Reaccreditation 

This guidance is about how to continue to meet our standards for CBT practice, clinical supervision and CPD when you make your Reaccreditation declaration. 

The documents mentioned can be downloaded here.

Criteria

From 1 February 2022, you must sign your annual declaration if -

• You are in current CBT practice in the UK, its territories, or Ireland, or you will be returning to CBT practice within 12 months of your declaration.
• You must continue to meet the required standards of CBT practice, CBT supervision, and CBT Continuing Professional Development as outlined in the respective Reaccreditation guidelines.
• You must be in current clinical CBT practice in the UK, its territories or Ireland. You can also reaccredit if you are out of current practice for one year or less. If you are out of clinical practice for more than one year but less than two years, you must send us a Leave of Absence form instead. If you are out of clinical practice for longer than two years, you are not eligible to remain on the Register. When you return to CBT clinical practice, you can apply for reinstatement of accreditation when you return to CBT clinical practice
• You must complete the Annual Declaration for Reaccreditation form
• You must pay the correct annual Accreditation Maintenance Fee
• You must confirm that your entry on the CBT Register UK and Ireland is accurate, and that we have the correct contact details for you.
• You must have adequate, current and ongoing indemnity insurance for your practice. See our Professional Indemnity Insurance page for more details.

If you applied for a Leave of Absence prior to 28 January 2022 and your reaccreditation date was rolled over to a date when you are back in practice, this will not change – you should still reaccredit on the extended date we have given you. 

CBT Practice

If you are in practice outside the UK or Ireland, see the information here

CBT Clinical Practice Minimum Caseloads

To maintain your CBT accreditation, at least 50% of your psychotherapeutic practice must be  acceptable forms of CBT, as defined in the following section.

For Reaccreditation, there is no specific requirement for a minimum number of clinical hours. However, the minimum caseload for maintaining Accreditation is two CBT clinical contacts or equivalent per week.

Example One - a part-time CBT therapist who provides CBT clinical supervision and training in a specialised trauma service. Clinical work consists of seeing one patient a week for a two-hour session.

Example Two - a full-time NHS manager in CBT service, who has no opportunity for clinical work in this role. Has a CBT private practice on Saturday mornings seeing two patients for one hour each.

Accepted CBT Practice

You can count practice with all relevant areas of mental health disorder and client groups  towards your practice for Full Accreditation and Reaccreditation.

Examples of client groups include adults, children and young people, older adults, learning disabilities, autism. You can work exclusively or partially with any of these groups.

You should ensure appropriate training and supervision in these areas and that you are working within the Standards of Conduct, Performance and Ethics.

Other cognitive and/or behavioural approaches

Accredited therapists can practice exclusively, specialise in, or include other cognitive  and/or behavioural therapies in their therapeutic work.

CBT is an ever-evolving model, and consequently there will be developments and emerging approaches in CBT. You must be able to demonstrate that you practice according to an evidence-base which builds upon cognitive and behavioural principles  and interventions.

Formats of CBT Therapy

You can provide CBT in different formats. For example, face to face individual, video conferencing, online, telephone, group. You can use these exclusively or in conjunction  with other formats.

Supervision should be appropriate for the format used, and supervisors should also be  trained and experienced in delivering CBT in this format.

Clinical Supervision

Qualifications of Supervisors

Supervision should be provided by a BABCP Accredited Practitioner or a practitioner who is trained and qualified in CBT to postgraduate diploma level or equivalent (or would meet Minimum Training Standards). They should be currently practising CBT as a dedicated practitioner (ie at least 50% of their own psychotherapeutic practice is CBT) and also be receiving specifically CBT supervision.

Amounts of Supervision

If you are accredited, you should be receiving regular specifically CBT supervision appropriate to your caseload and level of expertise. You can't count professional supervision or case management as clinical supervision (although these may be provided by the same person).

Full-time therapists must have a minimum of one and a half hours of supervision per  month. This can mean an average, providing the contact is regular.

Part-time therapists can reduce the amount of supervision, this may be reduced on a  pro-rata basis. The minimum should be 45 minutes a month.

Group supervision - 90 minutes of group supervision alone is not enough - arrangements  should be made for additional supervision, possibly to facilitate live supervision. You can count all time spent in group supervision provided the group has no more than six members.

Keeping Supervision Records

We advise you to keep up to date records of all supervision sessions - possibly using the downloadable Collaborative Supervision Summary. We will ask for this if you are invited for Reaccreditation Audit - when you will also have to provide a current Supervisor Report.

Types and Methods of Supervision

Types of Supervision may be individual, group, video conferencing, messenger, telephone, email or peer review. However there should be some face to face sessions - this includes video conferencing.

Live supervision should take place regularly (audio or video recording or in vivo observation). This may be a whole session reviewed through a competency measure  such as CTSR, or sample sections of a session.

Continuous Professional Development

Amounts and Type of CPD

You must engage in a range of CBT learning and development activities and complete Reflective Statements for at least five of these. Your on-going CPD activities must include at least six hours of CBT skills development each year. These must be facilitated by qualified and experienced CBT trainers, although it is not essential that the workshops are provided by BABCP. The skills training may be drawn from one workshop, or several shorter ones to make up the six hours.

Acceptable CPD Activity and Evidence List

Choosing CPD Activities 

CBT includes a diverse range of therapies based on cognitive and behavioural theories and evidence-based practice. When engaging in CPD activities which are most relevant to your own development, you can choose core CBT knowledge, skills and interventions. You can also include activities which enhance your personal development, knowledge and skills in emerging, evidence-based cognitive and/or behavioural approaches. 

CPD activities which help to maintain your accreditation must be specifically relevant to your CBT practice. We recognise that your own development needs may include engaging in activities which are in specialist areas of practice; expanding expertise; working with core processes or various populations. You may include one Reflective Practice Statement about an activity which is not specifically CBT, as long as you can show how this is relevant to your CBT professional development. 

Evidence of your CPD

You must provide a Reflective Statement if you are selected for Reaccreditation Audit. In each case, you will provide details from the previous twelve months in practice.

Reflective Statements are best completed shortly after completing each activity.