Aims
To enable the delegate to work towards becoming an advanced practitioner in reflective, evidence-based CBT for complex mental health problems within their area of practice with users/ clients and carers.

Who it is for
Individuals involved in working with people who have complex issues, who would like to develop their use of the CBT approach within their practice with clients/users and gain academic credit for their studies. Between taught sessions students will be expected to complete homework, including exercises, and reflect on their findings e.g., they will monitor the activities they do which give them pleasure and a sense of achievement and notice their effect on their mood or complete a mood diary. They will be expected to complete a portfolio both as a formative and assessment.

Eligibility
They will have to demonstrate successful completion of either the 12 day cognitive behavioural training or its equivalent, as well as the Enhanced Practice in CBT course, including supervised practice or its equivalent. Any person who has a previously accredited training in another modality of psychotherapy or be qualified members of a mental health profession and further experience in using CBT within their practice. The delegates will have to also demonstrate the academic ability to study at either diploma or degree level or postgraduate level.

Course Structure
Similar to the Enhanced Practice course, the modules will be taught with a mixture of lectures, experiential work, self directed study, role play, seminars, video and audio work.

It will include supervision and practice as an integral part of the educational process - each module will include clinical CBT supervision, taught sessions and facilitated role play and practice.

Students will complete work-based mentored, assessed, professional practice in CBT in their place of work or in a suitable placement.

On-line support and discussion will be facilitated throughout the course and students will have access to the course tutor to manage any clinical CBT questions that may emerge in practice, in additional to their workplace mentor.

Total hours and Academic Credit
This course will encompass 40 credits at either Degree or Masters level, 56 hours of study and 100 hours of supervised practice.

Assessment
Students will be assessed by case study, reports, competency scales, portfolio extracts and video/audio tapes.

Outcomes
You will be able to:

• Examine and evaluate critically evidence – based perspectives in current CBT theory and practice in relation to complex mental health problems, such as psychosis, eating disorders, severe substance misuse, dual diagnosis, severe depression and personality disorders
• Engage individuals with complex needs within the therapeutic relationship and manage challenges safely and competently
• Assess and manage risk and crisis effectively and safely • Adapt the process of CBT to individual’s needs, including by respecting diversity
• Demonstrate mastery in case formulation skills
• Demonstrate evidence-based skills in therapeutic decision making, screening, the use of a variety of assessment scales and outcome measurement with individuals with complex MH needs
• Manage systematically problems in planning and working with evidence based treatment techniques responsively and creatively
• Develop creativity and confidence in becoming an autonomous, ethical CBT scientist-practitioner, aided by the process of self and clinical supervision
• Demonstrate knowledge of the relationship between physical health with aspects of complex MH problems, including the use of medication
• Liaise and communicate closely with other agencies and individuals, including carers, involved in the client’s care, to ensure a holistic approach
• Demonstrate knowledge of current legislation and policy guidance within MH care.