations from Year 3 trainees in mixed groups (Yr2 & Yr3). Year 3 Trainees will present to a mixed group of Year 2 and Year 3 trainees. Procedure Ensure that you are aware of the presentation sessions in the timetable and when you are due to present yourself (this will appear as a list on your notice board). Select a piece of work to be presented. This would usually be a piece of individual work although one of the three presentations may be focused on group interventions, staff training or consultation (see note regarding third year presentations below). If in doubt please seek advice from your personal/clinical tutor. The presentation should last about 15-20 minutes, allowing 10 minutes at the end for discussion. Trainees should complete the self-evaluation form (available on MOLE) within a week of their presentation and return this to the member of staff who will add their feedback. This form will then be returned to the trainee and a copy will be kept on file as evidence that this part of the programme has been completed, and for use in the Personal Review process. Trainees can arrange to meet with staff members if they would like to discuss the presentation or feedback. Trainees may also if they wish seek feedback from the trainee group and include this on their form. Choosing work to present The following points may help you to choose work to present: The case presentations are designed as opportunities to practice presenting to others and to share and discuss clinical work. Any case can be suitable. The work does not have to be perfect, with a successful outcome, and extensive notes. An early or provisional formulation may be sufficient (although some attempt at a formulation should be presented). An unsuccessful case, or one where a therapist is feeling 26 "blocked", or progress differs from what is expected on the basis of the available evidence base, may be a good basis for discussion. A "good" case is one with opportunities for the presenter and the group to learn mutually from the presentation. Appropriate self-disclosure and consideration of issues of diversity and interprofessional issues is encouraged. The case presentation session should be used to explore work other than that described in your case studies as the case presentations are conceived of as being independent from the case study. The presentation provides an opportunity to focus in depth on an additional piece of coursework, explore dilemmas, gain ideas and enhance the breadth of training. If you have any further queries about case studies or case presentations, please contact your clinical or personal tutor. Structure Presentations should usually be on PowerPoint but other methods of presentation can also be arranged with prior consultation with the office staff and facilitating member of staff. Trainees should ensure that presentations are appropriately anonymous. There is not a set structure to the presentations and the following headings can be used as a guide for preparation: Assessment only work: Reason for selection of this work for presentation and aims Referral - method of referral; referral agent; information available; reason for selection of this work for presentation. Assessment - rationale for selection of assessment procedures; what alternatives were considered but rejected and the rationale for this; the construction and development of instruments where appropriate, any literature suggesting that they might be effective in answering the assessment questions posed. Assessment findings and interpretation. Identification of problem(s) and strengths major and subsidiary problems; problems not identified upon referral; problem for whom; existing coping strategies; diversity issues? Formulation(s) in psychological terms (with reference to the literature and relevant NHS or BPS guidelines). Rationale for future intervention and implications for the client (in terms of risk management or/and treatment choice). How information was communicated (e.g. letters, reports, verbally) to others (including client, colleagues, referral agent, significant others). Perspective of the service user(s) on the work carried out. Summary of what has been learnt. Assessment & intervention work: Any of the above plus: Intervention options considered - relationship to formulation(s) and to the literature and relevant guidelines. Nature of any intervention process; nature of the therapeutic relationship. Reformulations and revisions of intervention where appropriate. Maintenance - how planned; what follow-up expected; preparation for relapse. Evaluation of outcomes - how measured; how effective and in what way; side effects (positive and/or negative); present data to back up your conclusions. Any communications back to referral agencies. Critical assessment of the case – what might be different in hindsight; any alternative formulations or strategies that might have been considered; could work have been more effective; how unsuccessful work is accounted for; was choice of outcome measures the best? 27 All case presentations should include some consideration of relationships and process issues, as well as diversity and interprofessional issues evident in the work. Time should be available for discussion at the end of the presentation. The trainee who is presenting would normally facilitate this. Note regarding Year 3 case presentations. In Year 3 trainees may choose to present an overview of clinical work in a specialist placement. The aim of these presentations would be to provide trainees with the opportunity to learn more about ways of working in different specialties enabling them to make links between the ways which trainees work on their own placement setting and ways of working in other domains. The following may be considered when making such a presentation: information about the clinical settings/ team the nature of the referrals any indirect work or consultation discussion of any new theoretical models/ approaches that may be unique/ particular to the setting, e.g., physical health, forensic settings, etc. typical presenting clinical issues, which could be illustrated with case vignettes, or more detailed case formulations consideration of a service development or community psychology perspective Please note that it is a programme requirement to do a presentation each year. If you are unable to present due to illness, annual leave etc., you should arrange an alternative presentation slot in consultation with your year group and staff team. 5.3 Guidelines for Research presentations Introduction Research Presentations are timetabled at the start of year 2 to facilitate the development of feasible protocols. They also provide an opportunity for trainees to further develop their presentation skills and to benefit from discussion of their planned research within a peer group setting. The year group will be divided into two groups for presentations slots in advance of the presentation dates. Presentations are also attended by an academic member of the programme team, usually one of the research tutors, who will also contribute to the discussion. All trainees are required to present and will be required to complete a self-evaluation form following the presentation (see below). Aims The aims of the research presentations are as follows: To provide an opportunity to present the proposed thesis study. To provide an opportunity for peer and tutor support in the development of a feasible study. To provide an opportunity to further develop presentation skills. Procedure Ensure that you check the timetable for your presentation time (the research presentation day will usually be around the same time as the study week in year two). The presentation should last about 15 minutes, allowing 10 minutes at the end for discussion. You may use the space to request future peer support (for example if volunteers are needed for inter-rater reliability or auditing are required). Trainees should complete the self-evaluation form (available on MOLE) within a week of their presentation and return this to the member of staff who will add their feedback. This form will then be returned to the trainee and a copy will be kept on file as evidence that this part of the programme has been completed, and for use in the Personal Review process. Trainees/tutors need to ensure that a copy is given to Angie for this 28 purpose. Trainees may also if they wish seek feedback from the trainee group and include this on their form. Structure Presentations should usually be on PowerPoint. The structure of the research presentations is flexible but the following points of guidance will be helpful in considering what to present: a brief critical review of the extant literature a rationale for why the proposed study is worthy of being conducted (this might include theoretical and clinical implications) discussion of proposed methods. This would usually include: details of design proposed procedure (selection; inclusion/exclusion criteria; sampling) measurement options proposed analysis there would normally be consideration of service user involvement (how can this be, or how is this being facilitated?) there would normally be consideration of the ethical issues that might arise and how these will be addressed Additional guidance as to what might be presented may be found in the notes on preparing a protocol. It is helpful to show your planned presentation to your research supervisor/s in advance of the presentation for feedback. 5.4 Year Meetings Purpose Year meetings serve two main functions. Firstly, they are a regularly scheduled opportunity for all trainees to give feedback to staff about the programme and raise any issues of concern in an informal atmosphere. Secondly, they provide an opportunity for staff to give information about any changes being contemplated, to raise any of their concerns and to ask for trainee comments on specific issues. The aim is to facilitate open, effective and constructive communication. Issues raised by trainees in this forum will subsequently be discussed by the programme team and any decisions fed back either prior to or at the next year meeting. Frequency of meetings Two meetings are scheduled for each semester for years one and two, and one for year three. Members of the staff year team will be present at these meetings throughout the programme for each group of trainees. Any other member of the programme team may also attend (given sufficient notice and taking account of other commitments) if there are specific issues, which require their input. Organisation of the meetings Trainees should choose a chair and secretary among themselves for each meeting if possible. Items for discussion would need to be submitted to the secretary a week before the meeting. The secretary will need to circulate the agenda by lunchtime on the day of the meeting. A copy of word processed minutes should be emailed to the Unit Administrator within 7 days of the meeting and these will be circulated to the Programme Team. The functions of the chairperson are to summarise the discussions and keep the meeting to time. 5.5 Clinical Psychology Seminars A programme of seminars is organised throughout the year normally on a Monday or Tuesday from 4.00 - 5.00 pm. University staff and NHS psychologists from local services are also invited. The programme is planned in conjunction with the Centre for Psychological Services Research in order to present a broader but integrated programme of speakers. Speakers are invited to make a presentation based on recent developments in psychological knowledge. All trainees and programme staff are encouraged to suggest names of speakers and appropriate 29 topics (suggestions to Lisa Berry, [email protected]) who organise the seminar programme. Seminars form a standard part of the teaching programme and as such attendance is mandatory for trainees on a teaching day. Other trainees are also encouraged to attend if a seminar falls on their study day or at the end of their placement day. Staff and trainees are invited to meet up for an informal 'drink' with the speaker following the seminar. Further details of forthcoming seminars are available on the CPU website http://www.shef.ac.uk/clinicalpsychology/news. 30 6 PERSONAL AND PROFESSIONAL DEVELOPMENT (PPD) 6.1 Introduction This information provides an overview of the Programme’s policy regarding personal support and professional development as discussed and agreed by the Programme Training Committee. This information is available to trainees, Programme staff and supervisors. Implementation of the components of the policy is monitored and evaluated by the Personal and Professional Development (PPD) Sub-Committee. We wish to emphasise that there are opportunities for trainees to strongly influence the discussion and implementation of policy changes and this can be achieved through representation on the PPD subcommittee. The Programme is committed to enabling the personal and professional development of trainees throughout the three years, and regards this area of training as an essential foundation for future professional development and practice. The Programme staff recognise that throughout the three years of the Programme, trainees face a variety of challenges that are an ordinary consequence of professional training as a clinical psychologist and that these issues are relevant to both trainee and qualified psychologists. The Sheffield Programme aims to meet some of these needs via the PPD module, which is overseen by the PPD Sub-Committee. Membership of the Sub-Committee comprises an academic programme team member, a clinical tutor representative, a representative from local NHS services, and trainee year representatives. People teaching on the module and other programme team members are welcome to attend. To be effective, aspects of the PPD training require confidentiality for trainees so that individual concerns can be freely expressed without fear of adversely affecting the trainee's standing with the Programme. On the other hand, it may also be necessary for the Programme Team to be made aware of specific issues arising for trainees out of the training process and to have the opportunity to influence the contents and conduct of the module. This balance between confidentiality and communication is an integral part of the PPD process and the PPD SubCommittee is a useful forum to discuss the way safe and appropriate information is exchanged between the PPD parts of the Programme and the Programme Team. 6.2 Aims At the centre of PPD module lie three interconnected aims: the importance of learning about self; learning about self in systems and groups; and learning the professional requirements of working as a clinical psychologist. With the first aim, it is considered that the role of the clinical psychologist involves actively working alongside people and systems in distress. Learning about such processes will undoubtedly affect the personhood of the trainee as they develop strategies and skills to manage these processes. Personal development in the role of the clinical psychologist is therefore considered an essential focus of training. The second aim, which underpins PPD is to provide trainees with an opportunity to learn about different types of relationships and people in systems and our responses to them. These aims are supported through the following: 6.3 Informal Support The Programme staff hope that by adopting a positive and open attitude to personal support, trainees will feel able to approach any member of the Programme Team or their supervisor for advice on both professional and personal issues. It is up to the trainee to negotiate and establish how confidential or open these discussions can be. For new trainees either prior to or at the very start of their training, a "buddy" system of existing Sheffield trainees is available and organised by the trainees themselves. 