High Intensity Trainee (HIT) Role

1. High Intensity Trainee (HIT) Role

2. What will you be doing? • Clinical practice 3 days per week • 2 days at University • Based in a variety of locations i.e. GP surgeries and at your PTP base • Clinical supervision once a week with KCA and course supervision • 12 contacts per week while you are training • Reflective group, mandatory trainingand team meeting

3. The cases you will see • Anxiety disorders: Panic disorder, Health Anxiety, Social phobia, Specific Phobia, OCD, GAD, PTSD. • Depression; low self-esteem • Co-morbidities (such as chronic pain, co-morbid depression and anxiety disorders, personality disorders) • Moderate to severe presentations

4. Working using a CBT approach • Collaborative • Structured • Assessment and Formulation; Goals; Treatment plan and Interventions • Agenda setting; Homework • Relapse prevention • Empirical basis • Evidence-based interventions • Use of Outcome Measures

5. Working using CBT within KCA • Assessment, formulation and treatment planning for a variety of disorders • Providing Time-Limited Interventions • 8-12 sessions • Carry out evidence-based interventions such as cognitive restructuring, behaviour activation exposure exercises and behavioural experiments • Managing and monitoring Risk and Safeguarding issues for your caseload • Measuring Outcomes and obtaining feedback

6. Trainee feedback • Be prepared for a busy year

7. Look after yourself! • Be organised • Every case is a potential training case • Use supervision as much as possible • Highly rewarding • Beware of De-skilling

8. Unconscious incompetence Conscious incompetence Conscious competence Unconscious competence

9. Make the most of ….. • Supervision • Peer support • Audio recordings (CTS-R) • Client feedback

10. Any Questions?