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OCTC website - www.octc.co.uk
OXFORD COGNITIVE BEHAVIOURAL THERAPY (CBT) FOR PSYCHOSIS:
Top-Up Training in CBT for Psychosis
HEE Funded Places for EIP staff
PROSPECTUS 2016-2017
Top-Up Training in Cognitive Behavioural Therapy for Psychosis
Prospectus 2016-2017
CONTENTS
INTRODUCTION ............................................................................................................................... 1
COURSE AIMS .................................................................................................................................. 1
ORGANISATION AND TRAINING ................................................................................................. 1
COURSE PARTICIPANTS ............................................................................................................... 2
COURSE STRUCTURE ................................................................................................................... 3
COURSE CONTENT ........................................................................................................................ 4
ASSESSMENT ................................................................................................................................... 7
LOCATION.......................................................................................................................................... 8
FEES.................................................................................................................................................... 9
APPLICATION PROCESS ............................................................................................................... 9
CONTACT DETAILS ......................................................................................................................... 9
Top-Up Training in Cognitive Behavioural Therapy for Psychosis
Prospectus 2016-2017
1
INTRODUCTION The Top-Up Training in CBT for Psychosis is a comprehensive CBT training programme offered
conjointly by the Oxford Cognitive Therapy Centre (OCTC) and Oxford Cognitive Approaches to
Psychosis, University of Oxford (O-CAP).
It has been designed specifically for professionals within NHS England Early Intervention for
Psychosis services who are already competent in delivering CBT for anxiety and depression,
but who wish to develop specialist skills and knowledge in using CBT with psychosis.
This course provides qualified healthcare professionals with high quality training and
supervision in CBT for psychosis theory and practice, enhancing knowledge and skill to facilitate
the delivery of NICE concordant care for people with psychosis, in line with relevant CBT
Competency Frameworks.
COURSE AIMS
The Course aims to provide students with:
1. A sound understanding of cognitive behavioural models of psychosis and the related
evidence base. .
2. Competence in engaging, assessing and developing collaborative formulations with
individuals with psychotic and bipolar illness. .
3. Competence to deliver high quality, individualised, evidence-based interventions in
accordance with NICE guidance and the competence framework for work with people
with psychosis and bipolar disorder (Roth & Pilling 2013).
ORGANISATION AND TRAINING
The Course takes full advantage of the high levels of theoretical knowledge and clinical
expertise available among practitioners of CBT for psychosis in Oxford. The design,
organisation, training and supervision are by BABCP accreditable therapists and/or supervisors
and trainers, who have extensive experience in the practice of CBT for psychosis and in related
training and research.
Course Lead
Dr Louise Isham, MA (Oxon), MSc, DClinPsy, PG Dip in CBTp, Consultant Clinical
Psychologist & Research Clinical Psychologist, Oxford Cognitive Therapy Centre & Oxford-
Cognitive Approaches to Psychosis Research Team, Warneford Hospital, Oxford, OX3 7JX
Top-Up Training in Cognitive Behavioural Therapy for Psychosis
Prospectus 2016-2017
2
Executive Committee
Prof Daniel Freeman, PhD, DclinPsy, CPsychol, FBPSs. NIHR Research Professor, Consultant
Clinical Psychologist, Lead Oxford Cognitive Approaches to Psychosis (O-CAP), Department of
Psychiatry, University of Oxford, Warneford Hospital, Oxford, OX3 7JX.
Dr Louise Isham MA (Oxon), MSc, DClinPsy, PG Dip in CBTp, Consultant Clinical
Psychologist & Research Clinical Psychologist, Oxford Cognitive Therapy Centre & Oxford-
Cognitive Approaches to Psychosis Research Team, Warneford Hospital, Oxford, OX3 7JX
Dr Louise Johns, MA (Cantab.), DPhil, DClinPsy, Consultant and Academic Clinical
Psychologist, Oxford Early Intervention in Psychosis Service, Neill Unit, Warneford Hospital,
Oxford, OX3 7JX.
Dr Sarah Rakovshik, BA, PG Dip Cog. Ther. (Oxon), DPhil (Oxon), Consultant Cognitive
Behavioural Psychotherapist, Oxford Cognitive Therapy Centre, Warneford Hospital, Oxford
OX 3 7JX
Dr Kate Rosen, BSc, MSc (Clin Psych), PhD, CPsychol, Consultant Clinical Psychologist,
Oxford Cognitive Therapy Centre, Warneford Hospital, Oxford OX3 7JX
Mr David Slingo, BA, Chartered FCIPD. Head of Oxford Cognitive Therapy Centre, Oxford
Health NHS Foundation Trust, Warneford Hospital, Oxford OX3 7JX
COURSE PARTICIPANTS
Limited HEE funded places are available for students working in NHS England EIP services.
