APPLICATION for ACCREDITATION As an AACBT Ltd. COGNITIVE and BEHAVIOURAL THERAPIST For

APPLICATION for ACCREDITATION as an AACBT Ltd. COGNITIVE and BEHAVIOURAL THERAPIST for ACCREDITED BRITISH ASSOCIATION FOR BEHAVIOURAL AND COGNITIVE PSYCHOTHERAPIES (BABCP) MEMBERS

General Information

Provisionally or Fully Accredited Cognitive Behavioural Psychotherapists (CBP) with the BABCP can apply for Accreditation as an AACBT Cognitive and/or Behavioural Therapist if they have met the AACBT’s six criteria for accreditation in the past 12 months (24 months for part time employees).

Accredited AACBT Cognitive and Behavioural Therapists must meet the AACBT’s criteria for continued professional registration, professional development and supervised clinical practice and professional development on an annual basis to maintain accreditation.

Conditions of AACBT Accreditation

To obtain Accreditation as an AACBT Cognitive and/or Behavioural Therapist the applicant must:

(i) Fulfil the AACBTs six criteria for professional registration, development and supervised clinical practice in the past 12 months &

(ii) Meet the AACBTs conditions for Accreditation as an AACBT Cognitive and/or Behavioural Therapist

Accreditation Fees

Application Fee: $120

Annual Renewal Fee: $40

Submission of Application:

Please complete all sections of the application form. Attach additional sheets as needed.

Submit your application and accompanying documentation via email to

AACBT ACCREDITATION CRITERIA for ACCREDITED BABCP MEMBERS

To apply for Accreditation as an AACBT Cognitive and/or Behavioural Therapist, Accredited BABCP Members must fulfil the following six criteria:

Criteria 1. Professional Registration/Membership

Full registration or full membership with the relevant Australian professional or registration body as specified below:

Psychologist: Psychology Board of Australia (www.ahpra.gov.au)

Social worker: Australian Association for Social Work (www.aasw.asn.au):

Occupational Therapists: Occupational Therapy Australia Ltd.

(www.ausot.com.au):

Counsellor: Australian Counselling Association (www.theaca.net.au)

Please note: Only individuals who gain ACA membership through the completion of a Higher Education sector Bachelor of Counselling degree are eligible.

Mental health Nurse (MHN): Nursing and Midwifery Board of Australia:

Registered Nurse (Division 1) and Australian College of

Mental Health Nurses (ACMHN, www.acmhn.org): Credentialed Mental Health Nurse

Medicine: Medical Board of Australia: General Registration

Other health professions: The AACBT welcomes applications for AACBT accreditation from other health professionals. The AACBT Accreditation Committee will make decisions on the eligibility of these applications from other health professionals on a case-by-case basis.

A certified copy1 of your current professional registration/membership certificate is required.

Criteria 2. BABCP Certificate of Accreditation

Provisional or Full Accreditation as a BABCP Cognitive Behavioural Psychotherapist (CBP).

A certified copy1 of your accreditation certificate is required.

Criteria 3. Professional Development in CBT

Accredited AACBT Therapists should be committed to ongoing professional development in cognitive and/or behaviour therapy related activities (e.g., attendance at relevant conferences, workshops, membership to CBT organisations). In the past 12 months (24 months for part time employees), AACBT Therapists must have completed at least 30 hours of professional development in CBT. It is recommended that 10 hours be ‘active’ professional development activities.

Criteria 4. Continuing CBT Practice

In the past 12 months (24 months for part time employees), accredited AACBT Therapists must be actively engaged in continuing CBT ‘practice’.

Criteria 5. Clinical Peer Consultation

Accredited AACBT Therapists should be committed to receiving regular ‘peer consultation’, which is defined as a minimum of one hour per month supervision time. AACBT Therapists must have normally completed at least 10 hours of CBT ‘peer consultation’ over a minimum of 12 months and a maximum of 24 months (for part time employees only).

Criteria 6. Current AACBT Membership

All Accredited AACBT Therapists are required to be current members of AACBT Ltd.

CONDITIONS OF AACBT ACCREDITATION

Please note the following conditions of Accreditation as an AACBT Therapist:

1. Ethical and Professional Practice: AACBT Accredited Cognitive and/or Behaviour Therapists are required to practice ethically, professionally with due regard for the dignity and well being of their clients, and be cognisant of the relevant legislation. It is expected that AACBT Accredited Therapists will practice in accordance with the professional and ethical standards of their relevant professional and/or registration body.