6.4 Personal Mentors The Programme recognises the need for both trainee and qualified psychologists to have opportunities to discuss personal and professional issues, which arise from clinical practice in 31 a confidential and non-evaluative setting. Accordingly, the Personal Mentor scheme has been designed to provide trainees with the opportunity to meet regularly to discuss such issues with an individual who is outside of the formal framework of the Programme but who as a qualified clinical psychologist is aware of, and sympathetic to, the needs of trainees. The content of these discussions is to be negotiated but might include: professional development, placement experiences, personal issues, academic progress, and difficulties with the Programme etc. It should be emphasised that Personal Mentors are an additional source of support for trainees, and should not replace the usual relationships or functions offered by supervisors, Clinical Tutors and other members of the Programme Team. Meeting with a Personal Mentor is a mandatory part of the training process. The following notes are intended to answer questions about the scheme, both for trainees and Personal Mentors. Aims of the Personal Mentor Scheme The aim of the scheme is to provide trainees with the opportunity to meet regularly with a qualified clinical psychologist throughout training to discuss their personal and professional development, in a confidential and non-evaluative setting. It is meant to be a source of personal support, which is available throughout training rather than a crisis support system for trainees experiencing difficulties. However, it is hoped that trainees who are encountering such difficulties will feel able to approach their Personal Mentor for additional support. It should be stressed, however, that Personal Mentors are not available as personal therapists, but might act as an advocate for the trainee to ensure an appropriate referral via the Programme if such action is required. Who are Personal Mentors? Personal Mentors are qualified clinical psychologists who have expressed an interest and willingness to act in this capacity. Eligibility to occupy the role of mentor includes both a commitment towards supporting trainees through the training process and that the mentor has at least a year's experience of working within the NHS. New trainees are allocated a Personal Mentor by the Chair of the Personal and Professional Development Sub-Committee and/or a Clinical Tutor. The process by which mentors are linked up with trainees is done on the basis of a number of factors, e.g. practical considerations such as minimising travelling time. Who manages the process? Once Personal Mentors have been allocated, the Chair of the PPD Sub-Committee will inform both parties. The trainee should then take the initiative in contacting their mentor and arranging the initial meeting. It is recommended that particularly during the first year of training, trainee and mentor should meet at least twice a term. It is the trainee’s responsibility to arrange meetings and keep in touch with their mentor. We suggest you make first contact within 2 weeks of receiving their details. Experience suggests that initially it is useful to meet regularly every one or two months so that the trainee and Personal Mentor can have a chance to get to know each other. This might prevent the trainee feeling that there has to be a major problem before they can meet with their Personal Mentor. After the first year of training, meetings should be arranged on the basis of trainee needs and the need to maintain the supportive relationship. It is important that the trainee’s needs in relation to the frequency of meetings be discussed with their Personal Mentor. The trainee should take responsibility for negotiating this with their Mentor. It is expected that the Mentoring meetings will last throughout training. The boundaries of the relationship and frequency of meetings after the first year are negotiable between mentor and mentee, but discussion of, and agreement on, these are essential. Sometimes trainees have found email contact helpful. Trainees are invited to discuss any difficulties with their personal tutor and/or the Chair of the PPD Sub-Committee. The expectation is that trainees will visit their mentor during placement time. It is recommended that this is negotiated between trainee and supervisor during the Initial Placement Visit and included in the Placement Contract. Travel expenses can be claimed in the usual way. Can a Trainee change his/her Personal Mentor? Yes, if difficulties arise between the mentor and the mentee, which cannot be satisfactorily resolved, another mentor can be allocated via the Chair of the PPD Sub-Committee. 32 What about confidentiality? The Personal Mentor / Mentee relationship is considered a confidential, distinct relationship. Exceptions to this might be when the Personal Mentor, after a full discussion and negotiation with the trainee, contacts a member of the Programme Team to raise an issue which the trainee is unable to deal with him/herself. Similarly, at the trainee's request, a member of the Programme Team may alert the Personal Mentor to issues affecting the trainee. In addition, Personal Mentors and trainees have a professional responsibility to break confidentiality should any risk or professional malpractice issues arise. These should be discussed with the trainee’s clinical tutor in the first instance. Mentoring around specific minority group issues Occasionally, trainees from a minority group may wish to receive mentoring around specific issues from a clinical psychologist from that group. If this is the case, trainees should approach the Chair of the PPD Sub-Committee. 6.5 Personal Tutor System Each trainee is allocated a member of the Academic Programme Team who acts as a Personal Tutor. The Personal Tutor will be a member of a trainee’s Staff Year Team. The role of the Personal Tutor is to act as a contact within the Programme Team to guide, help and support the trainee and includes: Facilitating successful completion of training together with a trainee’s Clinical Tutor. Acting as a first point of contact for the trainee, should an issue arise. Providing general academic guidance and personal support to the trainee. Acting as a gateway to other support services provided within the Programme Team or by the University. Undertaking annual Personal Reviews of a trainee’s progress together with the trainee’s Clinical Tutor. Frequency and Format of Meetings The initial meeting between a Trainee and Personal Tutor will be an individual meeting and will usually take place within the first two weeks of term in the first year. Other meetings will take place in a small group format with a maximum of five trainees in each group. In the first year, trainees will have one individual meeting and one group meeting per term. In the final term, there will be a group meeting and the individual Personal Review which will also involve a trainee’s Clinical Tutor. Timetabled individual meetings will necessarily be brief but will allow issues to be raised and a further meeting to be planned if necessary. Outside these timetabled meetings, trainees are free to arrange individual meetings with their Personal Tutor or to initiate contact via email as necessary. As they form part of the teaching timetable, a record of attendance at Personal Tutor meetings is maintained. Therefore, trainees should ensure that they comply with the appropriate absence procedure if they cannot attend a timetabled meeting. The content of meetings is not fixed. However, it is likely that some group meetings will focus on particular pieces of coursework. Trainees are free to bring academic or other queries relating to the Programme or to bring more personal issues as they wish. Common issues discussed in the first year are the Short Answer Questions and the title for the ACP1 Literature Review. Personal Tutors may also read and comment on draft work (see Page 7 Assessment Handbook). Trainees are required to give at least two weeks for a Personal Tutor to read and comment on drafts. Personal Tutors do not normally mark the work of their tutees. Personal and clinical tutors will be responsible for regular review meetings. They are based upon a self-review format and focus on clarifying individual training objectives, providing feedback on performance, overviewing professional development, advising on career options and eliciting feedback from the trainees on the Programme. Personal tutors, if requested, can act as advocates for trainees. 33 Wherever possible, a trainee will have contact with the same Personal Tutor throughout their training. There are circumstances, however, where this is not possible (e.g. study leave, staff changes). In these circumstances, the Programme will allocate the trainee another academic member of the Programme Team who will take on the Personal Tutor Role. The trainee has the right to request a change of Personal Tutor under some circumstances (see below). Confidentiality Personal Tutors will provide brief reports to the Programme Team and Exam Board about the progress of individual trainees and may take on the role of advocate if necessary. In relation to more personal information, a Personal Tutor would normally always discuss with the trainee the sharing of information. It may be necessary to share information with the Programme Director, Director of Clinical Practice and the Chair of the Exam Board. All information will be handled in a sensitive way. In the event that information is shared with members of the Programme Team, information will remain confidential within the team. Trainees are free to discuss the issue of information sharing with their Personal Tutor at any time. Can a Trainee change his/her Personal Tutor? Occasionally, difficulties may arise in the relationship between a trainee and their Personal Tutor. In such cases it would normally be expected that these difficulties would be discussed and resolved as far as possible so that the relationship can continue. Indeed, the ability to develop relationships in the presence of difficulties would be considered a fundamental part of the training process. Because of this and because of the practical difficulties involved, a change would not be considered routinely. However, in exceptional circumstances, where difficulties cannot be resolved satisfactorily, the Programme would wish to support a trainee in changing their Personal Tutor. If a trainee is experiencing significant difficulties in the relationship with their Personal Tutor they should approach the chair of the PPD Sub-Committee. The aim, wherever possible, would be to address and attempt to resolve the particular difficulty. This might involve the PPD Chair in discussion with the trainee, the Personal Tutor or a three-way discussion between all involved. If it is not possible to resolve the difficulty, it may be necessary to change a trainee’s Personal Tutor. This will also be done via the PPD Chair. The role of the PPD Chair will be to negotiate with other academic tutors within the trainee’s Staff Year Team to identify an alternative Personal Tutor. It should be noted that trainees are encouraged to seek input about any matter from any member of the Programme Team. If a Personal Tutor does not have the knowledge or expertise to address a particular matter, they will be able to re-direct a trainee to an appropriate Programme Team member and this would not constitute grounds for changing a Personal Tutor. 6.6 PPD Module Several teaching sessions within the Professional Issues Theme will be directly relevant to personal and professional development. These include background sessions about the roles and organisation of clinical psychologists within the NHS, ethics, management issues etc. The PPD module runs across the three years of training and is based on a developmental model comprising didactic and experiential teaching in year one, Balint-type groups in year two, and a confidential "reflective-practitioner" (RP) group in year three. Professionals external to the Programme Team who have expertise in working with groups facilitate the Balint and RP groups. For both the Balint and RP components, two parallel groups are run, thereby making the groups smaller. The developmental aim is to move trainees from an awareness of self (year one), through how this interacts with our clinical work (year two), and finally to how we feel, react, and respond when working in teams and with other people more generally (year three). Hence, the module provides trainees with a facility that, year on year, promotes mutual support, allows them time to share their experiences, and encourages the integration of personal and professional learning. The module objectives are to: 34 a) Help trainees to develop a "tool kit" of personal and professional skills to enable them to function effectively as professionals and for their professional work to be personally beneficial rather than detrimental. b) Facilitate trainees’ development of the capacity to integrate personal learning and selfunderstanding with skill acquisition and with academic knowledge; this integration is seen as central to effective performance of the clinical psychologist's role. c) Provide working insight into the interplay between individual, group and organisational factors in the healthcare delivery system. d) Enhance the trainee group as a source of mutual support, both within the module sessions and via informal contacts throughout training. What is Reflective Practice? The notion of reflective practice originated with and was developed by educationalists such as Dewey (1933), Boyd and Fale (1983), Kolb (1984) and by Donald Schön (1987). Schön argued that practitioners are less likely to solve problems only by reference to academic knowledge, but will use their own ‘theories in use’. The latter are derived from experience and are often highly individual and unacknowledged (Hancock, 1999). Reflective practice involves thinking about personal experiences including feelings, thoughts and actions, both whilst they are taking place and in later review, with the objective of using the reflections to improve upon and develop practice skills (Hughes & Youngson, 2008). Background Knowledge in Reflective Practice and Understanding Groups (Year 1) During the first year, trainees are introduced to the idea of reflective practice during sessions taught by Programme Team staff. In these sessions there is discussion of, and experiential exercises based on, theories of group process. Trainees are encouraged to develop the capacity to reflect on clinical practice and to create an atmosphere with their peers in which there can be open discussion of the effect of work on emotions; the values, beliefs, life histories and ideas that each group member is bringing to their work; and the personal qualities that can help and hinder them in their work. The implicit rules by which the group is interacting are reviewed from time to time in these sessions. The Balint Groups (Year 2) A Balint group is an applied reflective practice tool that draws on concepts from psychoanalytic and open systems theory to provide a structured personal professional development experience They have been traditionally used in health care settings to strengthen people in their work role, thereby increasing the potential for creative or innovative intervention and thoughtful response when working under pressure. A Balint Group values, makes use of and places each participants’ unique subjective work experience at the heart of the learning in order to develop an increased capacity for personal professional awareness and thus thoughtful response. The aims of the Balint groups are: To provide a structured and consistent reflective practice framework for the exploration of personal – professional development whilst in a training role. To introduce participants to a deeper understanding of factors occurring “under the surface” when working with clients in distress. To help facilitate an effective understanding of the basic elements required in containing the psychological health and safety needs of self and others. To help trainees understand the impact of working with ‘fragmented’ states of mind and body on individuals and staff teams – i.e. think about the “emotional toxicity” of the work task. 35 The Group will meet monthly for an hour and a half and over the course of 10 sessions each member will have the opportunity to “muse” about a challenging work situation of their choice (e.g. with a particular client or staff group or training experience). Led by an experienced facilitator the group reflects upon what they have heard with the aim of deepening understanding of factors impacting on the work task. By the end of the course each group member will have had experience of, and opportunity to reflect upon, being in the multiple roles of witness, participant and observer. The Reflective Practitioner (RP) Groups (Year 3) The group provides an opportunity for trainees to meet regularly with their peers to reflect on their experiences in professional practice. The facilitator’s role is to help the group members to create a relatively safe space in which people can be open about their emotional, intellectual and behavioural responses to their work as clinical psychology trainees. This can include work with clients, responses to the Training Programme and Programme staff, experiences of supervision and NHS contexts and to each other as peers in the training process. Groups also offer an opportunity for trainees to learn together about the emotional experience of training, and of working alongside others with different perspectives. It is the intention that the group should provide an opportunity for trainees to express their uncertainties and reveal their vulnerabilities during the training process. It is to this end that the facilitator plays no other major role in training and confidentiality is maintained within the group except where personal safety might otherwise be compromised. Despite these intentions, participants may experience the full range of emotions and sometimes feel uncomfortable. The RP group is not intended as a therapy group for trainees. For a statement on personal therapy please see section 6.7. The aims of the RP groups are: To provide a regular opportunity for trainees to meet to discuss the impact of training and clinical work on their own personal development as professionals. To provide an opportunity to reflect on and learn about groups and team working, including learning about the ways in which each trainee participates in professional groups, what roles they adopt, and how these affect and are affected by the group process. To provide an opportunity to discuss training issues in a context in which the facilitator is not directly involved in the Programme. This might involve problem-solving around issues seen as difficult or problematic within the Programme. Roles Everyone The tasks of the facilitator and trainee include: Helping to create a kind and thoughtful environment Facilitator The tasks of the facilitator include: Creating a climate of trust and safety Ensuring that ground rules and frameworks for working together are discussed and agreed in a timely fashion and revisited when necessary Keeping the group to its agreed session focus and tasks Encouraging critical reflection Suggesting alternative views/ new ways forward Trainee The tasks of the trainee include: Discussing and agreeing ground rules and frameworks for working in the group Being prepared to talk about and reflect on problematic aspects of training Considering cultural, social, ethical and personal issues that may impact on the above Listening to and considering others’ ideas in relation to one’s own material 36 6.7 Suggesting alternative views/ new ways forward Personal Therapy Although the PPD module aims to provide opportunities for mutual support and for trainees to learn about how personal concerns interact with professional development and activities, this does not entail personal therapy. Whilst the Programme cannot resource personal therapy, trainees who require individual therapy can approach any member of the Programme Team directly or indirectly who will consult and assist in making appropriate referral arrangements. Any such approach will be treated in confidence and not construed as a sign of weakness. Some circumstances will require communicating to placement supervisors and/or other staff and this will usually take place in negotiation with the trainee. The Programme will also endeavour to be flexible in order to help trainees who are experiencing personal difficulties to meet their training objectives wherever possible. Trainees are encouraged to inform Programme Staff if they are experiencing such difficulties. Under these circumstances trainees are, of course, also free to approach the University Counselling Service or Workplace WellBeing (available to SHSC employees). The Programme Training Committee has endorsed the following Personal Therapy statement: Personal Therapy: Statement 1. We acknowledge that there are disparate views in the profession about the appropriateness of personal therapy as a component in clinical training. 