Applicants are normally expected to:
1. Be qualified members of one of the main National Health Service professions (such as
clinical psychologists, psychiatrists, nurses, general practitioners, occupational
therapists), or other recognised professions (for example, social workers).
2. Have at least one year’s post-qualification clinical experience and be currently working
with individuals with psychosis.
3. Be able to demonstrate competency in generic CBT for anxiety and depression as
evidenced by:
i) Completion of a Post Graduate Qualification (at either Certificate or Diploma
Level) in CBT (evidenced by transcript and supervisor reference). It is not
necessary for this qualification to have incorporated any training in working with
psychosis.
OR
Top-Up Training in Cognitive Behavioural Therapy for Psychosis
Prospectus 2016-2017
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ii) Substantive generic CBT training (e.g. on DClinPsy training; evidenced by
transcript, CV and reference) AND at least one year post-qualification clinical
experience AND competency in delivering generic CBT.
For those short-listed for interview, competency in generic CBT will be further
assessed via a role play.
4. Demonstrate commitment to developing CBT skills for ongoing use in clinical practice
with individuals with psychosis and bipolar (assessed at interview).
5. Have access to treatment settings with regular clinical and CBT for psychosis
supervision where cognitive behavioural therapy skills can be practised and refined on a
regular basis.
Exceptions to these criteria are at the discretion of the course organisers.
COURSE STRUCTURE
The Top-Up training is designed to run from March 2016 to March 2017. From October 2017 we
will be offering a Postgraduate Certificate in Enhanced CBT: Psychosis and Bipolar, and the
Top-up training is a precursor to this. Please note that whilst it is designed to be equivalent in
terms of numbers of workshops and supervision to a Postgraduate Certificate the Top-Up
training does not result in a University qualification. We are, however, investigating options with
the University to see whether it may be possible to get an award retrospectively.
The Course comprises five aspects:
1. 4-day workshop series, 14th -17th March 2016.
2. Attendance at 7 OCTC full-day psychosis series workshops across 2016.
3. Access to OCTC online training programmes 2016-2017.
4. Easter school attendance 2017.
5. 14-sessions of small group “close” supervision across 2016-2017.
Each aspect is described in detail in the Course Content section.
Top-Up Training in Cognitive Behavioural Therapy for Psychosis
Prospectus 2016-2017
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COURSE CONTENT
The syllabus is designed to enable students to develop the competence to deliver CBT for
psychosis as outlined in the competence framework for work with people with psychosis and
bipolar disorder by Roth and Pilling (2013).
1. Easter School Workshop Series (14th – 17th March 2016)
Students on the Top-Up training will be invited to a 4-day workshop series. This will provide
students with an overview of the current evidence-based treatments for CBT for psychosis
within Early Intervention and will serve as a “taster” for some of the training they will receive
in more depth later.
We envisage that, in many cases, students on the Top-Up training will be supervised within
their work place by those attending Advanced Practitioner Training. Previous feedback
indicates greater satisfaction with training when both supervisors and supervises attend the
same workshops, as it ensures a common foundation of shared understanding which can be
built upon within supervision. We will therefore be inviting staff on the Advanced Practitioner
Training to these workshops also.
The Easter School programme is outlined below:
Day 1: Early Interventions in Psychosis (Facilitated by Dr Louise Johns, University of
Oxford)
CBT for adolescents with psychosis - Dr Sophie Browning (South London &
Maudsley NHS Foundation Trust).
Prevention of long term social disability amongst young people with emerging
psychological difficulties - Prof David Fowler (University of Sussex).
Day 2: Recent Advances in CBT for Delusions (Facilitated by Prof Daniel Freeman,
University of Oxford)
An overview of current knowledge and future directions in the treatment of
persecutory delusions - Prof Daniel Freeman (University of Oxford).
Treatment of worry in persecutory delusions - Dr Bryony Sheaves (University of
Oxford) & Dr Louise Isham (University of Oxford; Oxford Cognitive Therapy
Centre).
Working with disrupted sleep in psychosis – Dr Felicity Waite (University of
Oxford).
Self-esteem and self-confidence in psychosis – Prof Daniel Freeman (University of
Oxford).
Re-learning safety – Prof Daniel Freeman (University of Oxford).
Top-Up Training in Cognitive Behavioural Therapy for Psychosis
Prospectus 2016-2017
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Day 3: Working with Hallucinations (Facilitated by Dr Louise Johns, University of Oxford)
Working with command hallucinations – Dr Alan Meaden (Birmingham & Solihull
Mental Health NHS Foundation Trust).
Avatar therapy for voices – Dr Tom Ward (King’s College London).
