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CBT 01 Undertake an assessment for CBT 3 2

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					NOS for Psychological Therapies
CBT draft 3.2 for field testing
CBT01    Undertake an assessment for Cognitive and
Behavioural Therapy

About this workforce competence
Undertaking an assessment for Cognitive and Behavioural Therapy requires ensuring
that relevant and adequate information is gathered about the nature and context of
the individual’s problem(s) in order to gauge the suitability of therapy for the
individual. It can form part of the therapeutic work itself, since it involves careful
listening to the individual. Assessment is not something that is only done at the start
of the engagement with the individual, but is ongoing.
Users of this competence will need to ensure that practice reflects up to date
information and policies

Links
This workforce competence has indicative links with the following dimensions and
levels within the NHS Knowledge and Skills Framework (October 2004)
Dimension: to be added
Level: 1-4

Scope
Presenting problems                           may include:
                                              a) social phobia
                                              b) specific phobias
                                              c) generalised anxiety disorder
                                              d) depression
                                              e) obsessive-compulsive disorder
                                              f)   panic disorder
                                              g) agoraphobia
                                              h) post-traumatic stress disorder

Symptoms                                      may include:
                                              a) anticipatory negative automatic
                                                 thoughts
                                              b) fearful predictions
                                              c) images the individual experiences
                                              d) emotional experiences
                                              e) associated safety behaviours/coping

Individuals                                   may include:


CBT 01 draft 3.2               Skills for Health June 2008                           1
NOS for Psychological Therapies
CBT draft 3.2 for field testing
CBT01    Undertake an assessment for Cognitive and
Behavioural Therapy
                                      a) adults of working age
                                      b) older adults




CBT 01 draft 3.2       Skills for Health June 2008               2
NOS for Psychological Therapies
CBT draft 3.2 for field testing
CBT01    Undertake an assessment for Cognitive and
Behavioural Therapy

Performance criteria
You need to:
1. adapt assessment and therapy materials and language to take account of the
   individual’s level of functioning
2. obtain a general idea of the nature and severity of the individual’s presenting
   problem(s) in terms of specific symptoms
3. elicit information regarding psychological problems, diagnosis, past history,
   present life situation, specific stressors and level of social support from family and
   significant others
4. gain an overview of the individual’s current life situation including current and
   past treatments
5. identify any other psychological, social and physical problems relevant to the
   individual’s presentation.
6. assess the presence and significance of co-morbid psychological problems,
   substance abuse and life circumstances which may impact on treatment.
7. evaluate whether other disorders or the specific problems represent the primary
   problem for intervention
8. understand the context of the individual’s difficulties and their impact on daily
   living in terms of the individual’s thoughts, feelings and behaviours
9. assess the adaptive and maladaptive coping skills employed by the individual to
   manage their problem, their stress tolerance, and level of functioning
10. assess the relationship between thoughts, feelings and behaviour and identify
    maintenance cycles
11. help the individual identify and select target symptoms or problems that are the
    most distressing and amenable to intervention
12. gain a detailed description of the situations and activities associated with the
    occurrence of the problem including, if appropriate, their frequency and severity,
    cognitions, associated somatic sensations, fearful thoughts, emotional
    experiences, patterns of avoidance and/or safety behaviours associated with the
    problem
13. gain a pre-treatment baseline drawing on valid information from interview and
    relevant instruments and measures
14. assess and act on indicators of risk of harm to self or others and that of self-
    neglect.
15. assess and respond to indicators of risk of suicide



CBT 01 draft 3.2                Skills for Health June 2008                              3
NOS for Psychological Therapies
CBT draft 3.2 for field testing
CBT01    Undertake an assessment for Cognitive and
Behavioural Therapy
16. assess the extent to which the individual can think about themselves
    psychologically
17. assess the individual’s preference, attitude about and motivation for a
    psychological intervention or an alternative approach to their problems
18. identify when psychological treatment might not be an effective or best option.




CBT 01 draft 3.2               Skills for Health June 2008                            4
NOS for Psychological Therapies
CBT draft 3.2 for field testing
CBT01    Undertake an assessment for Cognitive and
Behavioural Therapy

Knowledge and understanding
You need to apply:
Assessment and measurement for CBT
K1. a working knowledge of structured diagnostic criteria for individuals’
    psychological problem
K2. a working knowledge of methods of measuring behaviour, emotion and cognition
K3. a working knowledge of the use of standardised questionnaires and assessment
    measures
K4. a working knowledge of standardised measures of common psychological
    problems
K5. a working knowledge of how to conduct structured interviews
K6. an in-depth understanding of how to move from global to more detailed
    questions
Principles and practice of CBT
K7. an in-depth understanding of the principles underlying a cognitive and
    behavioural model of common psychological problems
K8. a working knowledge of the principles underlying cognitive and behavioural
    approaches to common psychological problems
K9. an in-depth understanding of how the cognitive and behavioural model is
    translated into treatment
K10. a working knowledge of the psychological and social difficulties presented
   by individuals with common psychological problems
K11.   a working knowledge of coexisting problems and their interaction
K12. a working knowledge of the range of cognitive and behaviour therapy models
   and treatment plans that can be employed
K13. a working knowledge of the main goals of treatment for individuals’
   psychological problems
K14. an in-depth understanding of how to adapt/modify your communication in
   response to the individual’s individual needs.
Working together in CBT
K15. a working knowledge of verbal and non verbal behaviours
K16. a working knowledge of listening skills
K17. a working knowledge of effective and ineffective interpersonal behaviours
K18. a working knowledge of personal self awareness
K19. a working knowledge of how to engender trust


CBT 01 draft 3.2               Skills for Health June 2008                         5
NOS for Psychological Therapies
CBT draft 3.2 for field testing
CBT01    Undertake an assessment for Cognitive and
Behavioural Therapy
K20. a working knowledge of how to develop rapport
K21. an in-depth understanding of professional boundaries and codes of conduct
K22. an in-depth understanding of how to ‘read’/interpret an individual’s emotional
     reactions
K23. a working knowledge of possible sources of therapeutic impasse




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