BRITISH ASSOCIATION FOR BEHAVIOURAL AND COGNITIVE PSYCHOTHERAPIES (BABCP) MEMBERS

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ACCREDITATION as an AACBT COGNITIVE and BEHAVIOURAL THERAPIST for ACCREDITED BRITISH ASSOCIATION FOR BEHAVIOURAL AND COGNITIVE PSYCHOTHERAPIES (BABCP) MEMBERS General Information Provisionally or Fully Accredited Cognitive Behavioural Psychotherapists (CBP) with the BABCP can apply for Accreditation as an AACBT Cognitive and/or Behavioural Therapist if they have met the AACBT s six criteria for accreditation in the past 12 months. Accredited AACBT Cognitive and Behavioural Therapists must meet the AACBT s criteria for continued professional registration, professional development and supervised clinical practice and professional development on an annual basis to maintain accreditation. Conditions of AACBT Accreditation To obtain Accreditation as an AACBT Cognitive and/or Behavioural Therapist the applicant must: (i) Fulfil the AACBTs six criteria for professional registration, development and supervised clinical practice in the past 12 months & (ii) Meet the AACBTs conditions for Accreditation as an AACBT Cognitive and/or Behavioural Therapist AACBT Accredited Cognitive and Behavioural Therapist List (available late 2013) Accredited AACBT Ltd. Cognitive and Behavioural Therapists can register their contact and practice details and areas of speciality on the AACBT Practitioner List at no additional cost (See Attachment B). This searchable database is freely available to the public to assist them with locating Accredited CBT Therapists. Only AACBT Accredited Cognitive and Behavioural Therapists can be listed. Registration on the AACBT Accredited Therapist List is renewed annually. Accreditation Fees Application Fee: $120 (Special Introductory Rate) Annual Renewal Fee: $40 Submission of Application: Please complete all sections of the application form. Attach additional sheets as needed. Submit your application and accompanying documentation via email to accreditation@aacbt.org.au or mail two copies to: AACBT Accreditation Committee PO Box 4040 Nowra East NSW 2541 Accredited BABCP Member Application for AACBT Accreditation Version 1 1

AACBT ACCREDITATION CRITERIA for ACCREDITED BABCP MEMBERS To apply for Accreditation as an AACBT Cognitive and/or Behavioural Therapist, Accredited BABCP Members must fulfil the following six criteria: Criteria 1. Professional Registration/Membership Full registration or full membership with the relevant Australian professional or registration body as specified below: Psychologist: Psychology Board of Australia (www.ahpra.gov.au) Social worker: Australian Association for Social Work (www.aasw.asn.au): Occupational Therapists: Occupational Therapy Australia Ltd. (www.ausot.com.au): Counsellor: Australian Counselling Association (www.theaca.net.au) Please note: Only individuals who gain ACA membership through the completion of a Higher Education sector Bachelor of Counselling degree are eligible. Mental health Nurse (MHN): Nursing and Midwifery Board of Australia: Registered Nurse (Division 1) and Australian College of Mental Health Nurses (ACMHN, www.acmhn.org): Credentialed Mental Health Nurse Medicine: Medical Board of Australia: General Registration Other health professions: The AACBT welcomes applications for AACBT accreditation from other health professionals. The AACBT Accreditation Committee will make decisions on the eligibility of these applications from other health professionals on a case-by-case basis. A certified copy 1 of your current professional registration/membership certificate is required. Criteria 2. BABCP Certificate of Accreditation Provisional or Full Accreditation as a BABCP Cognitive Behavioural Psychotherapist (CBP). A certified copy 1 of your accreditation certificate is required. Criteria 3. Professional Development in CBT Accredited AACBT Therapists should be committed to ongoing professional development in cognitive and/or behaviour therapy related activities (e.g., attendance at relevant conferences, workshops, membership to CBT organisations). To maintain AACBT Accreditation, AACBT Therapists must have normally completed at least 30 hours of professional development in CBT over a minimum of 1 year and a maximum of 2 years (for part time employees only). A minimum of 10 hours must be peer consultation and 10 hours are recommended to be active professional development activities. Accredited BABCP Member Application for AACBT Accreditation Version 1 2