Day 4: At Risk Mental States; Working with Trauma (Facilitated by Prof Daniel Freeman,
University of Oxford)
Working with At Risk Mental States (ARMS) – Dr Majella Byrne (King’s College
London) & Dr Louise Johns (University of Oxford).
Treating trauma in psychosis - Dr Tonnie Staring (Altrecht Psychiatric Institute,
Utrecht).
2. Attendance at OCTC psychosis workshop series across 2016-2017
OCTC has an existing portfolio of “open” CBT for psychosis full-day workshops which
trainees on the Top-Up route will have access to. Workshop titles are given below but further
details (if required) can be found via the OCTC website (https://www.octc.co.uk/workshops).
Workshop Trainer Venue (2016) 2016 date
1. CBT Treatment of Worry
for Patients with
Persecutory Delusions
Dr Louise Isham Oxford 20th April
2. An Introduction to
Cognitive Therapy for Post-
Traumatic Stress
Reactions in Psychosis
Dr Craig Steel
& Dr Amy Hardy
Oxford 21st April
3. Cognitive Therapy for Early
Intervention in Psychosis &
At Risk Mental States:
Back to Basics
Prof Tony
Morrison
Oxford 22nd April
4. Acceptance and
Commitment Therapy
(ACT) with People with
Psychosis
Dr Louise Johns
&
Dr Joe Oliver
Oxford 7th June
5. A Beginner’s Guide to
Psychosis and Bipolar
Dr Louise Isham Oxford 22nd
September
6. Working with Psychosis:
An Introduction to CBT for
Delusions
Dr Louise Isham Oxford 23rd
November
7. Working with Psychosis: Dr Louise Isham Oxford 24th
Top-Up Training in Cognitive Behavioural Therapy for Psychosis
Prospectus 2016-2017
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An Introduction to CBT for
Voices
November
3. Easter School 2017
In order to cover aspects of the CBT for psychosis competencies that would not be covered
by the training already outlined, a 3-day Easter school will be run in 2017 (dates to be
finalised).
The summer school will be likely to include sessions on:
- working with negative symptoms and thought disorder;
- attachment and interpersonal issues;
- reasoning biases in psychosis;
- CBT for bipolar disorder;
- medication and psychosis;
- cognitive functioning in psychosis;
- substance use and psychosis;
- culture and psychosis;
- working with carers.
4. Access to OCTC online training resources
OCTC has an extensive online CBT training programme covering a broad range of CBT
topics from introductory through to advanced. Although the programme does not currently
contain CBTp-specific components, access to this resource will nevertheless provide an
excellent training opportunity both in terms of revision of key concepts (e.g. behavioural
experiments) and training in more advanced techniques (e.g. reliving for PTSD;
compassionate mind work) which will be facilitative in enabling the trainee to deliver highest
quality CBT and CBT for psychosis..
The online training can be accessed remotely and within a time frame that best fits with the
trainee so offers an opportunity for flexible learning that will be of value. Training modules
available currently (this may be added to in time) include:
Basics:
i. Basic CBT Theory –David Westbrook.
ii. CBT assessment and formulation –David Westbrook.
iii. Collaborative working - Gillian Butler.
iv. Goal setting - James Bennett-Levy.
v. Behavioural experiments –James Bennett-Levy.
vi. Socratic Method – Facilitated by Helen Kennerley.
Top-Up Training in Cognitive Behavioural Therapy for Psychosis
Prospectus 2016-2017
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Intermediate – Advanced:
i. Using Imagery and Behavioural Experiments to enhanced CBT for Panic
disorder and agoraphobia –Ann Hackman.
ii. CBT for obsessive compulsive disorder – Norma Morrison.
iii. Mental imagery and formulation in cognitive therapy module –Emily Holmes.
iv. Working with Core beliefs – Helen Kennerley.
v. Enhanced Reliving in PTSD – Martina Mueller.
vi. Enhancing self-esteem – Melanie Fennell.
vii. Compassionate mind – Deborah Lee.
Content of the training is via a combination of lectures and role plays. The effectiveness of
this method as a training medium in conjunction with appropriate supervision has been
demonstrated by OCTCs’ Director of Postgraduate Diploma and MSc in CBT, Dr Sarah
Rakovshik (Rakovshik, McManus et al. (2013); Rakovshik, McManus et al. (in press)).
Further details of the online training provision as well as free excerpts to view are available at
www.octc.co.uk/training/online-training. This resource would be available to “Top-Up”
trainees from March 2016 –March2017.
5. Small group supervision
The provision of supervision is a crucial aspect of the training package needed to support
trainees to transfer declarative knowledge gained from training workshops into procedural
practice. The Top-Up package would include 14 sessions of 2-hour small “close” group
supervision across the 2016/2017 year. Group size would be limited to 4 trainees per group.
