clinical practice 2 - roles

Question 1

mental health professionals

Answer 1

initially GP - can help or refer

trained therapists or counsellors

acute distress –> could end up in A&E or with the police –> then have help of multidisciplinary MHT:

• psychiatrists
• clinical psychologists
• nurses
• social workers
• occupational therapists

mental health teams can also work in community settings

Question 2

psychiatrists role

Answer 2

qualified medical doctor

specialised in treatment of mental health

assessment, care management (including medication or physical treatment)

consultant psychiatrist can recommend detention for treatment (under Mental Health Act)

Question 3

RMN role

Answer 3

registered mental health nurse

specialist training in mental health

help with day-to-day life, facilitate medication, assess risk, counselling

Question 4

social worker role

Answer 4

specialise in mental health problems

overcome practical difficulties and access services

Question 5

OT role

Answer 5

occupational therapist

help overcome practical difficulties from mental health problems

could be specific skills or techniques for day-to-day living

promote agency

Question 6

therapist role

Answer 6

anyone who provides therapy or talking treatment

may be psychologist or psychiatrist, nurse, social work etc.

can require additional training

Question 7

counsellor role

Answer 7

offers counselling

talking treatment to help coping with problems

Question 8

psychotherapist role

Answer 8

trained using CBT, psychoanalysis, family, gestalt, and other methods

accredited training programs for these approaches

Question 9

list of talking therapy practitioners (4)

Answer 9

therapist
counsellor
psychotherapist
clinical and counselling psychologists

Question 10

protected titles

Answer 10

profession with designated titles protected by law and need to be registered to use them

needs membership to professional body

EXAMPLES:
- chartered psychologist

NOT: (in the UK)
- psychotherapist
- counsellor

Question 11

pathway to becoming a registered psychological therapist

Answer 11

take an approved course with eligibility for registration with professional body e.g. BPS

require basis in understanding psychology

Question 12

what is needed to stay as a psychotherapist

Answer 12

continuing professional development (CPD) is necessary - regular updates, may require passing tests etc.

maintaining standards whilst working in the role - no unprofessional behaviour

Question 13

professional psychologist roles (4)

Answer 13

assistant psychologist
associate psychologist
counselling psychologist
clinical psychologist

Question 14

assistant psychologist role

Answer 14

• NHS job
• work under supervision of clinical psychologists
• assessment work or brief interventions
• step to clinical psychology - but not a requirement

Question 15

clinical associate psychologist role

Answer 15

• new role
• undertake circumscribed psychological assessments and interventions for specific populations and/or with specific therapies
• under supervision of clinical psychologist
• training = graduate psychologist on NHS band 5, move to band 6 when qualified
• MSc apprenticeship

Question 16

counselling psychologist role

Answer 16

• needs graduate basis for chartered membership (GBC) with the BPS
• work with people with emotional demands
• counselling skills training
• doctoral training or BPS qualification
• HCPC registration
• self funding

Question 16

clinical psychologist role

Answer 16

• work with people with mental or physical health problems
• aim to reduce psychological stress
• enhance and promote psychological wellbeing
• use research and psychological theory and data
• work with people throughout lifespan and those with learning disabilities

can work in many settings e.g. hospital, CMHT, social services etc.

many in NHS, research, teaching, Unis, or private sector work

help with talking therapy, work with families, specialist services, supporting care providers

work can centre around:
anxiety and depression, serious and enduring mental illness, adjustment to physical illness, neurological disorders, addictive behaviours, childhood behaviour disorders, personal and family relationships

Question 17

what underpins clinical practice

Answer 17

grounded in research/evidence
with ethical and practice guidelines

psychological theory and integrated living experience

Question 18

gaps in care for mental health problems

Answer 18

health outcomes is 20% access to care, 80% other factors –> uptake is low even when available, not always culturally acceptable

need to make care more accessible

addressing these gaps:

• work with public mental health teams - using a whole system approach with schools, emergency services, local authorities

Question 19

voluntary sector - support for it

Answer 19

research has found people who self harm value voluntary and community sector support

work is currently happening for clinical psychologists to support volunteers

Question 20

co-located services

Answer 20

distinct from formal services

helps take away fear and address stigma

Question 21

steps to getting a clinical doctorate

Answer 21

GBC with BPS from undergrad
relevant experience - SEN, HCA

more info on slides 59-62 (doesn’t feel relevant…)