Criteria 4. Continuing CBT Practice Fully Accredited AACBT Therapists should be actively engaged in continuing CBT practice. Criteria 5. Clinical peer consultation Accredited AACBT Therapists should be committed to receiving regular peer consultation, which is defined as a minimum of one hour per month supervision time. To maintain Full AACBT Accreditation, AACBT Therapists must have normally completed at least 10 hours of CBT peer consultation over a minimum of 1 year and a maximum of 2 years (for part time employees only). Criteria 6. Current AACBT Membership All Accredited AACBT Therapists are required to be current members of AACBT Ltd. Accredited BABCP Member Application for AACBT Accreditation Version 1 3

CONDITIONS OF AACBT ACCREDITATION Please note the following conditions of Accreditation as an AACBT Therapist: 1. Ethical and Professional Practice: AACBT Accredited Cognitive and/or Behaviour Therapists are required to practice ethically, professionally with due regard for the dignity and well being of their clients, and be cognisant of the relevant legislation. It is expected that AACBT Accredited Therapists will practice in accordance with the professional and ethical standards of their relevant professional and/or registration body. Accredited AACBT Therapist s must not have: (a) Ever been under investigation by any disciplinary or legal tribunal (b) Had charges of unprofessional conduct brought against them (c) Been convicted of any criminal offence in the past 10 years Accredited AACBT Therapist are required to notify the AACBT within 7 working days if they are: (a) Placed under investigation by any disciplinary or legal tribunal (b) Have charges of unprofessional conduct brought against them (c) Have criminal charges brought against them. 2. Mandatory Professional Indemnity Insurance Cover: AACBT Accredited Cognitive and/or Behaviour Therapists must be covered by appropriate professional indemnity insurance (PII) arrangements. AACBT Accredited Therapists must be able to provide documentary evidence of their PII insurance cover on request from the AACBT. PII cover is required for all practising AACBT Accredited Therapists, including those in part-time or volunteer work. PII cover may be provided through an individual insurance arrangement, an employer or education provider's insurance arrangement, or both. The PII arrangements must include: Cover for any breach or alleged breach of professional duty of care Cover for any breach of professional codes of ethics Cover for complaints received in relation to professional misconduct or unprofessional conduct Cover for complaints received in relation to any privacy laws. Civil liability cover Unlimited retroactive cover Run-off cover Two automatic reinstatements during the period of cover. AACBT Accredited Therapists who have PII cover through an employer and/or education provider's insurance arrangement should ensure that this PII cover meets the AACBT standards. If it does not, the AACBT Accredited Therapist will need to take out additional cover to meet the requirements. 3. Professional Status/Qualifications and Advertising: Membership of AACBT does not confer any professional status or qualification. Members should not refer to their membership of AACBT in advertising or elsewhere to imply any such professional status or qualification. Accredited BABCP Member Application for AACBT Accreditation Version 1 4

AACBT members accredited by the AACBT as meeting the criteria for Accredited Cognitive and/or Behaviour Therapists with the AACBT, are free to advertise or otherwise announce that fact. Accredited BABCP Member Application for AACBT Accreditation Version 1 5