2. The Programme wishes to support those trainees who take the responsibility for engaging in individual therapy. 3. The choice of the therapist is a matter for the trainee concerned but staff, mentors and other trainees may be approached for discussion. 4. The Programme does not envisage providing financial support for therapy but may advise trainees with negotiation for reasonable fees. 5. We acknowledge that therapy may only be available during office hours but we expect trainees to think through the implications of the timing of therapy in relation to professional issues. 6.8 Summary We are aware that these systems are flexible and adaptable and that different trainees will use them differently at different times. However, the PPD system is considered a mandatory part of the training experience and should not be considered an optional 'add-on', to be used solely in times of personal crisis. Rather, the personal and professional development process is seen as providing trainees with space and opportunity to reflect on self in work. It is considered a lifelong process that will be continued throughout the career of the individual. Finally, the Programme also acknowledges that the PPD system is not perfect and will be influenced each year by the needs, views and experiences of each training group. Accordingly, the Personal and Professional Development Sub-Committee will review the PPD procedures annually. Please keep us informed as to whether these systems are meeting your needs, through you trainee representatives on the PPD subcommittee. Recommended Readings Casement, P. (1988). On Learning from the Patient. London: Routledge. Casement, P. (1990). Further Learning from the Patient. London: Routledge. Hughes, J. & Youngson, S.C. (2008). Oxford: BPS Blackwell. Personal Development and Clinical Psychology. Wosket, V. (1999 reprinted 2001). The Therapeutic Use of Self. Hove, East Sussex: BrunnerRoutledge. 37 References Boyd, E.M. and Fale, A.W. (1983). Reflective Learning; Key to Learning from Experience. Journal of Humanistic Psychology, 23, 99-117. Dewey, J. (1933) How We Think. Boston, MA: DC Heath. Hancock, P. (1999). Reflective Practice – Using a Learning Journal. Professional Development, 13, 37-40. Kolb, D. (1984). Experiential Learning: Experience as the Source of Learning and Development. Englewood Cliffs, NJ: Prentice-Hall. Schön, D.A. (1987). Educating the Reflective Practitioner. San Francisco CA: Jossey Bass. 38 7 PRACTICAL INFORMATION 7.1 Professional Responsibilities Attendance for teaching sessions Trainees are employees of Sheffield Health and Social Care NHS Foundation Trust and attendance at all teaching sessions (including PPD sessions, seminars, year meetings, selection interviews etc) is compulsory. If a trainee has any reason for not attending a teaching session a formal approach in advance in writing, stating reasons, should be made to the Programme Director and Directors of Clinical Practice. It is the trainee’s responsibility to ensure they have obtained any notes or handouts relevant to the teaching session(s) missed. In the case of illness on academic, placement or study days a trainee should notify Jacquie Howard by telephone NOT e-mail (0114 2226576). On placement days your supervisor should also be contacted. In all cases your clinical tutor must also be notified. If any period of absence extends to a period requiring a sick note to Sheffield Health and Social Care Trust, then the University must also be informed, even if this is out of term time. Trainees must also inform the clinical tutors (via Jacquie Howard) of their return to work on the day of return. Attendance Monitoring on Teaching Days Lecture attendance monitoring is routine throughout the University for all students, which the programme has to comply with. The following information outlines the procedures that are in line with University attendance policy and NHS employment. Procedure: 1 The register will be left clearly visible outside both teaching rooms prior to the beginning of the teaching session in the mornings and afternoons. All trainees present will be expected to sign the register prior to the start of the teaching session. A member of the administrative staff will collect the register from outside the two teaching rooms fifteen minutes after the start of the session. 2 Any trainee arriving late will need to go to the office in CPU to sign the register and give a reason for their lateness. 3 Jacquie Howard will liaise with other admin staff and confirm any trainee's authorised absences (sick, annual or carer leave). The trainee must ring Jacquie directly (tel no: 222 6576) if they are off sick and also on their return. Jacquie must also be informed of any doctor’s appointments. Trainees must not e-mail Jacquie with this information as, if Jacquie is away, no one else is able to access her e-mails. 4 If the trainee is not present and does not have authorised leave, this will be classed as unauthorised leave. In this situation, action must be taken that day to ensure trainee safety. Jacquie will therefore inform the relevant manager/clinical tutor to take this action. If the clinical tutor is unavailable that day, Jacquie will inform either Sue Walsh or Liza Monaghan. If Sue or Liza are not available, Jacquie will inform one of the other clinical tutors. To ensure the safety of the trainee, the following action will be taken. If the first action is not successful, the second will be implemented and so on: i) Year group members will be contacted for any information on the trainee’s whereabouts. ii) Every effort will be made to contact the trainee (trainees must ensure the office has complete and up-to-date information on home/mobile phones). iii) Emergency contact numbers and next of kin numbers will be utilised. A decision regarding any further action will be taken, taking into account the individual circumstances of the trainee. We hope that these situations will rarely/never arise and to avoid this, trainees should be aware of their responsibilities as NHS employees, and inform the University of their whereabouts. 5 Lateness will be monitored by admin staff and if any trainee is late on three occasions within the academic year, this information will be passed to the trainee’s clinical tutor 39 for action. The tutor will discuss any reasons for lateness and any support needs for the trainee, and also help ensure the appropriate coverage of any missed teaching. 6 The only information recorded on the register will be annual leave, authorised leave, late or unauthorised leave. Jacquie will hold any further relevant details. Programme policy on taking holiday leave during term time See Appendix 9 for details of this policy. Travel expenses / Annual Leave / Study leave Carer Leave See trainees' information pack or consult with clinical tutor. It is part of the professional responsibility of trainees that they liaise appropriately with their clinical tutor in the first instance. It is important that trainees follow the correct procedures when applying for all types of leave and that they have discussed the reasons for the leave request and have gained formal clinical tutor support. Timekeeping Trainees are expected to be punctual in their attendance at teaching sessions, meetings and appointments. The Programme will also try to ensure that lecturers are punctual and do not over-run. Dress Dress while on placement should be in keeping with the role of a trainee professional. Different clinical settings make different demands. Trainees need to be sensitive to the requirements of the situation and dress in a way that will not inhibit their effectiveness. 7.2 Facilities Access The CPU building is accessed via a pushbutton security code which will issued to trainees at the start of the programme. Only members of the CPU will have access to this code. Access to the General Office is only possible during office hours (9.00 - 5.00). Trainees can access the Clinical Psychology building to use the Study Room from 8.00 to 5.30 pm after which time the building will be locked. Further information is available from the Unit Administrator. Trainees should also ensure that they familiarise themselves with the University's Health and Safety Procedures (http://www.shef.ac.uk/safety). Departmental Health and Safety details are provided in Appendix 11. Mail Individual pigeonholes are available for trainees in the coffee room. Phone Calls No personal calls should be made from the University phones. Urgent calls to placements may be made from phones in the Study Room. All calls are billed and monitored by Andy Bassett, the Departmental Manager. Secretarial Support All clinical correspondence (e.g. letters to clients, GPs, clinical reports etc.) should be produced on placement premises where adequate secretarial support should be available. Secretarial staff are unable to provide any typing for trainees. Trainees should be aware of the need to ensure that confidential information is secure on any computer that they use. Parking The University has a policy on car parking and applications may be made online. IT Resources Trainees have access to a range of IT resources within the CPU and the main Psychology Department. Within the CPU, we provide access to several PCs, with dedicated printers. One of the PCs is linked to a scanner, which can be booked out for use by trainees. In addition, there is a dedicated PC with access to Sheffield Health & Social Care’s intranet within the CPU. 40 A larger computer suite in the main Psychology Department provides access to several PCs with dedicated servers and printers. Printing is available free of charge to trainees within the CPU and Psychology Department. Supported software in the CPU includes analysis packages to support qualitative and quantitative research. Trainees also have access to a database of local supervisors and specialist placement opportunities. The University’s Corporate Information and Computing Services (CICS) issue trainees with a computer account, including University email. Trainees can access the University portal ‘MUSE’, which gives secure access to online university resources from any computer inside or outside the University, including email; a file store for saving work; library resources (see below) and the programme’s ‘MOLE’ pages. A large amount of information and documentation relating to the programme is available online via ‘MOLE’ (My Online Learning Environment) - including General Office forms, copies of teaching timetables and detailed information about the DClin Psy research process. In addition, the CPU website contains some useful resources, as well as DClin Psy staff pages and general information about the programme (www.sheffield.ac.uk/clinicalpsychology). Scheduled teaching on computing skills, as well as an introduction to using MOLE and the University web portal ‘MUSE’ is provided by the Psychology IT support team and Research Support Officer. The Psychology IT support staff can best be contacted by email ([email protected]). Library Resources Trainees have lending privileges at all University libraries, including the Information Commons, the Main University Library and the Hallamshire and Northern General Hospital Libraries. Library holdings can be searched online, via the STAR library catalogue. A number of library resources are available online (accessible via MUSE), including electronic journals and literature searching databases such as PsycINFO and Web of Science. Teaching on electronic searching is provided in the first year of the programme. Further information about University library resources, and access to the STAR library catalogue can be found at: http://www.shef.ac.uk/library/index.html Within the CPU, there is an expanding Resource Library, which includes a range of psychometric tests, clinical resource materials, DClin Psy theses and publications. The Resource Library is located in the office of the Research Support Officer (room B4), and a list of titles is available on MOLE and via the CPU website. Items must be booked out and returned to the Research Support Officer. (See Appendix 13) The Department has a policy on the use of the Document Supply Service (see Appendix 12). Loaning Equipment The CPU has a stock of recording equipment that is available for loan to trainees. Equipment for loan includes tape recorders, encrypted digital recorders, encrypted memory sticks, microphones and transcribing machines, and should be borrowed via the Research Support Officer. Guidelines on digital recording and informed consent are available in the Trainee Information Pack and on MOLE Useful names and addresses These are provided in Appendix 10 41 APPENDICES 1 Programme Specification 2 PTC Terms of Reference 3 Trainee feedback form 4 External speaker feedback form 5 Selection of new teachers 6 Information for teachers and module co-ordinators on integration of issues of racism, culture and gender within clinical psychology 7 Information for teachers on Formulation 8 E-Learning 9 Programme Policy on taking holiday leave during teaching time 10 Relevant names and addresses 11 Psychology Department Health and Safety Policy 12 Guidelines for Postgraduate use of Document Requests 13 Resource Library 14 Programme of Dates 15 List of Acronyms 42 Appendix 1 Programme Specification A statement of the knowledge, understanding and skills that underpin a taught programme of study leading to an award from The University of Sheffield 1 Programme Title Clinical Psychology 2 Programme Code PSYR09 3 JACS Code (if applicable) 4 Level of Study Postgraduate 5a Final Qualification Doctorate in Clinical Psychology (DClin Psy) 5b QAA FHEQ Level Doctoral level 6a Intermediate Qualification(s) None 6b QAA FHEQ Level N/A 7 Teaching Institution (if not Sheffield) 8 Faculty Science 9 Department Psychology 10 Other Departments involved in teaching the programme 11 Mode(s) of Attendance Full-time 12 Duration of the Programme 3 years full-time 13 Accrediting Professional or Statutory Body Health and Care Professions Council 14 Date of production/revision October 2011 British Psychological Society 15. Background to the programme and subject area The main purpose of the programme is to train graduate psychologists to doctoral level to enable them to become chartered and practitioner clinical psychologists who can meet the future client and organisational needs of the National Health Service (NHS). The programme was established in 1991 and currently has full approval by the Health and Care Professions Council (HCPC) and the British Psychological Society (BPS). The programme is organised by the University of Sheffield in partnership with Psychology service managers throughout Yorkshire and The Humber and the northern region of the East Midlands. The training contract is held by Yorkshire and The Humber Strategic Health Authority. The Sheffield Health and Social Care Trust currently employ trainees on the programme. Further information can be accessed via the Clinical Psychology Unit website (www.sheffield.ac.uk/clinicalpsychology) 16. Programme aims The overall aim of the programme is to provide the training, at doctoral level, which is necessary for graduate psychologists, to be able to apply for registration with the Health and Care Professions Council (HCPC) as practitioner clinical psychologists and to apply to register with the British Psychological Society (BPS) as Chartered Clinical Psychologists. In keeping with the mission and aims of the University the programme aims to provide this training within a national centre of excellence for both professional training and clinical research. In addition, the programme will seek to be responsive to the local and national needs of the NHS. Its aims are therefore for trainees to have: 1. The skills, knowledge and values to work within the legal and ethical boundaries as required by HCPC, the BPS and current legislation, and to act in the best interests of service users at all times. 2. The skills, knowledge and values to integrate psychological theory with practice in both academic and clinical work. 3. The skills, knowledge and values to develop evidence based practice. i 4. The skills, knowledge and values to respect, and so far as is possible uphold, the rights, dignity, values and autonomy of every service user. 5. The skills, knowledge and values to work in partnership with other professionals, support staff, service users and their relatives and carers; to develop working alliances and understand the dynamics present in relationships, with clients, including individuals, carers, and/or services (e.g. team working), to carry out psychological assessment; to develop a formulation based on psychological theories and knowledge; to carry out psychological interventions; and to evaluate their work and the risks and these implications. 6. The skills, knowledge and values to communicate information, advice, instruction and professional opinion effectively with clients, referrers and others, orally, electronically and in writing throughout the care of the service user and be able to move between and use appropriate forms of communication (e.g. taking into account age, physical ability and learning ability). 7. The skills, knowledge and values to work effectively and in a non-discriminatory manner with clients from a diverse range of backgrounds, understanding and respecting the impact of difference and diversity upon their lives. 