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3rd Big Idea Core and Specific Work

3rd Big Idea Core and Specific Work. Clinical skills. ABCD’S Skills (Alphabet skills): These are the range of skills that clinicians need: A ssessment B ehavioural C ognitive D ynamic. S ystemic. “Traditional” skills pattern. Extended skills clinician. Single modality Core work.

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3rd Big Idea Core and Specific Work

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  1. 3rd Big IdeaCore and Specific Work

  2. Clinical skills • ABCD’S Skills (Alphabet skills): These are the range of skills that clinicians need: • Assessment • Behavioural • Cognitive • Dynamic. • Systemic

  3. “Traditional” skills pattern

  4. Extended skills clinician

  5. Single modality Core work

  6. Single modality Core work II

  7. CBT: core vs advanced skills Core CBT: • Core/basic work- explain model, structure sessions, using homework, reviewing homework Specific CBT: (using advanced skills) All the above PLUS • Socratic questioning/guided discovery • Automatic thoughts/assumptions/beliefs • Problem specific competencies eg in ERP for OCD Could you manage a bottleneck to CBT by extending clincal skills to increase capacity at core/core level? Ref: The competencies required to deliver effective cognitive and behavioural therapy for people with depression and with anxiety disorders. Dept of Health 2007.

  8. Integrative Core work

  9. Skill summary • Advanced Skills are often distinct skills in a single modality trained to a higher level and delivered a higher intensity • CORE skills are either • to be competent at that modality = single modality • Integrative work across modalities at lower fidelity

  10. A Possible Pattern… Effects?

  11. A Possible Pattern… Effects?

  12. A Possible Pattern… Effects?

  13. Work streams • So now we’ve defined the streams by skill / intervention into • Core • Specific • We need to work out how much we can do in THAT stream… • This is a PACKING problem.

  14. Splitting the streams • The demand and capacity term for identifying different streams is segmentation • Dividing a group up into smaller groups with similar characteristics • But first lets look at what happens with no segmentation…

  15. No segmentation? • One big fruit crate… • Hard to know quite how much fruit we can get in.

  16. Segmentation • Segment the big crate into 4 smaller crates… • Fill 2 of the crates with the SAME sized fruit – apples and oranges… CORE fruit • Now we know how much of averaged sized fruit we can pack in…

  17. Specific Fruit • What if we have bigger fruit like melons • Can put them in another crate… • Again we can calculate how many melons we can fit in

  18. Another fruit • What if we have some bigger fruit? • A 4th crate could have pumpkins • They are bigger still… • So even less can be packed in

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