APPLICATION for AACBT Ltd. ACCREDITATION Applicant Details Title: Miss Ms Mrs Mr Dr Other: Last Name: Given names: Former name (if applicable): Profession: Position/title: Organisation: Email: AACBT Membership Number: Your preferred mailing address will be recorded as the address to which all correspondence will be sent. Preferred Mailing Address: State: Post Code: Phone: Mobile: Criteria 1. Professional Registration/Membership Full registration or full membership with the relevant Australian professional or registration body as specified below: Please indicate your profession and provide the information requested below. Attach a certified 1 copy of your current registration/membership certificate/s. Psychologist: Psychology Board of Australia (www.ahpra.gov.au) Registration number: Year first fully registered: Social worker: Australian Association for Social Work (www.aasw.asn.au): Membership number: Full member since (insert year): Occupational Therapists Occupational Therapy Australia Ltd. (www.ausot.com.au): Membership number: Full member since (insert year): Accredited BABCP Member Application for AACBT Accreditation Version 1 6

Counsellor: Australian Counselling Association (www.theaca.net.au) Membership number: Full member since (insert year): Please note: Only individuals who gain ACA membership through the completion of a Higher Education sector Bachelor of Counselling degree are eligible. Please attach a certified copy of your degree. Mental health Nurse (MHN): Nursing and Midwifery Board of Australia: Registered Nurse (Division 1) and Australian College of Mental Health Nurses (ACMHN, www.acmhn.org): Credentialed Mental Health Nurse Full member since (insert year): Medicine: Medical Board of Australia: General Registration Year first fully registered: Other health professions: The AACBT welcomes applications for AACBT accreditation from other health professionals. The AACBT Accreditation Committee will make decisions on the eligibility of these applications from other health professionals on a case-by-case basis. Criteria 2. BABCP Certificate of Accreditation Please provide a certified copy 1 of your BABCP Certificate of Provisional or Full Accreditation as a Cognitive Behavioural Psychotherapist (CBP) 1 Note. Copies of documentation must be certified as true copies of the original by one of the following certifying officers: Member of the AACBT, accountant, Justice of the Peace, pharmacist, physiotherapist, police officer, psychologist, social worker, occupational therapist, general practitioner. Each page should be certified as a true copy of the original and include the signature and printed name, profession and telephone number of the certifying officer. The certifying officer must not be a spouse/partner or family member. Applicant s Declaration I hereby declare that 1. I have met the AACBTs Accreditation criteria for professional registration, professional development and supervised clinical practice: Please tick all that apply I have current Registration/Membership with my professional body I have provisional/full accreditation with the BABCP I am a current member of AACBT Ltd. In the past 12 months (maximum of 2 years for part time employees): I have completed at least 30 hours of professional development in CBT I have completed a minimum of 10 hours must be peer consultation I have been actively engaged in continuing CBT practice. I have provided certified copies of my Professional Registration/Membership certificate and BABCP Accreditation Certificate. I understand that I must provide be able to provide documentary evidence of this professional development and supervised clinical practice on the request of the AACBT. Accredited BABCP Member Application for AACBT Accreditation Version 1 7

2. I have met the AACBTs Conditions of Accreditation as an AACBT Therapist 2 (i) I have not been and am not currently under investigation by any disciplinary or legal tribunal (ii) I have not had any charges of unprofessional conduct brought against me (iii) I have not been convicted of an offence involving a criminal charge, and to not have any charge pending I will notify the Chair of the AACBT Accreditation Committee within 7 working days if I am: (i) Placed under investigation by any disciplinary or legal tribunal (ii) Have charges of unprofessional conduct brought against me (iii) Have criminal charges brought against me. 3. I understand that my name, AACBT membership number and accreditation status will be listed in the AACBT Member List on the AACBT Ltd. Website, unless I have indicated otherwise. 4. I understand that if my application is unsuccessful, or if I withdraw my application, I will be charged a processing fee of $50 5. To maintain Accreditation as an AACBT Cognitive and Behavioural Therapist, I understand that I will need to meet the AACBT s criteria for ongoing professional registration, professional development and supervised clinical practice (AACBT Accreditation Renewal Criteria) on an annual basis. I must be able to provide documentary evidence of this professional development and supervised clinical practice on request from the AACBT. Signature: Print Name: Date: 2 Note: If you responded YES to any of these questions, please attach an explanation to this application (including details of the outcome). Mark it IN CONFIDENCE and address it to the Chair of AACBT Accreditation. In evaluating your application, we will consider your response to these questions and may request further information. A positive answer to any of the above questions will not automatically result in rejection of the accreditation application. Each application will be considered on its merits. Accredited BABCP Member Application for AACBT Accreditation Version 1 8