Accredited AACBT Therapist’s must not have:

(a) Ever been under investigation by any disciplinary or legal tribunal

(b) Had charges of unprofessional conduct brought against them

Accredited AACBT Therapist are required to notify the AACBT within 7 working days if they are:

(a) Placed under investigation by any disciplinary or legal tribunal

(b) Have charges of unprofessional conduct brought against them

2. Mandatory Professional Indemnity Insurance Cover: AACBT Accredited Cognitive and/or Behaviour Therapists must be covered by appropriate professional indemnity insurance (PII) arrangements. AACBT Accredited Therapists must be able to provide documentary evidence of their PII insurance cover on request from the AACBT. PII cover is required for all practicing AACBT Accredited Therapists, including those in part-time or volunteer work. PII cover may be provided through an individual insurance arrangement, an employer or education provider's insurance arrangement, or both.

The PII arrangements must include:

· Cover for any breach or alleged breach of professional duty of care

· Cover for any breach of professional codes of ethics

· Cover for complaints received in relation to professional misconduct or unprofessional conduct

· Cover for complaints received in relation to any privacy laws.

· Civil liability cover

· Unlimited retroactive cover

· Run-off cover

· Two automatic reinstatements during the period of cover.

AACBT Accredited Therapists who have PII cover through an employer and/or education provider's insurance arrangement should ensure that this PII cover meets the AACBT standards. If it does not, the AACBT Accredited Therapist will need to take out additional cover to meet the requirements.

3. Professional Status/Qualifications and Advertising: Membership of AACBT does not confer any professional status or qualification. Members should not refer to their membership of AACBT in advertising or elsewhere to imply any such professional status or qualification.

AACBT members accredited by the AACBT as meeting the criteria for Accredited Cognitive and/or Behaviour Therapists with the AACBT, are free to advertise or otherwise announce that fact.

APPLICATION for AACBT Ltd. ACCREDITATION

Applicant Details

Title: Miss Ms Mrs Mr Dr Other:______

Last Name: ______Given names: ______

Former name (if applicable): ______

Profession: ______

Position/title: ______

Organisation: ______

Email: ______

Your preferred mailing address will be recorded as the address to which all correspondence will be sent.

Preferred Mailing Address: ______

______

______State: ______Post Code: ______

Phone:______Mobile: ______

Criteria 1. Professional Registration/Membership

Full registration or full membership with the relevant Australian professional or registration body as specified below:

Please indicate your profession and provide the information requested below.

Attach a certified1 copy of your current registration/membership certificate/s.

Psychologist: Psychology Board of Australia (www.ahpra.gov.au)

Registration number: ______

Year first fully registered: ______

Social worker: Australian Association for Social Work (www.aasw.asn.au):

Membership number: ______

Full member since (insert year): _____

Occupational Therapists Occupational Therapy Australia Ltd.

(www.ausot.com.au):

Membership number: ______

Full member since (insert year): _____

Counsellor: Australian Counselling Association (www.theaca.net.au)

Membership number: ______

Full member since (insert year): _____

Please note: Only individuals who gain ACA membership through the completion of a Higher Education sector Bachelor of Counselling degree are eligible. Please attach a certified copy of your degree.

Mental health Nurse (MHN): Nursing and Midwifery Board of Australia:

Registered Nurse (Division 1) and Australian College of

Mental Health Nurses (ACMHN, www.acmhn.org): Credentialed Mental Health Nurse

Full member since (insert year): _____

Medicine: Medical Board of Australia: General Registration

Year first fully registered: ______

Criteria 2. BABCP Certificate of Accreditation

Please provide a certified copy1 of your BABCP Certificate of Provisional or Full

Accreditation as a Cognitive Behavioural Psychotherapist (CBP)

1Note. Copies of documentation must be certified as true copies of the original by one of the following certifying officers: Member of the AACBT, accountant, Justice of the Peace, pharmacist, physiotherapist, police officer, psychologist, social worker, occupational therapist, general practitioner. Each page should be certified as a true copy of the original and include the signature and printed name, profession and telephone number of the certifying officer. The certifying officer must not be a spouse/partner or family member.

Applicant’s Declaration

I hereby declare that

1. I have met the AACBTs Accreditation criteria for professional registration, professional development and supervised clinical practice:

Please tick all that apply

I have current Registration/Membership with my professional body

I have provisional/full accreditation with the BABCP

I am a current member of AACBT Ltd.

