It is important to note that all trainees undertaking accredited training courses must be supervised by a supervisor who is both accredited by ACAT and a current member of ACAT. For training at Foundation, Practitioner and Psychotherapist level supervision is 15 minutes minimum per client per week for all training cases. Trainees on the Psychotherapy level training must be supervised by an accredited supervisor who is also a CAT Psychotherapist. CATs preferred model is face to face group supervision but circumstances will arise when a group may not be possible for a part of trainee’s training and we explore alternative arrangements. Supervision appraisals are conducted individually.
Most trainees are employed by NHS or statutory organisations, they have access to their own caseload of clients through their workplace. The course helps trainees to organise their own locally based supervision with an ACAT accredited supervisor. Supervision may be accessed through their own workplace if the supervisor is employed in their own organisation; through a clinical placement where trainees see patients from within a NHS Trust or other statutory service in exchange for skilled supervision and the additional experience of being a member of that therapeutic team. Normally this does not involve any direct financial cost to the trainee. In the absence of these arrangements a trainee will need to fund supervision for their training cases. Psychotherapy course trainees may also be seeing patients privately and therefore setting up their own supervisory arrangement with an Accredited CAT supervisor who meets the course requirements.
Reports of the trainees’ clinical practice and use of supervision would usually be completed with each trainee at six monthly intervals by the supervisor. This will allow the trainee an opportunity to make changes where the supervisor identifies areas for development. The reports will include the supervisee’s self-evaluation and a report by the supervisor. The supervisor’s report is carried out in discussion with the trainee and includes evaluation against the core CAT competencies.
Technology Assisted Supervision
ACAT is receiving an increasing number of requests for technology assisted (e.g. Skype) supervision during training, citing limited access to accredited supervisors in some locations, distance, travel time, and access to supervisors in specialisms. The use of distance technology assisted supervision and therapy (TAST) is well-embedded in the CAT world and facilitated the development of international trainings.
The ACAT Training Committee has started to explore TAST. There are advantages, for example it encourages positive diversity and equality of access for those who would be at a disadvantage to access training and supervision (e.g. rural locations, physical disability); it assists with the real pressures that trainees face regarding long commutes for weekly face-to-face supervision; and it allows access to a wider range of supervisors, across a variety of specialties, without geographical barriers. However, there are also concerns regarding TAST. Can it maintain the integrity of the relational CAT model for training and supervision? Are supervisors confident to offer online supervision and/or have sufficient understanding of the specific issues that working online involves? And there are security, confidentiality and data protection issues.
Although TAST is widely used, the ACAT Training Committee takes the view that in-person supervision and group supervision are the recommended format for learning a therapy (i.e. for the training cases). For situations where this is not possible then TAST will be considered for some (but not all) training cases. This will be considered in consultation with Couse Directors on a case-by-case basis.
ACAT will advise members of information and guidance on TAST, continue to keep abreast of developments, remain open to TAST, and develop knowledge of the safest systems. There will be an information page on the ACAT website on practical issues to consider when setting up TAST supervision, and a Special Interest Group to share learning and support members in this area.
Revised February 2019
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