Assessment of Core CBT Skills (ACCS)

Domain 1 - Suitable Items

See user manual page 3 - 5

1.1. Suitable Items:

Ability to help the patient identify and prioritise specific, relevant and appropriate agenda items.

1.2. Feasible Agenda:

Ability to set an agenda which is realistic and feasible given the time available.

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Domain 2 - Formulation

See user manual page 8

2.1. Coherent and Dynamic Formulation:

Ability to develop a clear formulation which draws upon appropriate evidence-based theory to offer a concise, comprehensive and personalised explanation of relevant history, triggers and maintaining features of the patient’s problems.

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Domain 3 - CBT Interventions

See user manual page 9 - 13

3.1. Appropriate Intervention Targets:

Ability to skilfully define, clarify and specify intervention targets which both relevant evidence-based theory and the patient’s idiosyncratic formulation suggested were highly likely to be maintaining problems.

3.2. Choosing Suitable Interventions:

Ability to select cognitive-behavioural interventions which form part of a logical, coherent and unified treatment strategy which is likely to bring about therapeutic change in the treatment target(s) and is suited to the patient’s therapeutic context. This selection was accurately guided by appropriate theory-based practice or practice based on evidence when possible.

3.3. Rationale for Interventions:

Ability to facilitate the patient’s understanding of the importance and potential benefits of interventions.

3.4. Implementing Interventions:

Ability to systematically implement intervention(s) in a fluent and articulate manner. To be sensitive and responsive to the therapeutic context and provide optimal levels of support, encouragement and praise.

3.5. Reviewing Interventions:

Ability to conduct a comprehensive review of the results of interventions (whether positive or negative) in order to help the patient identify what they learned from the experience.

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Domain 4 - Homework

See user manual page 14 - 17

4.1. Reviewing Homework:

Ability to conduct a comprehensive review of previous homework (whether completed or not) in order to help the patient identify what they learned from the experience.

4.2. Choosing Suitable Homework:

Ability to plan homework which is tailored to the therapeutic context and builds upon session material or previous homework.

4.3. Rationale for Homework:

Ability to facilitate the patient’s understanding of the importance and potential benefits of homework.

4.4. Planning Homework:

Ability to work with the patient to ensure they have a clear and detailed understanding of the homework task(s).

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Domain 5 - Measures

See user manual page 18 - 20

5.1. Choosing Suitable Measures:

Ability to select appropriate, clinically relevant standardised and/or idiosyncratic methods for measuring change in symptoms and associated features (beliefs, behaviours, feelings) and movement towards goals.

5.2. Implementing Measures:

Ability to administer measures at suitable time points across and within session and to skilfully review, interpret and respond to the information gleaned.

Note: This item should be based on any relevant written materials (e.g. completed questionnaires, diaries, belief ratings, treatment goals, etc.) in addition to the session recording.

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Domain 6 - Session Management

See user manual page 21 - 23

6.1. Pace:

Ability to pace the session in a manner which is well suited to the therapeutic context and patient’s capacity for learning.

6.2. Time Management:

Ability to manage time within the session in a balanced and efficient manner.

6.3. Maintained Focus:

Ability to maintain focus on important issues, whilst demonstrating appropriate flexibility in response to unanticipated issues.

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Domain 7 - Interpersonal Skills

See user manual page 24 - 26

7.1. Interpersonal Style:

Ability to embody a positive interpersonal style which is congruent with the therapeutic context.

7.2. Empathic Understanding:

Ability to accurately grasp the content and emotional tone of the patient’s viewpoint (i.e. their understanding of themselves and the world around them) and to sensitively and appropriately convey this understanding.

7.3. Collaboration:

Ability to encourage the patient to take an active role in and to share responsibility for all aspects of the session in a manner suited to the stage of therapy and patient’s presentation.

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Domain 8 - Patient Feedback and Reflective Summaries

See user manual page 27 - 29

8.1. Patient Feedback:

Ability to elicit, explore and respond to feedback about the patient’s understanding of and reaction to all aspects of session.

8.2. Reflective Summaries:

Ability to work with the patient to reflect upon and summarise salient session content in order to facilitate joint understanding of crucial therapeutic material and consolidate key learning.

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Complexity and overall feedback

How complex was the patient to work with? Very Straightforward Somewhat Straightforward Somewhat Complex Very Complex

Therapist’s Key Strengths

Therapist’s Learning Needs

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