8. The understanding of the importance of confidentiality, and the skills and knowledge to be able to obtain informed consent, exercising a professional duty of care. 9. The skills, knowledge and values to work effectively with systems relevant to clients, including for example multi-disciplinary teams, statutory and voluntary services, self-help and advocacy groups, userled systems, and other elements of the wider community, and working with other mental health professionals. 10. The skills, knowledge and values to work in a range of indirect ways to improve psychological aspects of health and healthcare including planning, designing and delivering teaching and training, supporting the learning of others in the application of psychological skills and knowledge. 11. The skills, knowledge and values to conduct research and evaluation that enables the profession to develop its knowledge base, to monitor and improve the effectiveness of its work, to monitor and improve services. 12. The skills in managing personal learning agenda and self-care, and in critical reflection and selfawareness that enable transfer of knowledge and skills to new settings and problems and understand the obligation to maintain fitness to practise. 13. The understanding of complex ethical and legal issues of any form of dual relationships and the power imbalance between practitioners and clients and how these can be managed appropriately. 14. To understand how to practise as an autonomous professional and exercise professional judgement and responsibility, and work at a level appropriate to training with the knowledge of the limits of one’s own practice and when to seek advice or refer to another professional. 17. Programme learning outcomes The DClin Psy programme learning outcomes cover the standards set by HCPC and the BPS that demonstrate competence required for trainees to be able to work as clinical psychologists in the NHS. These standards provide frameworks for knowledge and understanding and skills required for the profession; during their learning process, trainees are also expected to gain generic and transferable academic and research skills at doctoral level. By the end of the programme trainees will have knowledge and understanding of: K1 Contemporary theory in clinical psychology and related fields, including knowledge of health, disease, disorder and dysfunction, theories and evidence concerning psychological development and psychological difficulties across the lifespan and their assessment and remediation, and how biological, sociological and circumstantial or life-event related factors impinge on psychological processes to affect psychological wellbeing. K2 The evidence base related to health care and the promotion of physical and psychological wellbeing. K3 A range of models of assessment, formulation and intervention designed for individual clients, carers and service systems, and of methods for evaluating interventions based on a scientist practitioner and reflective practitioner model. K4 Specialist client group knowledge across the profession of clinical psychology in a range of settings and services. K5 Psychological models relating to a range of presentations including acute to enduring and mild to severe presentations, problems with biological or neuropsychological conditions, and problems with mainly psychosocial factors such as problems with coping, adaptation and resilience to adverse circumstances ii and life events. K6 Psychological models related to clients from a range of cultural and social backgrounds, of all ages, across a range of intellectual ability, with significant levels of challenging behaviour, with developmental learning difficulties, with substance misuse problems and with physical health problems. K7 Psychological models related to working with individual clients, couples, families, carers, groups and at the organisational and community level and in a variety of settings including in-patient or other residential facilities with high-dependency needs, secondary health care and community or primary care. K8 The impact of difference and diversity on people’s lives, psychological wellbeing or behaviour, and its implications for working practices. K9 The organisation and management structures within the NHS and other relevant health care and voluntary service settings, including current policies on health care planning, delivery and resourcing and the role of other professions in health and social care. K10 … Change processes in service delivery systems and leadership theories and models and their application to service-delivery and clinical practice. K11 Social approaches, such as those informed by community, critical and social constructivist perspectives K12 The impact of psychopharmacological and other clinical interventions on psychological work with clients K13 Advanced knowledge of quantitative and qualitative clinical research and service evaluation methods. K14 Ethical issues related to research and the management of complex clinical cases. K15 Supervisory methods and processes. K16 Consultancy models and the contribution of consultancy to practice. K17 A professional and ethical value base including that set out in the HCPC Standards of conduct, performance and ethics and the Guidance on conduct and ethics for students and the BPS Code of Ethics and Conduct, the BPS Division of Clinical Psychology (DCP) statement of the Core Purpose and Philosophy of the profession and the DCP Professional Practice Guidelines. K18 Establishing and maintaining a safe practice environment that minimises risks to service users and others, including awareness of applicable health and safety legislation and workplace policies and procedures. K19 K20 Professional principles and how these are expressed and translated into action through a number of different approaches to practice, and how to modify approaches to meet the needs of an individual, groups or community. Professional competence relating to personal and professional development and awareness of the clinical, professional and social context within which the work is undertaken. Skills and other attributes: Transferable skills. By the end of the programme, students will have the: S1 Skills to gather appropriate information, and to generalise and synthesise prior knowledge and experience in order to apply them in different settings and novel situations. S2 Skills to evaluate the applicability of scientific literature for clinical practice. S3 Skills to apply scientific theory, models and evidence to clinical problems and data; to be able to demonstrate a logical and systematic approach to problem solving. S4 Skills to reflect on their own clinical practice and scientific understanding and to be able to change their practice as needed to take account of new developments. S5 Skills to adapt communication to a variety of audiences and using a variety of methods, including the use of IT and other modes of communication. Skills and other attributes: Subject Specific Skills. By the end of the programme, students will have the: S6 Clinical and research skills to work effectively as a reflective practitioner and scientist practitioner; to be able to use research, reasoning and problem solving skills to determine appropriate action; to be able to engage in evidence based practice, and evaluate practice systematically. S7 Psychological assessment skills including: undertaking and recording a thorough, sensitive and detailed assessment, developing and maintaining effective working relationships and appropriate use of a range of assessment methods, techniques and equipments. These methods should include competence in the use of standardised tests (formal assessment procedures), systematic interviewing procedures and other iii structured procedures and conducting appropriate risk assessment. The methods should be appropriate to the service user or carer, environment and the type of intervention likely to be required. Skills also include the ability to assess social context and organisational characteristics. S8 Psychological formulation skills including: integration of assessment information, psychological models and evidence (including interpersonal, societal, cultural and biological factors) and clients’ perspectives; use of formulation to plan interventions; and revising formulations where appropriate; use of formulation to facilitate understanding with clients and other professionals; understanding the need to implement interventions and care-plans in partnership with clients, other professionals and carers; being able to crucially evaluate risks and their implications. S9 Psychological intervention skills (or the ability to undertake or arrange investigations as appropriate) including: the ability, on the basis of psychological formulation, to implement psychological therapy or other interventions to the presenting problem and to the psychological and social circumstances of the client; working collaboratively with individuals, couples, families, groups, carers, or services; working directly and indirectly; working in more than one recognised psychological intervention model; recognising when (further) intervention is inappropriate or unlikely to be helpful. S10 Evaluation skills (monitoring and reviewing the ongoing effectiveness of planned activity and modifying it accordingly): to be able to gather information, including qualitative and quantitative data, that helps to evaluate the responses of service users to their care; to be able to evaluate intervention plans using recognised outcome measures and revise the plans as necessary in conjunction with the service user; to recognise the need to monitor and evaluate the quality of practice and the value of contributing to the generation of data for quality assurance and improvement programmes; to be able to make reasoned decisions to initiate, continue, modify or cease treatment or the use of techniques or procedures, and record the decisions and reasoning appropriately; recognise the value of case conferences and other such reviews. S11 The ability to communicate effectively clinical and non-clinical information from a psychological perspective in a style appropriate to a variety of audiences. To be aware of the characteristics and consequences of non-verbal communication and how this can be affected by culture, age, ethnicity, gender, religious beliefs and socio-economic status. S12 Understanding therapeutic techniques and processes as applied when working with a range of different individuals in distress, including those who experience difficulties related to anxiety, mood, adjustment to adverse circumstances or life events, eating, psychosis and use of substances, and those with somatoform, psychosexual, developmental, personality, cognitive and neurological presentations. S13 Ability to integrate and implement therapeutic interventions based on knowledge and practice in at least two evidence-based models of formal psychological therapy. This will include cognitive-behaviour therapy and at least one other evidence-based approach. S14 Skills to teach to a variety of audiences and support the learning of others in the application of psychological skills, knowledge, practices and procedures. S15 Ability, through supervision, to reflect on practice and making appropriate use of feedback received. S16 Skills to make informed judgements on complex issues in specialist fields, often in the absence of complete information. S17 Ability to exercise personal responsibility and largely autonomous initiative in complex and unpredictable situations in professional practice. S18 Skills to draw on psychological knowledge of complex developmental, social and neuropsychological processes across the lifespan to facilitate adaptability and change in individuals, groups, families, organisations and communities. S19 Ability to work effectively whilst holding in mind alternative competing explanations. S20 Ability to provide expert psychological opinion and advice, including the preparation and presentation of evidence in formal settings. S21 Ability to communicate through interpreters and an awareness of the limitations of this. S22 Ability to be able to keep accurate, legible records and recognise the need to handle these records and all other information in accordance with applicable legislation, protocols and guidelines. Ability to understand the need to use only accepted terminology in making records. Skills and other attributes: Research and Audit Skills. By the end of the programme, students will have: S23 The ability to understand and use applicable techniques for research and academic enquiry, including iv qualitative and quantitative approaches. S24 The ability to conduct service evaluation and small N research and to use appropriately to develop clinical practice and the skills to consider and apply appropriate levels of service user and public involvement in research. S25 Ability to conceptualise, design, develop and conduct independent, original applied research of a quality to satisfy peer review and extend the forefront of the discipline. S26 Understand research ethics and be able to apply them. S27 Understanding of the need and value of undertaking clinical research and development post-qualification including skills in the dissemination of research and audit findings to both peer and public audiences. S28 Skills to evaluate the effectiveness, acceptability and other broader impacts of interventions or service structures and auditing clinical effectiveness. S29 Skills to critically appraise academic and research literature and to recognise the value of research to the critical evaluation of practice. Skills and other attributes: Personal and Professional Skills. By the end of the programme, students will have: S30 Developed an ethical and professional value base S31 The skills to manage effectively issues of difference and diversity within clinical practice S32 The ability to manage effectively their own personal learning needs S33 The ability to understand the value of reflexivity and reflection on practice and the need to record the outcome of such reflection S34 The ability to develop the skills to manage the impact of clinical practice and seek appropriate support when necessary, with good awareness of boundary issues. S35 An understanding of the inherent power imbalance between practitioners and clients and how abuse of this can be minimised. S36 The skills to work collaboratively and constructively with colleagues and service users. S37 An understanding of the impact of one’s own value base on clinical practice. S38 Monitoring and maintaining the health, safety and security of self and others. Skills and other attributes: Service Delivery Skills. By the end of the programme, students will have: S39 Ability to work with users and carers to facilitate their involvement in service planning and delivery. S40 Understanding of the need to maintain the safety of both service users and those involved in their care. S41 Understanding of the principles and processes of quality assurance, and engage in quality assurance programmes where appropriate; to be aware of the role of audit and review in quality management, including quality control, quality assurance and the use of appropriate outcome measures; to be able to maintain an effective audit trail and work towards continual improvement. S42 Ability to provide supervision at an appropriate level within their own sphere of competence. S43 Ability to conduct consultancy. S44 Ability to work effectively with formal service systems and procedures. S45 The skills to work effectively as part of a multidisciplinary team and to understand mental health and other legislation and the role of the psychologist. 