In the past 12 months (maximum of 24 months for part time employees):

I have completed at least 30 hours of professional development in CBT

I have completed a minimum of 10 hours ‘peer consultation’

I have been actively engaged in continuing CBT ‘practice’.

I have provided certified copies of my Professional Registration/Membership certificate and BABCP Accreditation Certificate. I understand that I must provide be able to provide documentary evidence of this professional development and supervised clinical practice on the request of the AACBT.

2. I have met the AACBTs Conditions of Ethical and Professional Practice as an Accreditation AACBT Therapist2

(i) I have not been and am not currently under investigation by any disciplinary or legal tribunal

(ii) I have not had any charges of unprofessional conduct brought against me

(iii) I have not been convicted of an offence involving a criminal charge, and to not have any charge pending

I will notify the Chair of the AACBT Accreditation Committee within 7 working days if I am:

(i) Placed under investigation by any disciplinary or legal tribunal

(ii) Have charges of unprofessional conduct brought against me

(iii) Have criminal charges brought against me.

3. I have current Professional Indemnity Insurance Cover that meets the AACBT’s requirements for appropriate cover

4. I agree to abide by the AACBTs Conditions for Advertising my AACBT membership/accreditation status.

5. I understand that if my application is unsuccessful, or if I withdraw my application, I will be charged a processing fee of $50

6. To maintain Accreditation as an AACBT Cognitive and Behavioural Therapist, I understand that I will need to meet the AACBT’s criteria for ongoing professional registration, professional development, clinical practice and peer consultation (AACBT Accreditation Renewal Criteria) on an annual basis. I must be able to provide documentary evidence of this on request from the AACBT.

Signature: ______

Print Name: ______Date: ______

2Note: If you responded “YES” to any of these questions, please attach an explanation to this application (including details of the outcome). Mark it “IN CONFIDENCE” and address it to the Chair of AACBT Accreditation. In evaluating your application, we will consider your response to these questions and may request further information. A positive answer to any of the above questions will not automatically result in rejection of the accreditation application. Each application will be considered on its merits.

APPLICATION for AACBT Ltd. ACCREDITATION

Payment Method (Please note a separate receipt / tax invoice will be issued once your accreditation application has been processed » in up to 6 weeks)

o Cheque / Money Order payable AACBT enclosed or

Charge my:

o / / o /
Amount:
$ ______/ Card No:
______/ Expiry:
__ ___ / __ __
CVV: _ _ _
Cardholder’s name (as it appears on card) / Cardholder’s signature
Date: ______
Return via: / Email: or
Mail two copies to:
AACBT Accreditation Committee
PO Box 4040
Nowra EastNSW2541
Office Use

Only

/ Date
Received / Member No. / Fee Paid

Accredited BABCP Member Application for AACBT Accreditation

ATTACHMENT A

Criteria 3. AACBT Professional Development Log

Please list the details of at least 30 hours of professional development in CBT over the past 12 months (maximum of 24 months for part time employees only).

Type of training
(eg., workshop, course) / Training Title / Name of organizing body (eg., AACBT, APS, University of Qld) / Month & year attended / Duration of training (actual contact hours of CBT skills training)

AACBT Professional Development Log

Criteria 4. AACBT Continuing CBT Practice Log

Please list the details of your continuing CBT practice over the past 12 months (maximum of 24 months for part time employees only).

Employment details / Type of CBT practice (e.g., Clinical practice with client, Supervision of CBT, Teaching or training, Research, Other) / Estimated proportion of time spent each month engaged in CBT-related activities (%/total work hours)
Job Title:
Name of Employer:
Date commenced:
Date completed:
Job Title:
Name of Employer:
Date commenced:
Date completed:
Job Title:
Name of Employer:
Date commenced:
Date completed:

Criteria 5. AACBT Clinical Peer Consultation Log

Please provide the details of the CBT ‘peer consultation’ you have received to a minimum of 10 hours over the past 12 months (maximum of 24 months for part time employees only).

Dates from and to
(e.g., 2012-2013) / Individual/
Group/Peer supervision / Name of supervisor, group facilitator, peer supervisor/s / Frequency of meetings (e.g., weekly, fortnightly, monthly, bi-monthly etc.) / Duration of meetings / Total Duration

AACBT Clinical Peer Consultation Log

Accredited BABCP Member Application for AACBT Accreditation

DEFINITIONS