The default package would be for this to be offered face-to-face at the Warneford Hospital,
Oxford but, dependent on the specific cohort, there may be flexibility around this. For
example, if there were 4 trainees from the same service provider who could meet in a
location convenient to them, it could be possible to deliver the supervision remotely via skype
or similar online system. OCTC has considerable experience of offering flexible supervision
packages both to individuals as well as larger scale organisations.
Supervisors will be BABCP accredited or accreditable CBT practitioners. The will all be highly
experienced specialists in CBT for psychosis, and experienced supervisors.
ASSESSMENT
Whilst this is not a University accredited course, we believe that it is extremely important to
assess the competence of supervisees and evaluate their progress over the training
programme. Therefore students on this course will be required to complete assessments
designed to determine whether the aims of the Course have been met.
Top-Up Training in Cognitive Behavioural Therapy for Psychosis
Prospectus 2016-2017
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Students are expected to take an active part in teaching and supervision sessions, and to carry
out CBT with the required number of patients. Their competence and knowledge will be
assessed through written assignments and direct evaluation of clinical performance, as follows:
1. Written assignments
a) Case Reports
Students are required to write up one treated case of no more than 6,000 words. A case report
should include:
References to relevant literature
A description of the patient
A cognitive behavioural formulation of the case
A treatment plan demonstrating knowledge of appropriate CBT interventions
An evaluation of outcome
A concluding discussion
2. Evaluation of Clinical Performance
a) Supervision of clinical casework
The training provision includes 14 sessions of small group supervision which will be offered to
students attending the Top-Up Training. As part of this, supervisors will provide ratings and
commentaries on therapy recordings during the course. Throughout the course, students are
encouraged to make audio or video recordings of therapy sessions to facilitate case discussions
during supervision with examples of recorded therapy sessions. Students are expected to show
competence in general therapeutic skills (such as the ability to structure sessions and to form an
equal collaborative relationship) as well as in formulating overall treatment strategies and in
carrying out specific CBT for psychosis techniques.
b) Audio/video-recorded treatment sessions
Students will be required to submit three audio or video recorded examples of whole, mid-
treatment CBT for psychosis sessions, one of which will be formally assessed. Using this
recording, competence as a CBT therapist is evaluated by means of the Assessment of Core
CBT Skills (ACCS), which is an established measure of CBT competence, and using the
Revised Cognitive Therapy for Psychosis Adherence Scale Manual (R-CTPAS; Rollinson et al.,
2008) which evaluates CBT for psychosis skills specifically.
LOCATION
Workshops will usually take place within Warneford Hospital in Oxford, or alternatively another
Oxford based venue. Clinical practice is carried out at the student’s normal place of work.
Top-Up Training in Cognitive Behavioural Therapy for Psychosis
Prospectus 2016-2017
9
FEES
We are offering Higher Education England funded places on the Top-Up Training. Funding
covers the workshop and online training access, supervision, and assessments as outlined.
Please note that all other costs (including any necessary travel and accommodation
expenses) are not funded and hence will need to be met by the student and/or their
employer. Places are limited as per HEE directions and applications must be made in
agreement with your local trust.
APPLICATION PROCESS
The closing date for applications for the course is Thursday 25th February 2016. For
consideration by the admissions committee applications must be completed by this date.
Applications for this course should be made via email to [email protected]
Please ensure all documents required for application are submitted together in a single email.
Application forms should be accompanied by the following compulsory materials:
CV
Two academic references, one of which must be from a clinical supervisor
Transcript(s) from previous higher education
Evidence of generic CBT competence as demonstrated by:
o Transcript of PGCert or PGDip in CBT (including marks on formal assessment
of therapy recordings using the CTS-R or ACCS scales)
OR
o Evidence of substantive CBT training (e.g. DClinPsy). Further assessment of
competency will be made via a role play at interview for those short-listed.
All applications must be complete by the deadline.
Interviews will be held on 1st, 2nd and/or 3rd March 2016.
Please note that the course starts with attendance at the 4-day Easter School Workshop
on Monday 14th March 2016.
CONTACT DETAILS
We hope that this prospectus has informed you of everything you need to know about the Top-
Up Training in Cognitive Behavioural Therapy for Psychosis. If you would like any further
information please see the relevant page of our website www.octc.co.uk or contact:
Address: OCTC, Warneford Hospital, Headington, Oxford OX3 7JX
Tel:+ 44 (0)1865 902801
Top-Up Training in Cognitive Behavioural Therapy for Psychosis
Prospectus 2016-2017
10
Fax:+ 44 (0)1865 337416
Email: [email protected]
Additional information on CBT training and other services provided by OCTC can be found on
our website: www.octc.co.uk