18. Teaching, learning and assessment Development of the learning outcomes is promoted through the following teaching and learning methods: The programme has four main methods of teaching and learning: academic programme, clinical placements, research training and personal and professional development. Throughout the programme there is an emphasis on the integration of theoretical and clinical knowledge. The academic programme is delivered through a variety of methods: formal lectures, skills based workshops, seminars, case workshops. These methods are supported through academic tutorials and guided reading. v Trainees present their own cases, which facilitates theoretical-practice links. Trainees are allocated a Personal Tutor whose role is to assist in the learning process and provide support. Yearly review meetings are held between the trainee, their Personal Tutor and their Clinical Tutor to clarify each trainee’s individual progress through all aspects of the programme and to clarify future training objectives. There is a budget for trainees to apply to attend clinical workshops/conferences to develop identified training needs or interests. Clinical skills are developed on clinical placements where trainees are involved in supervised clinical work, supported by teaching from the academic programme. On placement they will observe others, be observed and tape their clinical work for supervision. Supervisors on clinical placement will offer additional relevant guided reading. Clinical tutors provide support and planning for each trainee for each placement’s learning aims and objectives. Research training is gained through formal teaching and practical sessions, workshops, seminars, research presentations, and the supervision of research projects. Research and statistical support are available to trainees. All projects have to meet either the NHS Research Governance or University Research Governance standards depending on the focus of the study. All projects have to receive ethical review (either University or NHS as appropriate). Personal and professional development is promoted through specific teaching sessions, a “buddy” system, personal tutors and Balint-type and reflective practitioner groups. Each trainee is also allocated a mentor, a clinical psychologist, who provides an opportunity to discuss personal and professional issues arising out of training, in confidence outside of the programme. Opportunities to demonstrate achievement of the learning outcomes are provided through the following assessment methods: The assessments provide trainees with formative as well as summative learning. The assessed coursework includes: Short Answer Questions Observed Clinical Skills Assessment (OCSA) Case Studies Academic Clinical Project 1: Literature Review Academic Clinical Project 2: Single Case Study Academic Clinical Project 3: Service Evaluation Project Research Thesis. Clinical placements are assessed through clinical supervisors’ Assessment of Clinical Competence. Knowledge and Understanding (K1 – K20) are assessed via: Short Answer Questions Academic Clinical Projects Research Thesis Case Studies Assessment of Clinical Competence. Transferable Skills (S1 – S5) are assessed via: Academic Clinical Projects Research Thesis Case Studies Short Answer Questions Subject Specific Skills (S6– S22) are assessed via: Case Studies OSCAs Assessment of Clinical Competence Research and Audit Skills (S23 – S29) are assessed via: Academic Clinical Projects vi Research Thesis Short Answer Questions Personal and Professional Skills (S30 – S38) are assessed via: Case studies OSCAs Assessment of Clinical Competence. Service Delivery Skills (S39 – S45) are assessed via: Assessment of Clinical Competence. Case studies 19. Reference points The learning outcomes have been developed to reflect the following points of reference: The Mission Statement of the University of Sheffield, as presented in its Corporate Plan. Health and Care Professions Council (see http://hcpc-uk.org): Standards of Education and Training Standards of Proficiency Guidance on conduct and ethics for students Standards of conduct, performance and ethics British Psychological Society (see http://www.bps.org.uk/index.cfm ): Code of Conduct Division of Clinical Psychology Statement of Core Purpose and Philosophy Division of Clinical Psychology Professional Practice Guidelines Committee on Training in Clinical Psychology Accreditation Criteria QAA level indicators (see http://www.qaa.ac.uk/crntwork/students/understandquals.htm ) Projected National Occupational Standards of the British Psychological Society 20. Programme structure and regulations The programme is a partnership between the University and clinical psychologists working within Yorkshire and the Humber. Accordingly staff associated with the programme include members of the Department of Psychology, including the clinical tutor team, clinical supervisors throughout Yorkshire and the Humber and the northern region of the East Midlands and members from other departments of the University. The structure of the 3-year programme comprises teaching blocks, day release teaching, clinical placements and private study time. This structure enables theory-practice links to be maintained throughout the programme. During the first year there is an introductory teaching block of three weeks. This is followed by two five-month clinical placements separated by a two week mini-block. When on placement trainees attend the university for between one and three days during semester time. The second year consists of two five month clinical placements, the first introduced by a three-week teaching miniblock, and the second a one-week teaching miniblock. During term time trainees attend teaching sessions in the university one day per week during semester time. In the third year trainees attend one teaching block at the beginning of the year and then two five-month clinical placements. Private study days and research days are provided throughout the programme. Academic The curriculum is designed to reflect a developmental progression from working individually with clients (Year 1) to working with systems, families and groups (Year 2) to organisational level work (Year 3). This progression is reflected throughout the teaching modules that are themselves grouped into themes. There are four themes that run through all three years and are designed to cover the learning outcomes. The first theme comprises knowledge and understanding of Psychological Models, Theories and Evidence Base; and the second theme Clinical skills. These two themes each occupy about 30% of the teaching time, and primarily cover the learning outcomes ‘Knowledge and understanding’ and ‘Subject specific skills’. The teaching in these themes includes psychological assessments, formulations and interventions across a wide span of client groups and a variety of therapeutic approaches. The third and fourth themes cover Research skills and Professional & Ethical Skills and each occupy about 20% of the teaching time. These themes cover the learning outcomes ‘Transferable skills’ and ‘Personal and professional skills’. Throughout the teaching programme the integration of theory with practice vii is encouraged, and there are opportunities for trainees to reflect on their own practice and understanding. Clinical Experience Clinical placements and the academic programme are designed to link with each other wherever possible. In line with the academic programme, trainees work with clients across the lifespan, and with carers and service systems. In the first year placement experience is focused on work with individuals, often for adults within Adult Mental Health services, Older Adults, Health and Medical and Psychosis and Recovery services. In the second year placement experience focuses on direct work and working with carers and staff often in services for children, adolescents and families, and people with learning disabilities. In year three optional placements are available, although this is dependent on the training requirements of each trainee. Trainees complete six approximately 5-month placements over the three years of the programme. Over the programme each trainee will gain experience across a range of service settings, including primary care, community, residential and day services and with clients presenting a wide variety of problems, who have a range of abilities, including communication problems. There is a wide range of placements available, including psychosis and recovery, primary care, psychotherapy, neuropsychology, addictions, medical psychology, forensic work, adult mental health services, child and adolescent mental health services, older adult mental health services, people with learning disabilities services. Clinical supervisors work in the service setting of the trainees’ placements, and are usually qualified clinical psychologists with at least two years’ experience. During each placement clinical tutors will discuss the placement aims and activities and review progress mid-way through the placement. At the end of the placement the trainee and clinical supervisor meet to discuss their respective feedback forms, including the supervisor’s Assessment of Clinical Competence. Research Research teaching is provided throughout the three years of the programme. This teaching is supplemented by the experience gained by trainees in conducting and submitting four pieces of research related work: a literature review; a single case study; a service evaluation project; and a research thesis. Specific teaching on all of these pieces of work is offered through workshops, group tasks, interactive teaching and personal supervision. Topics for the research thesis are based on the available expertise within the department and usually also developed in collaboration with NHS colleagues. A research supervisor, from the academic staff group and usually an additional supervisor from the NHS, are allocated to each trainee in their second year. The personal tutor is available to assist trainees with any concerns about their coursework in general and will alongside the clinical tutor usually be aware of any specific learning needs and appropriate adjustments. Detailed information about the structure of programmes, regulations concerning assessment and progression and descriptions of individual modules are published in the University Calendar available on-line at http://www.shef.ac.uk/govern/calendar/regs.html. 21. Student development over the course of study Throughout the programme there are various assessed pieces of coursework that must be submitted, plus assessments at the end of each placement: Assessment of Clinical Competence 1 to 6 (ACC1-6). The assessed coursework includes: Short Answer Questions 1 to 4 (SAQ1-4); Case Studies 1 to 4 (CS1-4); Academic Clinical Project 1(Literature Review; ACP1); Academic Clinical Project 2 (Single Case Study; ACP2); Academic Clinical Project 3 (Service Evaluation Project; ACP3); and Research Thesis. To qualify for the D Clin Psy trainees must pass all pieces of coursework and Assessments of Clinical Competence. The following assessments must be passed to progress to the next year or graduate: For the full-time programme: Year 1: SAQ1; ACP1; CS1; OCSA, ACC1 and ACC2. Year 2: SAQ2 and SAQ3; ACP2; CS2 and CS3, ACC3 and ACC4. Year 3: SAQ4, ACP3, CS4, ACC5 and ACC6, Research Thesis. 22. Criteria for admission to the programme Admission criteria can be found on the departmental website: www.shef.ac.uk/clinicalpsychology/courses/doctor/entry.html NB: The above statement should be deleted and replaced with either full details of the admissions criteria or a URL for where the relevant information can be found on the department’s web site. 23. Additional information viii This specification represents a concise statement about the main features of the programme and should be considered alongside other sources of information provided by the teaching department(s) and the University. In addition to programme specific information, further information about studying at The University of Sheffield can be accessed via our Student Services web site at http://www.shef.ac.uk/ssid. ix APPENDIX 2 Programme Training Committee Terms of Reference The Programme Training Committee is responsible for the long-term strategic planning and management of the Doctor of Clinical Psychology at the University of Sheffield. Its purpose is to provide a forum in which stakeholders associated with the Programme meet to plan, implement and review all aspects of Programme policy. The detailed implementation of the Programme policy is devolved via a subcommittee structure, which is directly accountable to the Committee. The latter also includes regular meetings of the Programme Team. The primary functions of the Committee are: i To promote and review a coherent Programme philosophy. ii To oversee the academic curriculum and maintain high academic standards appropriate to professional training. iii To monitor the provision of clinical placements and to ensure that high standards of clinical experience and supervision are achieved. iv To ensure that trainees' needs for personal and professional development are met by the Programme. v To formulate and overview the methods of assessment of academic and professional performance as required by the formal examination regulations of the Programme. vi To monitor the organisation and function of other courses delivered within the CPU including the Certificate in Low Intensity Psychological Interventions, the Diploma in High Intensity Psychological Interventions and the Certificate in Clinical Supervision by Distance Learning. vii To monitor the selection of trainees to the Programme. viii To promote good practice in clinical psychology throughout the Region via the support of applicable research and continuing professional development. ix To disseminate information and actively seek the views and involvement of all relevant stakeholders (University, local Psychology Services, Supervisors, Service Users, and Yorkshire and The Local Education and Training Board). x To liaise with and advise the Clinical Tutors, and the relevant SHSC Personnel Officer, on aspects related to the employment of trainees, the provision of placements and the promotion of good supervisory practice. xi To liaise with appropriate Regional bodies associated with the profession and its training (e.g. Division of Clinical Psychology, (DCP), Special Interest Groups, and the Regional Training Advisory Group (RTAG). xii To monitor the quality of the Programme and to prepare an annual review, together with necessary documentation associated with Contracting and/or Accreditation. x xiii To liaise and collaborate closely with the Doctor of Clinical Psychology programmes at Leeds and Hull, and continue where appropriate our links with Leicester and Nottingham/Lincoln Universities. xiii To review these 'Terms of Reference' regularly and to make any such changes thought appropriate by the Committee. Membership of the CTC Chair: Unit Director or nominee Secretary: Unit Administrator University staff: Head of the Department of Psychology or nominee Full, part-time and honorary lecturers Unit Administrator Clinical tutoring: Director of Clinical Practice & Clinical Tutors Supervisors drawn from the following localities: Barnsley, Nottinghamshire, Doncaster, Derbyshire, Lincolnshire, Sheffield/Rotherham And where possible across the following specialties: Adult Mental Health, Learning Disabilities, Child, Older Adults, Health Psychology, Forensic Trainee representatives (or nominee) i) ii) iii) 1st year 2nd year 3rd year Certificate and Diploma in Psychological Interventions i) Programme Director ii) Teaching staff iii)Trainee representative from each Programme Representative from the Yorkshire and the Humber commissioners Any of the above may be invited to a particular PTC or co-opted onto the Committee. Similarly, they can request to place a specific item of business concerning the Programme on the agenda of the committee and attend the relevant meeting. August 2013 xi APPENDIX 3 TEACHING FEEDBACK DATE: «Date» SPEAKER: «Speaker» THEME: «THEME» TITLE OF LECTURE: «Title_of_session» Strongly Agree Agree Unsure Disagree Strongly Disagree Not Applicable Learning Outcomes The learning outcomes were explicitly stated at the beginning of the session The session enabled me to achieve these learning outcomes Quality of session The session was well-paced (neither too fast, nor too slow; neither too little nor too much content) The session included a variety of appropriate learning activities Time was allowed for discussion/questions Presenter The speaker demonstrated appropriate knowledge and skills with issues arising from the session, e.g. emotional reactions, diversity Please outline what you have learned from this session (N.B. Teachers will be reading these forms so please make your comments constructive / helpful) Please outline an area for improvement for this session (N.B. Teachers will be reading these forms so please make your comments constructive / helpful) xii APPENDIX 4 External speaker feedback form DATE: «Date» SPEAKER: «Speaker» YEAR: 1 THEME: «Theme» TITLE OF SESSION: «Title_of_session» THE SETTING Strongly Agree Agree Unsure Disagree Strongly Disagree Not Applicable The information I received prior to the teaching was satisfactory The teaching facilities (room & equipment use) were satisfactory The administration staff (reception, necessary support) were helpful The room was ready and set up for the session Your comments: (If you have ticked strongly disagree please provide constructive comments) THE CURRICULUM Strongly Agree Agree Unsure Disagree Strongly Disagree Not Applicable The links I have with the curriculum co-ordinator are sufficient The knowledge I have of the related areas of the curriculum is sufficient Your comments: (If you have ticked strongly disagree please provide constructive comments) YOUR TEACHING SESSION Strongly Agree Agree Unsure Disagree Strongly Disagree Not Applicable I was happy with how the teaching session went Comments: Are there any improvements you would like the programme to make in relation to this seminar/ module/ teaching generally xiii THE TRAINEES Strongly Agree Agree Unsure Disagree Strongly Disagree Not Applicable The trainees were welcoming & respectful The trainees engaged with the teaching session well (eg, role plays, activation, discussion) The trainees were open to learning The trainees appropriate questions asked The trainees were reflective/ linked the session to their experience Your comments: (If you have ticked strongly disagree please provide constructive comments) Admin Theme Co-ordinator xiv Year Team Appendix 5 Selection of new teachers The selection of new teachers first involves liaison between the curriculum coordinator and the programme team link and NHS advisors for specialist subject areas. The programme team link and NHS advisor are asked to make recommendations to the Curriculum Coordinator with regard to named local (or sometimes national) clinicians who may be expert in a particular subject. Recommended individuals are required to be practicing clinical psychologists who are registered with the HCPC (or otherwise appropriately practising professional, such as for inter-professional sessions). Therefore, external speakers meet the HCPC requirements as a practitioner psychologist and appropriately maintain necessary Continuing Professional Development. This process ensures that clinicians’ expertise is best matched to the required teaching content, and thus that speakers have relevant specialist expertise and up to date knowledge. Following on from the recommendation from programme team links and NHS advisors, the curriculum coordinator will liaise with the named clinician in order to discuss the teaching topic and the fit with their specific area of clinical work and expertise. In addition, the curriculum coordinator will discuss with the proposed speaker their previous and current experience of teaching. Thus the requirements of a University teacher will be considered through discussion of their current strengths and possible learning needs in teaching provision. Specific areas of skill development may be identified and further support will be provided where needed for new and established speakers. Further support may take the form of additional written information regarding programme requirements or procedures, or attendance at a University teaching skills workshop. Through this process we are able to ensure that our speakers are skilled and well supported in the provision of teaching. In addition, a further statement will be added to the programme handbook (3.8) with respect to how we safeguard the quality of the teaching. The feedback forms and teaching content are reviewed by members