APPLICATION for AACBT Ltd. ACCREDITATION Payment Method (Please note a separate receipt / tax invoice will be issued once your accreditation application has been processed in up to 6 weeks) Cheque / Money Order payable AACBT enclosed Charge my: or Amount: $ Card No: Expiry: / CVV: _ Cardholder s name (as it appears on card) Cardholder s signature Date: Return via: Email: accreditation@aacbt.org.au or Mail two copies to: AACBT Accreditation Committee PO Box 4040 Nowra East NSW 2541 Office Use Only Date Received Member No. Fee Paid Accredited BABCP Member Application for AACBT Accreditation Version 1 9

ATTACHMENT A Criteria 3. AACBT Professional Development Log Please list the details of at least 30 hours of professional development in CBT over a minimum of 1 year and a maximum of 2 years (for part time employees only). Type of training (eg., workshop, course) Training Title Name of organizing body (eg., AACBT, APS, University of Qld) Month & year attended Duration of training (actual contact hours of CBT skills training) Accredited BABCP Member Application for AACBT Accreditation Version 1 10

AACBT Professional Development Log Type of training (eg., workshop, course) Training Title Name of organizing body (eg., AACBT, APS, University of Qld) Month & year attended Duration of training (actual contact hours of CBT skills training) Accredited BABCP Member Application for AACBT Accreditation Version 1 11

Criteria 2. AACBT Continuing CBT Practice Log Please list the details of your continuing CBT practice. Employment details Type of CBT practice (e.g., Clinical practice with client, Supervision of CBT, Teaching or training, Research, Other) Estimated proportion of time spent each month engaged in CBT-related activities (%/total work hours) Job Title: Name of Employer: Date commenced: Date completed: Job Title: Name of Employer: Date commenced: Date completed: Job Title: Name of Employer: Date commenced: Date completed: Accredited BABCP Member Application for AACBT Accreditation Version 1 12

Criteria 3. AACBT Supervised CBT Practice Log Please provide the details of the CBT peer consultation you have received to a minimum of 10 hours over a minimum of 1 year and a maximum of 2 years (for part time employees only) since you gained AACBT Provisional Accreditation as a Cognitive and Behavioural Therapist. Dates from and to (e.g., 1998-1999) Individual/ Group/Peer supervision Name of supervisor, group facilitator, peer supervisor/s Frequency of meetings (e.g., weekly, fortnightly, monthly, bimonthly etc.) Duration of meetings Total Duration Accredited BABCP Member Application for AACBT Accreditation Version 1 13

AACBT Supervised CBT Practice Log Dates from and to (e.g., 1998-1999) Individual/ Group/Peer supervision Name of supervisor, group facilitator, peer supervisor/s Frequency of meetings (e.g., weekly, fortnightly, monthly, bimonthly etc.) Duration of meetings Total Duration Accredited BABCP Member Application for AACBT Accreditation Version 1 14

ATTACHMENT B: AACBT Ltd. Accredited Cognitive and/or Behavioural Therapist List Accredited BABCP Member Application for AACBT Accreditation Version 1 15

