Reaccreditation Guidelines: Supervision

Statement of Standards and Recommendations of CBT Practitioner Accreditation Committee

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

Clinical Supervision is also more than professional consultancy.

Qualifications of Supervisors

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

Amounts of Supervision

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

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

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

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

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

Records of Supervision

It is recommended that records of all supervision sessions are kept (possibly using the downloadable Collaborative Supervision Summary). The contemporaneous use of this form for use of recording supervision is highly recommended, but optional if you are keeping details of your supervision sessions elsewhere. This form will be required if you are invited for Random Audit.

If invited to audit you will also have to provide a Supervisor's Report.

Types and Methods of Supervision

Types of Supervision may be individual, in a CBT Supervision Group, by Skype, instant chat, or telephone, peer review, or by e-mail (but there should be some face to face contact on occasions – this includes Skype of Face Time).

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

The supervisor and supervisee should agree elements suited to the clinical (or supervisory or training) practice ensuring that some elements of what would be regarded as good supervisory practice are present, such as live sampling (see below), experiential methods (like live observation), role play etc.

Live Supervision

It is always expected that supervision include regular live sampling, using video or audio recording or the supervisor sitting in vivo in the sessions. This may be whole sessions assessed using CTS-R or equivalent skills measures, sections of sessions can be reviewed in supervision.

A variation has been agreed for live sampling as part of supervision in circumstances where this is impossible to obtain (e.g in forensic settings, employer refusing consent for visiting supervisor, in learning disability setting, client unable to give informed consent). In this case, the supervisor can account for this within the report.