of the programme team to ensure that the teaching is of a standard in line with University quality assurance. Where consistent issues are identified with any one specific teaching session (consistent feedback over three consecutive years; or an urgent issue raised within one year), the curriculum coordinator would liaise directly with the speaker regarding this feedback and their contribution to the programme curriculum. This may also involve a direct observation of this teaching session. Further support within teaching would be provided to the speaker where any specific needs were identified. These formal policies will enable staff to know and act upon any areas where the quality of teaching is in doubt. In addition the member of staff who is responsible for a specialist area of teaching will hold review meetings every three years with all people involved in teaching this topic to update and consider new teaching methods etc. The University provides high quality workshops on up to date teaching methods. The Programme will use this resource to put on events for all teachers, including external teachers and to offer advice to individual teachers. xv APPENDIX 6 Information for teachers and module co-ordinators on integration of issues of diversity within clinical psychology Summary There has been a long-standing discussion within clinical psychology about the manner in which clinical training programmes should integrate issues of diversity within teaching. Indeed, in the past this has resulted in some criticism of the profession for its avoidance or marginalisation of these issues (Howitt & Owusu-Bempah Sayal-Bennett, 1994; 1989; Nadirshaw, 1993). This is not a document which will revisit the validity of these arguments, rather its role is to provide a framework in which these issues can be discussed within clinical training. The function of this document is to provide lecturers teaching on the programme with information concerning the integration of these issues and to facilitate an increased openness from lecturers and trainees on issues of diversity which would enable us to explore our assumptions, prejudices, uncertainties and fears. Introduction Britain is a multi-racial and multi-ethnic society. Despite a number of documents from the BPS (1988a; 1988b; 1988c; 1995) confirming the psychological needs of a multicultural and multiracial society the problems, experiences and treatment received by diverse cultural groups may not be represented sufficiently in the manner, topics and form of clinical training. For example, there is widespread acknowledgement of the marginalisation of women’s experiences within the mental health services (Ussher & Nicholson, 1992). More recently, the needs of men have received increasing recognition (Adams, 1988; Davis, 1995) and the centrality of issues of race, gender and power for the development of psychological services in individuals across the lifespan (Turner & Troll, 1994; Yeo & GallagherThompson, 1996). This body of literature highlights a possible discontinuity between clinical training and the increasing numbers of empirical studies which have highlighted the psychological consequences of harmful and discriminatory experiences reported by disempowered client groups within the statutory services (Brown & Harris, 1978; Belle, 1984; Holland, 1992). This apparent failure of the profession to address the everyday experiences of large parts of the population threatens to render this experience invisible and so perpetuate the norm of mental health professionals advocating ill-informed treatment paradigms. In a more positive light, there is now widespread acknowledgement of the psychological significance of ‘difference’ and training programmes have shown a willingness to begin to address these issues. The problem remains as to how best to take this forward. Addressing these issues on the Sheffield Programme It has been argued that training in clinical psychology is derived from a white middle-class tradition (Fernando, 1991) which often fails to integrate the psychological experiences of groups or individuals labelled as different from the white male norm (Lago, 1996). Nadirshaw (1993) suggests that training programmes need to develop an appropriate anti-racist and anti-sexist knowledge base, to explore professional competencies in ethnically sensitive, anti-racist and anti-sexist skills, and to maintain an ongoing review (through the programme accreditation process), of the integration of these issues throughout the curriculum rather than as the tokenistic slots. Sue and Sue (1990) argue that training programmes should contain a consciousness-raising awareness component, an affective component and a skills component. The Sheffield programme, on the basis of past consultation with supervisors, delivers a clinical training model made up of two different elements as a means of developing teaching around issues of diversity. The elements are: a) The establishment of specific teaching slots in the introductory teaching block for first year trainees. The aims of these teaching sessions are to orientate trainees towards the centrality of these issues in the delivery of clinical psychology services; to give trainees time to consider the impact of their own cultural identities upon themselves and their clients; and to critically review the theoretical basis of clinical psychology in regard to issues of power difference. Specific follow-up workshops and teaching events will be included in both the second and third years. xvi b) Encouraging integration of this topic area throughout the programme by supporting curriculum coordinators and teachers on the programme, and by developing specific resources and information to assist in this process. In response to the second element of the training model the remainder of this document suggests areas that teachers may wish to consider in relation to their own teaching contribution. Below is a copy of the UCL clinical training course guidelines which were created to help programme contributors think about integrating working with difference issues into their own teaching. Information for module co-ordinators and contributors In planning and preparing your teaching in relation to the integrating working with difference issues, the following areas have been identified as useful to consider. 1. To examine teaching modules for their attention to issues of power and culture, both in relation to theory production and to extend to examples of work chosen to illustrate a multi-cultural variety of clients. 2. To examine research findings for their implications about the nature of racial/cultural differences and their focus upon white, ethnocentric populations and experiences. 3. To examine theories and models of psychological health for their implicit value systems and their ethnic/cultural orientation. 4. To examine assessment instruments for their relevance to the client in terms of the nature of the measures, and the samples on which they have been standardised. 5. To examine models of therapeutic intervention for their implicit value systems (eg. goal orientation, use of status and expertise), and for their negotiation of issues of power within the therapeutic relationship. How are religious or spiritual issues accounted for or explored? 6. To examine models of intervention for their account of variables which constitute the relationship between therapist and client e.g. race, gender, age, class and economic status. 7. To examine placement experiences for their range of clients from different ethnic and cultural background (see accompanying supervision and placement document). For the trainee, three areas within any specific teaching module have been identified as important in moving towards a greater understanding of the psychological consequences of difference. Acknowledging our own difference In particular, providing an opportunity for trainees to reflect on their own racial and cultural identity and their personal responses to difference. To enable trainees to increase their awareness of their own value systems and how these maybe affect work with people of different genders, races and ages. From the client’s perspective For teachers, where appropriate, to include the client’s perspective. For example, the experience of being different e.g. being black in a predominantly white culture; being an Irish Catholic in an English Protestant culture, not speaking English as your first language. In addition, a wider discussion of users perspectives or user-led projects and their relation to good practice is often invaluable. Direct client work To encourage discussion about our assumptions and fears about making mistakes. To provide examples and practice in assessment, formulation and intervention. To explore the ways in which we intentionally or unintentionally approach these tasks with clients from different backgrounds from our own (e.g. using role play of situations trainees feel uncertain about such as raising the issue of difference with a client). Working at the organisational level Hearing from psychologists and others who have the experience of working with particular communities or ethnic groups e.g. link workers, multi-lingual psychologists, Black Women’s Organisations. Patient and Public Involvement (Training Advisory Group) xvii The Patient and Public Involvement (Training Advisory Group) meets regularly to discuss issues around diversity and service user involvement relating to all aspects of the programme. The membership of the group is open. If you have any queries or would like to join the group please contact Andrew Thompson or Kath Boon. References Adams, D. (1988). Treatment models for men who batter: A profeminist analysis. In K. Yllo & M. Bograd, (Eds.) Feminist perspectives on wife abuse. London: Sage. Belle, D. (1984). Inequality and mental health: low income and minority women. In L.E.A. Walker (Ed.) Women and mental health policy. London: Sage. British Psychological Society (1988a). Criteria for the assessment of postgraduate training courses. Committee for Training in Clinical Psychology. Leicester: The BPS. British Psychological Society (1988b). The future of the psychological sciences: Horizons and opportunities for British psychology. Leicester: The BPS. British Psychological Society (1988c). Key equal opportunities issues that should be covered in BPS criteria for evaluation of training courses in applied psychology. Report by the Working Party on the Training of Clinical Psychology to the Standing Committee on Equal Opportunities. Leicester: The BPS. British Psychological Society (1995). Clinical psychology, race and culture. Resource pack for trainers. Leicester: DCP, The BPS. Brown, G.W. & Harris, T. (1978). The social origin of depression. London: Tavistock. Davis, C. (1995) Male violence towards women: can men change? Unpublished DClin Psy thesis, Sheffield University. Fernando, S. (1991). Mental health, race and culture. London: Macmillan/Mind. Fernando, S. (1991). Psychiatry and racism. Changes, 11, 1, March 46-58 Gender resource pack: A training and practice resource for clinical psychology (1993). Department of Clinical and Community Psychology, Exeter: Exeter Community Health Service Trust. Holland, S. (1992). From social abuse to social action: a neighbourhood psychotherapy and social action project for women. J.M Ussher & P. Nicholson (Eds). Gender Issues in Clinical Psychology. London: Routledge. Howitt, D. & Owusu-Bempah, J. (1994). The racism of psychology: time for change. London: Harvester Wheatsheaf. Lago, C. (1996). Race, culture and counselling. Buckingham: OUP. Nadirshaw, Z. (1993). The implications of equal opportunities in training in clinical psychology: A realist’s view. Clinical Psychology Forum. 54, 3-6. Nagayama Hal, G.C. (2006). Diversity in Clinical Psychology. Clinical Psychology: Science and Practice, 13, 258-262. Sue, D.W. & Sue, D. (1990). Counselling the culturally different: theory and practice. Chichester: Wiley. Turner, B.F,& Troll, L.E. (1994). Women growing older: psychological perspectives. London: Sage. Ussher, J.M. & Nicholson, P. (1992). Gender Issues in Clinical Psychology. London: Routledge. Williams, P.E., Turpin, G. & Hardy, G. (2006). Clinical psychology service provision and ethnic diversity within the UK: a review of the literature. Clinical Psychology and Psychotherapy, 13, 324-338. Yeo, G. & Gallagher-Thompson, D. (1996). Ethnicity and the dementias. Washington: Taylor and Francis. xviii APPENDIX 7 Information for teachers on Formulation Summary The purpose of this document is to provide programme staff and clinical teachers with an overview of clinical formulation. General principles that span theoretical traditions are summarised, and some ideas for incorporating formulation issues into teaching are listed. The underlying principle is that clinical formulations form the basis of our clinical work and should, therefore, be incorporated within each teaching module. In assessment or therapy we work with clients to make sense of their difficulties and, where appropriate, plan interventions: we make formulations. A number of Year 1 teaching sessions are devoted to introducing the basics of formulations. This document summarises these sessions. Background Formulations underpin our clinical work and are the link between theory and practice. However, it is recognised that (a) the teaching of formulation skills is often neglected and (b) developing a coherent, meaningful and useful formulation for a specific client is a skilled and difficult task. As a consequence, trainees sometimes experience difficulties in the requirement to provide clinical formulations. The specific content and form of individual formulations will vary across client groups and therapeutic traditions. The aim of this document is not to highlight these differences, but to point to common issues and principles of formulating. It is hoped that this will provide the teachers and trainees of the Sheffield D Clin Psy Programme with a base from which specific types of formulations can be introduced and discussed. Some ideas of how formulation can be introduced within teaching are also provided. This list is by no means exhaustive; new methods and materials are welcomed by the programme team, for inclusion in this document or in the formulation resource pack. As with formulations, these materials are flexible and open to change! Definitions A formulation is a systematic way of relating presenting problems to psychological processes and includes tentative hypotheses that are expected to facilitate change. In this way a formulation is the lynch pin between clinical practice and theory. The processes involved in reaching a formulation include: Collection of ‘data’ or information Use of psychological theory, including reference to the literature Combination of explanation as well as description Aim for parsimony and flexibility Generation of specific hypotheses to fit the individual Testing and revision of hypotheses Purposes The primary purpose of a formulation is to help clinicians apply theory to practice. Ways that formulations help in this are summarised below: Clarifying hypotheses and questions Understanding: providing an overall picture or map Prioritising issues and problems Planning treatment strategies Selecting specific interventions Predicting responses to strategies and interventions; predicting difficulties Determining criteria for successful outcome Thinking about lack of progress; trouble shooting Overcoming bias (Butler, 1999) Formulations can also be important for clients: Alliance formation Empathy building xix Shared explanation of problems: This will include all of the above points Negotiating therapeutic work Shared responsibility for therapeutic work In addition formulations are important means of communication between the clinician and clients or colleagues. Differences between a Formulation and a Diagnosis Diagnostic systems are designed as an efficient way to describe and categorise symptoms or problems. They tend to be atheoretical and rarely provide specific implications for treatment. In contrast, a formulation is developed to fit an individual and contains theoretically driven hypotheses, explanations and treatment implications. For example, the diagnosis of major depressive disorder, tells us nothing about why a person has become depressed. In a formulation such information (for example, for one person this may be because of a failure at work, for another because of an inability to form close relationships) may form the basis of therapeutic work. The argument here is that formulations are much more useful to therapists in treatment planning, and should enhance outcome. There is a counter argument that formulations in use may lose their connections (or never even establish connections) with empirically based theory. In other words, treatments based on formulations may become idiosyncratic and, therefore, not empirically validated. Using this argument, a client may receive a treatment based on clinical judgement, including therapist preferences and fallibilities, rather one based on research findings that specify the effectiveness of specific treatments for specific diagnostic groups. This may lead to poorer treatment outcome. There is some evidence that this may be the case; one study found that clients assigned to a standard treatment based on their diagnosis did as well, if not better, than treatments based on individual treatment plans (Schulte, 1997). This argument is by no means settled. The issues are complex; there are many reasons why outcomes vary other than the use of a formulation to plan treatment. What this argument highlights though is the need for therapists, when developing formulations and treatment plans, to make use of available research evidence. Diagnoses may have a place in this process, although this may be problematic when clients do not fit into one diagnostic category, or if assignment to a particular category brings disadvantages. To summarise, a good formulation bridges science and practice, can provide a check to basing clinical decisions in intuition or clinical impression, and is respectful of clients’ individual histories, contexts and issues. Differences