AACBT Ltd. Accredited Cognitive and/or Behavioural Therapist List (to be launched in late 2013) Complete this form if you would like to register your details on the AACBT Ltd. Accredited Cognitive and/or Behavioural Therapist List. This searchable database is freely available to the public to assist them with locating Accredited CBT Therapists. Only AACBT Accredited Cognitive and Behavioural Therapists can be listed. Registration on the AACBT Accredited Therapist List is renewed annually. You may list your professional details, the details of up to two practices and list up to 5 areas of competence. The AACBT expects Accredited AACBT Cognitive and Behavioural Therapists will only nominate areas in which they are trained or otherwise competent to provide CBT intervention. You may also nominate a specialist area of CBT practice (such as DBT, ACT). Please ensure your application is completed fully, clearly and accurately. All details provided on the form will be publicly available. If there are a number of practitioners in your practice, each individual is requested to complete a separate application form. Accredited AACBT Practitioner Details Title: Miss Ms Mrs Mr Dr Other: Last Name: Given names: Former name (if applicable): Telephone: Email: Profession: Professional Registration/Membership Body: Registration/Membership number State of Registration/Membership (if relevant): Medicare generalist provider? Yes / No Medicare specialist provider? Yes / No Type: Other relevant Professional Associations/Bodies: Accredited BABCP Member Application for AACBT Accreditation Version 1 16

Practice address 1: No. Street Suburb State P/code Phone number Appointment times (tick all that apply) M-F: M-F (after 5pm): Weekends: Practice address 2: No. Street Suburb State P/code Phone number Appointment times (tick all that apply) M-F: M-F (after 5pm): Weekends: Personal Details Client group (tick as many as apply) Infant Older adult Preschool Couples Child Families Adolescent Organisations Adult Other: CBT approach (optional) Generic CBT REBT Cognitive therapy Behaviour modification/behaviour Therapy Acceptance and Commitment Therapy Dialectical Behaviour Therapy Schema Focused Therapy Metacognitive Therapy Accredited BABCP Member Application for AACBT Accreditation Version 1 17

Other Specialty areas (you may tick up to 5 specialty areas; if you nominate more than 5 areas, only the first 5 will appear on the database) Abuse Academic performance ADHD Anger management Anxiety mgt/stress mgt Assertiveness Autism Post natal depression Behaviour problems Bullying CBT Assessment courts CBT Assessment other Couples/relationships Cross cultural Depression Dissociative disorders Eating disorders Forensic Gambling Gender/sexual issues Grief and loss Health anxiety Health related problems Injury/rehabilitation Life transition/adjustment Psychosis OCD Pain mgt Parenting Personality disorder Self esteem Sex offences Sleep disorders Conflict resolution Smoking cessation Social skills Sports performance Substance abuse/dependence Suicide Terminal illness Trauma/PTSD Weight mgt Other Other Accredited BABCP Member Application for AACBT Accreditation Version 1 18

Definitions Cognitive Behaviour Therapy (CBT) is a broad psychotherapeutic approach to treatment that helps individuals understand, manage and change their thoughts (cognitions), feelings (emotions) and actions (behaviour). CBT is generally short-term and focused on helping clients deal with very specific problems. It also teaches clients new skills and strategies that they can apply to future problems. There is a well-established evidence base for the use of CBT for the treatment of depression and anxiety disorders. Modern approaches to CBT incorporate acceptance and commitment therapy (ACT), metacognitive therapy, mindfulness based approaches to cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR). There is a small but growing evidence base for these approaches. CBT practice : includes any paid or voluntary work where skills and knowledge as a CBT therapist are used. This can include provision of direct clinical care, use of professional knowledge in a non-direct clinical relationship with clients, working in management, administration, education, research, advisory, regulatory or policy development roles, and working in any other role that has an impact on the safe, effective delivery of services by CBT therapists. The AACBT will consider applications on a case-by-case basis if it is uncertain whether the professional activities of the applicant constitute CBT practice'. CBT peer consultation means supervision and consultation in individual or group format, for the purposes of CBT professional development and support in the practice of CBT and includes a critically reflective focus on the practitioner s own practice. Active CBT professional development refers to continuous professional development activities that engage the participant in active training through written or oral activities designed to enhance and test learning. Accredited BABCP Member Application for AACBT Accreditation Version 1 19