Are you a member yet? Membership is open to all and is the first step towards accreditation.
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.
From 1 February 2022, you must sign your annual declaration if -
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.
If you are in practice outside the UK or Ireland, see the information here
CBT Clinical Practice Minimum Caseloads
To be eligible for accreditation with BABCP you must be providing cognitive and/or behavioural therapies as your main (or one of your main) therapeutic models in clinical practice. CBT includes a diverse range of therapies based on behavioural and cognitive theories. Please refer to our Core Curriculum for details.
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 – Senior Psychological Therapist who provides CBT, EMDR, CAT and clinical CBT supervision and training. Most of their week (three days) is spent in CBT practice, supervision, and training. The other two days include provision of EMDR and a small CAT caseload under separate supervision. Clinical CBT work includes at least two clinical contacts per week using a purely CBT approach.
Example Two – NHS manager in psychotherapy service, who has no opportunity for clinical work in this role. Has a CBT private practice seeing two patients for one hour each.
Example Three – CBT Therapist within a CYP service primarily providing CBT expertise within the team but is also involved with systemic practice as a reflective panel member and provides evidence based parenting interventions. Clinical work includes at least two clinical contacts per week using a purely CBT approach.
Examples of client groups include adults, children and young people and older adults. 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.
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 one of their main therapeutic models in clinical practice 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). Your supervision log should show a minimum of two live supervision episodes per year, however it may be appropriate to have more and this should be agreed with your supervisor. These may be whole sessions, or sample sections of a session. You should agree with your supervisor whether use of a competency measure such as CTS-R is appropriate.
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.