between a Formulation and a Model Models are ways of conceptualising disorders. There are different models for describing the same phenomenon: For example cognitive models, psychopharmacological models, functional analytic causal models, systemic models, interpersonal models, object-relations models could all be used to explain social anxiety. These models incorporate descriptions of ways of construing the world, or our philosophical stance. They also provide the basis for a case conceptualisation or formulation, and have implications for treatment. There is no overarching model or theory that incorporates all other explanations. Therefore, in making a formulation, the clinician must weigh up the relative usefulness of different models to explain a person’s difficulties. Constructing a Formulation There is no single, correct method for constructing a formulation. A good formulation will involve creativity, accurate observation and assessment, thinking at the abstract level, and self-reflection. The format and content of a formulation will depend on the client’s problems, the theoretical base of the clinician and the circumstances in which they both find themselves. However, there are four basic components to most formulations: Assessment. There are many sources of information that can be used in the formulation process. Assessments usually cover current aspects of psychological functioning, contextual information, background and developmental history. Underlying the process of information gathering are the assumptions that the different aspects of a person that are assessed are linked in some way and influence each other (even if this is not fully understood), and that the information is gathered within the context of a relationship which will influence the nature of that information. Formulation. Here theory is used to guide putting the information together. There are two basic ways this is done. The first provides a cross-sectional understanding of the presenting problem. Links and processes between different aspects of clients’ current functioning and problems are highlighted; specific aspects of the problem are identified; hypotheses for intervention work xx generated. The second comprise longitudinal formulations and include hypotheses about causation. One helpful element of a formulation is the identification of ‘key factors’. Clarity can often be improved if examples of ‘key factors’, ‘critical incidents’, or ‘core components’ are included as illustrations of the formulation ‘Working formulations’ are very useful when working therapeutically. Here initial hypotheses are made and, through the interactive nature of therapy, tested, revised and developed. In this sense formulations include conceptualisations about the process of change. It must be remembered that hypotheses are not facts; they cannot be shown to be right. However, there are ways that you can test whether they are more or less accurate. Butler (1999) described 10 tests of a formulation: a. b. c. d. e. f. g. h. i. Does it make theoretical sense? Does it fit with the evidence? Does it account for predisposing, precipitating, and perpetuating factors? Do others think it fits? Can it be used to make predictions? Does the past history fit? Does treatment based on the formulations progress as would be expected? Can it be used to identify future sources of risk or difficulties for this person? Are there important factors left unexplained? Teaching Hints Where appropriate, discussion of clinical formulations should be included within teaching. The general principles of formulation, summarised in this document, are introduced in four teaching sessions in the first year of training. These sessions cover issues that are relevant to clinicians from most theoretical orientations. However, specific methods of formulating are not introduced in any detail; these are left to individual modules. Below are some ideas for incorporating formulation issues into teaching sessions: 1. Be explicit about your own perspective; how you view and use formulations; your theoretical stance. 2. Offer advice in how to write down a formulation in your field. 3. Suggest methods for developing formulations, such as using diagrams etc. 4. Show how they can be valuable in anticipating difficulties in therapy. 5. Discuss how formulations can help clinicians reflect about their work. 6. Suggest ways that formulations can be shared with others, such as the client, colleagues, supervisors, co-workers etc. 7. Consider ways that psychological formulations might be integrated into multidisciplinary team working. 8. Discuss different ways and time periods that formulations might be developed. 9. Use examples, especially from your own clinical work, to illustrate your ideas. 10. When introducing assessment tools, do so within the context of making a formulation. References Barber, J.B. & Chris-Chistoph, P. (1993). Advances in measures of psychodynamic formulations. Journal of Consulting and Clinical Psychology, 61, 574-585. Beiling, P. & Kuyken, W. (2003). Is case formulation science or science fiction? Clinical Psychology Science & Practice, 10, 52-69. Butler, G. (1998). In A.S. Bellack & M.E. Hersen (Eds.),Comprehensive clinical psychology, Vol 6, (pp123). New York : Pergamon Press. Eells, T.D. (Ed.). (1997). Handbook of psychotherapy case formulation. New York: Guilford Press. Goldfried, M.R. (1995). Toward a common language for case formulation. Journal of Psychotherapy Integration, 5, 221-244. Hinshelwood, R.D. (1991). Psychodynamic formulation in assessment for psychotherapy. British Journal of Psychotherapy, 8, 167-174. Horowitz, L.M. et al. (1989). Psychodynamic formulation, consensual response method, and interpersonal problems. Journal of Consulting and Clinical Psychology, 57, 599-606. Johnstone, L. & Dallos, R. (2006). Formulation in psychology and psychotherapy. Hove:Routledge. Kuyken, W., Padesky, C.A. & Dudley, R. (2009). Collaborative case conceptualization. Guilford Press. xxi Levenson, H. (1995). Time limited dynamic psychotherapy. Basic Books. Persons, J.B. (1989). Cognitive therapy in practice: A case formulation approach. New York: W.W. Norton. Ryle, A. (1990). Cognitive Analytic Therapy: Active participation in change. Oxford : Wiley Schulte, D. (1997). Behavioural analysis: Does it matter? Behavioural and Cognitive Psychotherapy, 25, 231-249. http://www.bpsshop.org.uk/Good-Practice-Guidelines-on-the-use-of-psychological-formulation-P1653.aspx xxii APPENDIX 8 E-Learning As new technology develops, so do the opportunities to use this technology creatively in teaching. There are a number of ways that teaching, and particularly didactic teaching, can potentially be enhanced. Video material can be made accessible and sessions can be available at flexible times to suit trainees’ needs, motivation, and context. Some of the ways that we can make teaching more flexible include using MOLE (my online learning environment), the University’s e-learning environment. This tool can be used in a number of ways from simply uploading PowerPoint presentations that have been used in a teaching session, creating a reading list with links to electronic journals or even creating quizzes, which can supplement directed reading and be easily 'marked'. Because of these opportunities, the programme has devised some principles which should be applied to elearning. The aim of e-learning is to make some teaching more flexible and diverse therefore more interesting and appropriate for trainees. It is anticipated that less than 10% of teaching will be e-learning. E-learning should not replace all other forms of teaching. It may replace the more didactic, factual parts as material can be presented in a more engaging way such as articles to read and quizzes. If a teaching session or part of a session is provided on MOLE, the session can typically be taken up to a week before and one week after the date it appears in the timetable. Teaching handouts and sessions that appear on MOLE cannot be accessed by anyone who is not registered on the programme (i.e. it can only be viewed by staff and trainees at the Clinical Psychology Unit). For trainees who do not have computer or internet access at home, the teaching can be viewed on the computers available in the Mac Lab in the Psychology Department or in B3 of the Clinical Psychology Unit (though if everyone were to carry out the e-learning during the timeslot on the timetable it would not be possible for us to guarantee access to a computer). Headphones can be provided when necessary. If any trainee cannot for some reason access any session on MOLE, a print out or similar acceptable alternative will be made available. For further information about e-learning, please contact Christie Harrison (email: [email protected]; Tel: 0114 2226650) xxiii APPENDIX 9 PROGRAMME POLICY ON TAKING HOLIDAY LEAVE DURING ACADEMIC TEACHING TIME Background and purpose of policy Taking annual leave during teaching time is, as a general principle, not supported and will not be authorised by members of the programme team. The Programme recognises, however, that on rare occasions trainees may need to take annual leave during an academic semester. For example, trainees may need to take annual leave that coincides with a school holiday, to fit in with partners' holidays, or some religious observances. A policy has been developed by trainees that enables the programme team to respond to and acknowledge circumstances where trainees would have reasonable requests for taking holiday during teaching time. This policy and the implementation of the system is administered and monitored by trainees. The policy is reviewed on an annual basis and any modifications are agreed at the Programme Training Committee. General principles i) Trainees may take no more than two teaching days as holiday leave during any one academic year. Leave may not be taken during the following periods: • • • • Semester one (up to Christmas) of the first year All teaching miniblocks Examination Boards If a trainee is due to give a case or research presentation they must arrange to swap this session. However, in certain circumstances (e.g. religious observances) this may be acceptable. Any requests for leave during these times should be discussed in the first instance with the clinical tutor. ii) Normally only two trainees are permitted to be absent from teaching because of holiday leave at any one time. Some degree of co-operation and a rota system must be arranged between trainees in individual year groups. The system is organised and monitored by trainees and should involve the minimum of office administration. Trainees are responsible for making sure that they are acting within the policy. iii) It would be at the discretion of the programme team to refuse holiday leave during teaching time if the core learning experience was threatened. iv) Trainees have a responsibility to acquaint themselves with any teaching missed. v) Any holiday leave taken during teaching time should not be taken without prior discussion with an appropriate programme team member. It should not be assumed by trainees that the granting of such leave is an automatic privilege. Rather, trainees should continue to prioritise their teaching experience. vii) Trainees have individual responsibility and obligation to contact speakers affected by such leave to explain/apologise for intended absence. viii) Each person within a year group will be responsible for alerting other year group members of intended leave during teaching time. A form is available on which all year group members should sign their assent and it should be remembered that official approval is co-dependent on group assent. The group should not sign consent without first having ascertained that no more than one or possibly two trainees are requesting annual leave on that date. However, group assent should not be taken as a guarantee of staff approval. xxiv ix) In addition to requesting leave during teaching time, the general procedure for gaining approval for annual leave must be followed with approval being sought from the clinical tutor. Procedure for application The following procedure must be followed if you wish to apply for leave during teaching time. i) A signed form should be obtained indicating that all year group trainees agree to you taking leave during teaching time. ii) The signed form and the standard leave form must be submitted to the Clinical Tutor. Do not make final arrangements prior to gaining written approval from your clinical tutor. iii) The trainee should send a letter to all speakers who will be teaching on day(s) they will be absent. Trainees should also inform the Progamme Administrator of their intended absence. v) Attendance and absenteeism during teaching time should be monitored by individual year groups. Each year group has a named elected representative who is responsible for monitoring attendance and providing feedback when required. Monitoring and regulation process This policy is reviewed regularly at the Programme Training Committee. In addition, trainee attendance and sickness are routinely monitored in Internal Examination Boards. xxv APPENDIX 10 RELEVANT NAMES AND ADDRESSES TRAINING STAKEHOLDERS Yorkshire and the Humber Strategic Health Authority (The Commissioners) Website Address: www.yorksandhumber.nhs.uk Head of Education Commissioning Workforce & Education Directorate: Sharon Oliver Contracts Manager: Kevin Moore Sheffield Health and Social Care NHS Foundation Trust Psychological Services Director: Gwyneth De Lacey Psychology Services Sheffield Gwyneth De Lacey Sheffield Health & Social Care NHS Foundation Trust Psychological Services Fulwood House Old Fulwood Road Sheffield S10 3TH 0114 271 8528 Sheffield Johann Labuschagne Sheffield Teaching Hospitals NHS Foundation Trust Psychological Services Northern General Hospital Herries Road Sheffield S5 7AU 0114 271 3950 Sheffield Steve Jones Sheffield Children’s NHS Foundation Trust Psychological Services Flockton House, 18 Union Road Sheffield S11 9EF 0114 226 2344 http://www.sheffieldchildrens.nhs.uk/about/1-4-4.php Barnsley Nigel Beail Psychological Health Care 11/12 Keresforth Close Off Broadway Barnsley S70 6RS 01226 433460 Doncaster Carole Hirst Psychological Therapies Jade Centre, Askern Road Bentley Doncaster DN5 OJR 01302 821412 NHS Yorkshire and The Humber SHA Sheffield Office Don Valley House Savile Street East Sheffield S4 7UQ 0114 226 4401 Rotherham Carolyn Lawson Dept of Clinical Psychology & Psychological Therapies 23A Clifton Lane Rotherham S65 2AA 01709 302360 NHS Yorkshire and The Humber SHA Headquarters Blenheim House Duncombe Street Leeds LS1 4PL 0113 295 2000 http://www.yorksandhumber.nhs.uk/ Health and Care Professions Council (HCPC) The British Psychological Society (BPS) xxvi Park House 184 Kennington Park Road London SE11 4BU 0120 7582 0866 www.HCPC-uk.org St Andrews House 48 Princess Road East Leicester LE1 7DR 0116 254 9568 Email: [email protected] http://www.bps.org.uk/ Division Of Clinical Psychology (DCP) University of Hull – DClin Psy Course Department of Clinical Psychology & Psychological Therapies University of Hull Hertford Building Cottingham Road Hull HU6 7RX 01482 464164 / 464101 Email: [email protected] http://www2.hull.ac.uk/pgmi/cmr/clinicalpsychology/in formation--doctorate.aspx DCP Chair Peter Kinderman The British Psychological Society St Andrews House 48 Princess Road East Leicester LE1 7DR 0116 252 9529 Email: [email protected] http://dcp.bps.org.uk/dcp/dcp_home.cfm University of Leeds – DClin Psychol Course University of Nottingham / University of Lincoln DClin Psy Course Clinical Psychology Training Programme Academic Unit of Psychiatry & Behavioural Sciences Leeds Institute of Health Sciences Charles Thackrah Building 101 Clarendon Road Woodhouse Leeds LS2 9LJ 0113 343 0815 Email: [email protected] University of Leicester – DClin Psy Course Institute of Work, Health & Organisations University of Nottingham International House, B Floor, Jubilee Campus Wollaton Road Nottingham NG8 1BB 0115 846 6646 (Sheila Templer) Email: [email protected] University of Lincoln Faculty of Health, Life and Social Sciences Court 11 Satellite Building 8 Brayford Pool Lincoln LN6 7TS 01522 886029 (Judith Tompkins) Email: [email protected] Doctorate in Clinical Psychology School of Psychology University of Leicester 104 Regent Road Leicester LE1 7LT 0116 223 1639 Email: [email protected] DCP Pre-Qualification Group East Midlands DCP Information can be found at: http://www.bps.org.uk/dcp-prequal/dcpprequal_home.cfm East Midlands DCP Chair Carol Brady 01522 518600 Email: [email protected] http://www.bps.org.uk/dcp-em/dcp-em_home.cfm PSYCHOLOGICAL SERVICES DIRECTOR Yorkshire DCP xxvii Gwyneth De Lacey Psychological Services Fulwood House Old Fulwood Road Sheffield S10 3TH 0114 271 8528 Email: [email protected] Yorkshire DCP Chair Diana Toseland Consultant Clinical Psychologist in Neuropsychology Deputy Head of Psychological Medicine York Psychology Services The Old Chapel Bootham Park York YO30 7BY 01904 725353 Email: [email protected] http://www.bps.org.uk/dcp-yh/dcp-yh_home.cfm xxviii APPENDIX 11 Department of Psychology H & S Policy The Department of Psychology operates its Health & Safety Policy in conjunction with that of the University (see University of Sheffield, Health & Safety Code of Practice or visit their website at http://www.shef.ac.uk/safety/codes). In addition to that code the Department operates its own Safety Practices & Guidelines, particularly in specialist areas. The particular areas are: Child Development:- contact: Dr Jane Herbert, ext 26512, email J.S.Herbert@ Workshop:contact: Mr Andrew Ham, ext 26542, email psy-workshop@ MRI facility:contact: Mr Michael Port, ext 26542, email psy-workshop@ The Department also operates a Health & Safety Committee, which reports directly to the Head of Department and to the Staff Committee. It is a conduit for any H & S issues. Its membership is: Prof Paul Overton (Head of Department), ext 26624, email P.G.Overton@ Mrs Natalie Kennerley (Departmental Safety Officer), ext 26600, email N.J.Kennerley@ Mr Andy Bassett (Technical Operations Manager), ext 26536, email A.H.Bassett@ Dr Paul Norman (Academic Representative), ext 26505, email P.Norman@ Miss Angela Rollinson (CPU Representative), ext 26649, email A.Rollinson@ Mr Andrew Ham (Workshop Representative), ext 26542, email psy-workshop@ Dr Len Hetherington (DSE assessor), ext 26532, email L.Hetherington@ Other contacts for H & S issues: First Aiders:- Display Screen Equipment:Electrical Equipment Testing:- Mrs Helen Macdonald, ext 26584, email H.Macdonald@ Dr Danielle Matthews, ext 26548, email Danielle.Matthews@ Ms S Keighley, ext 26570, email S.Keighley@ Dr Len Hetherington, ext 26532, email L.Hetherington@ Mr Andrew Ham, ext 26542, email psy-workshop@ xxix APPENDIX 12 GUIDELINES FOR POSTGRADUATE USE OF DOCUMENT SUPPLY SERVICE (DSS - FORMERLY INTER-LIBRARY LOANS) – DClin Psy Trainees In each academic year the Psychology Department receives a very limited allocation of Document Request vouchers to be shared between academic staff, research staff, post-graduate and undergraduate students. The cost of a request varies from £5.00 to £30.00. If we overspend on these we have to reduce spending on library books and journals. For this reason it is very important that vouchers are used sparingly. Please consider these guidelines carefully, and act on the suggestions they make, before putting in any document request: • Decide if you really need an item • Get useful information from online databases • Check with your supervisor • Check with fellow students • Consider sending a reprint request • Consider a trip to the British Library in Harrogate Decide if you really need an item. Before putting in a request you should try and get as much information about the item as possible so that you can make a well-informed judgement about its relevance to your project. Here are some questions to consider. Is information on this topic available from a more accessible source? Quite often authors will publish several works on a similar theme, so you should check out related items that are available in the library before putting in a request. Do you need all the details? You should look for review articles that cover or cite the item you are interested in; these will often contain all the information you need. Is it a significant contribution? Use your judgement and background knowledge to assess the quality and significance of the item from the information available. For instance, if it is a journal article, is it in a respected journal? Is the article/author cited by other workers in the field? Get useful information from online databases (such as PsycINFO, WEB OF SCIENCE, or MEDLINE) to help you assess the value of the item. If the item you are seeking is a journal publication, then you should be able to obtain further information from an online abstracting service, several of which can be accessed from any computer with an internet connection, and are generally free to University users. For details of currently available databases consult the library electronic databases page. As well as reading the abstract of the article you need you should check the page numbers and be wary of ordering articles that are only one or two pages long. For background on books check out http://www.amazon.com/ which sometimes carries book reviews. Most publishers now have their own web sites that also often carry abstracts or reviews. Many academics now have personal web sites and some have their recent papers available for direct download across the internet. You can always email authors directly and ask them for copies of their papers. Most authors will send you a paper or an electronic copy straight away. Check with your supervisor. It is always a good idea to check with your supervisor before putting in an ILL request. He/she may have some background knowledge of the item or its authors that could help you to decide about its relevance. Check with fellow students. It may also be worth asking other postgraduates working on similar projects whether they have similar items to the ones you are seeking or related works. Consider sending a reprint request. Copies of recently published articles can generally be obtained by writing to the first author (addresses can be obtained from WEB OF SCIENCE). The secretaries in the main Psychology department will be able to provide you with reprint request cards for this purpose. Most authors respond fairly promptly to such requests and sometimes send additional articles at the same time. Unless you need an item urgently, a reprint request is always preferable to a document xxx request in terms of cost. But as noted above, if you can email an author directly, this is usually the quickest and cheapest say to obtain material. Consider a trip to the British Library in Harrogate. If your find that you need a number of articles/books at around the same time, then the most effective solution is probably a trip to the British Library Document Supply Centre at Boston Spa in Harrogate. This is a copyright library collection, so it has all the books/journals published in the UK. The University Library runs a free minibus service to Boston Spa. During your visit you will be allowed to consult a large number of sources that will be brought to your desk. For details of the trip, and minibus timetables, check the relevant library web page at http://www.shef.ac.uk/library/services/illbus.html If all else fails and you do need a document, please use the following procedure: Either: Fill in the appropriate document supply request form (available from the Library web site: http://www.shef.ac.uk/library/services/ill2.html). If, when requesting a journal article you do not want to be emailed an electronic copy, you will need to indicate this in the relevant tick box. Ask your supervisor to either sign somewhere on the form (there is no specific space for this on the form – somewhere at the bottom is fine), or email the Research Support Officer to confirm that the DSS request has been discussed with them. Please make sure that all requests are still signed by you where indicated. Pass the DSS form to the Research Support Officer, who will forward it to the main Psychology Department. A library voucher will be added to the form and it will be forwarded to the library by the main department. You will receive an email with a link to the journal article, or the item will be sent to the address indicated on the request form (depending on the nature of the item and whether you requested a hard copy of a journal) Or Complete the interlibrary report form online. https://www.sheffield.ac.uk/library/services/ilstaffpgres Ensure that you ‘screen print’ the information about the loan prior to submitting it and pass a copy to the RSO, as she is monitoring requests. Instructions are available at: Please ensure that you allow plenty of time for DSS requests to be processed, and avoid making requests for items that are not likely to arrive in time to be used. Document requests are free to postgraduates, but both the CPU and the main Department keep a record of how much each person spends on such requests, and if anyone submits excessive or unnecessary requests they may be refused or will be asked to pay for them. Please bear in mind that a request can cost up to £30. Library Affairs Department of Psychology Amended for CPU: Christie Harrison, Research Support Officer xxxi APPENDIX 13 The Resource Library – Room B4 The Resource Library, which is located in room B4, contains a variety of resources for trainees, including: Books Videos DVDs Tests Measures Theses (from completed DClin Psys) BPS & NHS Documents List of Resources To search for items in the Resource Library you can consult the list of titles (available in the library section of MOLE) or browse through the shelves in B4 during Christie’s drop in office hours (see ‘borrowing items’ below). A list of reference only assessments and theses held in the library is also available in the black folder on the coffee table in B4. Borrowing Items To book out an item, visit the Resource Library in B4 and Christie will book out the items to you. The resource will be stamped with the return date and the loan will be logged on the database. If you cannot make it in to the Unit but you want to reserve a book, please email [email protected] who will be able to book the resource out to you for collection from B4. You can access the resource library during Christie’s drop in office hours. These are normally: Mondays/Tuesday 11.00-11.30am; 1.00-2.00pm; 3.30-4.00pm Fridays: 10.00am – 3.00pm (excluding an hour for lunch) Items can be returned at any time by leaving them in Christie’s pigeonhole. If Christie is on annual leave: Please record the items you would like to borrow in the silver book on the table. Please do not take items away without recording them! If an item is missing from the shelves, this should mean it is on loan. Please ask in the general office for access to the assessments cabinet. Library rules Resources with Red Stickers and all theses are for reference only and are not to be taken out of the CPU. The loan period for most bookable resources (tests, books) is six weeks. There are a few tests which are 1 week loan, but these are clearly indicated by stickers on the items. You may renew the item after this time unless another request has been made for the item. If the loan has been renewed, it may still be recalled if a request has been made for the item. If the item on loan is not returned after six weeks, you will be sent an email requesting that you return the item. You will not be able to book out any further resources until the item is returned. Resources can be renewed as long as they have not been reserved by bringing them to the Resource Library or emailing Christie ([email protected]). There is a 4 item limit on the resources you can book out at any one time. At the end of the programme, you will be asked to return all resources booked out to you. You will not be permitted to graduate until you have returned the items on loan to you. xxxii APPENDIX 14 Doctor of Clinical Psychology - University of Sheffield PROGRAMME OF DATES 2013 – 2014 Week 1 Monday 30 Sept 13 FIRST YEAR INTRO BLOCK 2 7 Oct 13 INTRO BLOCK 3 14 Oct 13 INTRO BLOCK 4 21 Oct 13 5 Half term 6 28 Oct 13 Teaching Mon/Tues (Wed)* Placement 1 begins th Thu 24 Oct Teaching Mon/Tues (Wed)* Teaching Mon/Tues (Wed)* 7 11 Nov 13 8 18 Nov 13 9 25 Nov 13 10 2 Dec 13 11 9 Dec 13 12 16 Dec 13 13 Uni Vacation 14 Uni Vacation 15 Uni Vacation 16 Uni Vacation 17 23 Dec 13 4 Nov 13 30 Dec 13 6 Jan 14 13 Jan 14 SECOND YEAR Teaching Mon & Tue Study Time **Pre-placement planning Study time MINIBLOCK Research protocol deadline CS2 & SAQ2 deadline MINIBLOCK THIRD YEAR MINIBLOCK MINIBLOCK CS4 & SAQ4 deadline Teaching Tuesday Placement 5 starts th Wed 16 Oct Teaching Tuesday MINIBLOCK Teaching Tuesday Teaching Monday Placement 3 begins th Weds 6 Nov Teaching Monday Protocol reviews this week Teaching Tuesday Teaching Mon/Tues Teaching Monday (Wed)* Teaching Mon/Tues Teaching Monday (Wed)* Teaching Mon/Tues Teaching Monday (Wed)* Teaching Mon/Tues Teaching Monday (Wed)* Teaching Mon/Tues Teaching Monday (Wed)* CHRISTMAS BREAK – 4 WEEKS Placement Continues Placement Continues th th th th Bank hols 25 & 26 Dec Bank hols 25 & 26 Dec Placement Continues Placement Continues st st Bank Hol 1 Jan Bank Hol 1 Jan Placement Continues Placement Continues Teaching Tuesday Teaching Mon/Tues (Wed)* Placement Continues 20 Jan 14 Placement Continues Teaching Tuesday Teaching Tuesday Teaching Tuesday Teaching Tuesday Teaching Tuesday Placement Continues th th Bank hols 25 & 26 Dec Placement Continues st Bank Hol 1 Jan Placement Continues Placement Continues Teaching Mon or Teaching Monday Teaching Tuesday Mon/Tues* 18 27 Jan 14 Teaching Mon or Teaching Monday Teaching Tuesday Mon/Tues* 19 3 Feb 14 Teaching Mon or Teaching Monday Teaching Tuesday Mon/Tues* SAQ1 Deadline 20 10 Feb 14 Teaching Mon or Teaching Monday Teaching Tuesday Mon/Tues* * Study day alternate weeks - see full timetable for details Note: Our week numbers are 1 week behind universityʼ s week numbering, i.e. Our week 1 is their week 2 ** Pre-placement planning visit to take place during this period - to be agreed between supervisor and trainee. xxxiii Week 21 Monday 17 Feb 14 22 Half Term 23 24 Feb 14 24 10 Mar 14 25 17 Mar 14 26 24 Mar 14 27 Selection week 31 Mar 14 28 Uni Vac 29 Easter Hol Uni Vac 30 Easter Hol Uni Vac 31 7 Apr 14 3 Mar 14 14 Apr 14 Easter Friday 21 Apr 14 Easter Monday FIRST YEAR Teaching Mon or Mon/Tues* Teaching Mon or Mon/Tues* Teaching Mon or Mon/Tues* Teaching Mon or Mon/Tues* Teaching Mon or Mon/Tues* Teaching Mon or Mon/Tues* Teaching Mon or Mon/Tues* Placement 1 ends th Fri 4 Apr (67 days) MINIBLOCK Mon - Thurs MINIBLOCK Mon - Thurs Possibly move to week 31 tbc Study SECOND YEAR Teaching Monday THIRD YEAR Teaching Tuesday Teaching Monday Teaching Tuesday Teaching Monday Teaching Tuesday Teaching Monday Teaching Tuesday Teaching Monday Teaching Tuesday Teaching Monday Teaching Tuesday Teaching Monday Placement 3 ends th Fri 4 April (70 days) Teaching Tuesday MINIBLOCK Mon - Thu Study ** Teaching Tuesday Teaching Tuesday Placement 5 ends th Fri 18 April (86 days) Study ** Study Teaching Tuesday ACP3 Deadline Placement 6 starts th Wed 30 April Teaching Tuesday 28 Apr 14 Teaching Mon or Mon/Tues* ACP1 & CS1 deadline Teaching Monday Placement 4 starts th Wed 30 April 32 5 May 14 Bank Hol 33 12 May 14 Teaching Tuesday ACP2, CS3 & SAQ3 deadline Teaching Monday 34 19 May 14 35 Half Term 26 May 14 Bank Hol Teaching Tuesday Placement 2 starts th Weds 7 May Teaching Mon or Mon/Tues* Teaching Mon or Mon/Tues* Teaching Tuesday 36 2 Jun 14 37 9 Jun 14 38 16 Jun 14 Teaching Mon or Mon/Tues* Teaching Mon or Mon/Tues* Teaching Mon or Mon/Tues* Teaching Tuesday Teaching Monday Teaching Tuesday Teaching Tuesday Teaching Monday Teaching Tuesday Thesis submission t deadline Fri 30 May Teaching Tuesday Teaching Monday Placement continues Teaching Monday Placement continues * Study day normally alternate weeks - see full timetable for details ** Pre-placement planning visit to take place during this period - to be agreed between supervisor and trainee. *** full details of placement/research/study time to be individually planned th ‡Selection Dates: Mon 1st – Fri 4 April First and Second year trainees are requested to help with Selection for half a day over this period. xxxiv Week 39 Monday 23 Jun 14 FIRST YEAR Placement continues SECOND YEAR Placement continues THIRD YEAR Placement continues 40 30 Jun 14 Placement continues Placement continues 41 42 43 44 45 46 47 48 Placement continues Placement continues Placement continues Placement continues Placement continues Placement continues Placement continues Placement continues Placement continues Placement continues Placement continues Placement continues Placement continues Placement continues Placement continues Placement continues 49 50 51 7 Jul 14 14 Jul 14 21 Jul 14 28 Jul 14 4 Aug 14 11 Aug 14 18 Aug 14 25 Aug 14 Bank Hol 1 Sep 14 8 Sep 14 15 Sep 14 Fri 4 July - Joint programme Conference Sheffield Placement continues Placement continues Placement continues Placement continues Placement continues Placement continues Placement continues Placement continues Placement continues Placement continues Placement continues Placement continues 52 22 Sep 14 Placement 2 ends th Fri 26 Sept (77 days) Placement continues Placement continues Placement 4 ends th Friday 19 Sept (76 days) Study time th th Placement continues Placement continues Placement continues Placement 6 ends th Thu 25 Sept (81 days) th n.b. Dates of External Board in 2014 are Mon 14 & Tue 15 July ***** Please ensure you are available on both days***** th NB Contract for 2011 intake ends on Thu 25 September 2014 Semester recommences Monday 29 September 2014 Please note: Placement days above do not include Bank holidays. Including bank holidays there are the following number total days in each placement: 1 – 64 days (3 bank holidays) 2 – 75 days (2 bank holidays) 3 – 67 days (3 bank holidays) 4 – 73 days (3 bank holidays) 5 – 82 days (4 bank holidays) 6 – 78 days (3 bank holidays) xxxv APPENDIX 15 ACRONYMS ACC ACP BPS CAT CLRN CPD CPF CPPAB CPSC CPSR CPU CS CSC CSIP CSUH CTCP DClin Psy DCP DDA EEB HCPC IAPT IEB IET IPL LETBs LeTS LSR MOLE NGH NSB OCSA PBEIS PMG PPD PPI PTC PWP RDaSH REF RHH RP RSC RTAG RTP SAQ SCH ScHARR SETs SHSC Assessment of Clinical Competence Academic Clinical Project British Psychological Society Cognitive Analytic Therapy Comprehensive Local Research Networks Continuing Professional Development Clinical Psychology Forum Collaborative Placement Planning and Allocation Board Clinical Practice Sub-committee Centre for Psychological Services Research Clinical Psychology Unit Case Study Curriculum Sub-committee Care Services Improvement Partnership Central Sheffield University Hospitals Committee on Training in Clinical Psychology Doctor of Clinical Psychology Division of Clinical Psychology Disability Discrimination Act External Exam Board Health and Care Professions Council Improving Access to Psychological Therapies Internal Exam Board Independent Evaluation of Teaching Interprofessional Learning Local Education and Training Boards Learning and Teaching Support Library Seminar Room (Psychology Department) My Online Learning Environment Northern General Hospital Non-staffing budget Observed Clinical Skills Assessment Practice Based Evidence in Services Psychology Management Group Personal and Professional Development Public and Patient Involvement Programme Training Committee Psychological Wellbeing Practitioner Rotherham, Doncaster and South Humber NHS Foundation Trust Research Excellence Framework Royal Hallamshire Hospital Reflective Practitioner Research Sub-committee Regional Training Advisory Group Research Training Programme Short Answer Questions Sheffield Children’s Hospital School of Health and Related Research Standards of Education and Training (HCPC) Sheffield Health and Social Care NHS Foundation Trust xxxvi SHSRC SOPs SR1 SSC STH TUPE Sheffield Health and Social Research Consortium Standards of Proficiency (HCPC) Seminar Room One (Psychology Dept) Selection Sub-committee Sheffield Teaching Hospitals Transfer of Undertakings (Protection of Employment) Regulations xxxvii
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