Consent to Recording Form (Page 1)

Consent to Recording Form (Page 1)

Consent to Recording Form (page 1)

College of Life and Environmental Sciences: Psychology

Improving Access to Psychological Therapy: High Intensity Course 2014

It is important to ensure that staff providing Cognitive Behaviour Therapy (CBT) receive supervision and that their skills are assessed and monitored to ensure quality of service to clients.

The training programme that your therapist is currently undertaking aims to provide a post-qualification training in evidence-based CBT for adults with mental health problems such as depression and anxiety disorders. The training aims to equip therapists to become skilled and effective CBT practitioners, in accordance with British Association for Behavioural and Cognitive Psychotherapies (BABCP) Standards of Conduct Performance and Ethics and reach a level of competence that has been shown to help people overcome or manage their difficulties more effectively.

To help ensure high standards of practice, your therapist is receiving regular supervision from experienced CBT therapists accredited by the BABCP and is required to regularly audio record their therapy sessions for the purpose of assessment and supervision. The audio recordings are used to study exactly how the therapy was provided to you and are listened to by the therapist’s supervisor/assessor so that they can monitor skills, give feedback and provide useful supervision in order to fine tune your therapy and enhance the therapist’s skills.

Recordings of therapy sessions are also used by the University as part of formal assessment on the training programme. Recordings used for assessment are accompanied by a written case report about the treatment you are receiving.

All information which could personally identify you will be removed from the case report. Anyone viewing the case report or listening to the recording is required to maintain confidentiality concerning its content. The recording and the case report will be stored separately under secure conditions.

Consent - please read the following paragraphs carefully. You can consent to recordings of your therapy sessions being used for some or all of the following purposes. Consent can be withdrawn at any point without a reason being given. If you agree to participate, please tick the box next to the purpose(s) for which you consent to the recording being used and sign and date the consent form.

Consent to Recording Form (page 2)

College of Life and Environmental Sciences: Psychology

Improving Access to Psychological Therapy: High Intensity Course 2014

I understand that ______is currently undertaking specialist post-qualification training in CBT and as part of this training, his/her supervisor/programme tutor will listen to recordings of their therapy practice.

I consent to being audio taped for the purpose(s) indicated below. I understand that I may listen to my recording at any time. All recordings will be stored in accordance with the Data Protection Act (DPA), 1998. I give my consent on the understanding that the recording will be kept confidential and will be stored securely. I am aware that the recording will be erased once the specified purpose(s) have been fulfilled (6 months after the IAPT HI post-graduate exam board) at which point the recording will be erased. However, I may withdraw my consent at any time and have the recording erased.

Purpose: Supervision

I consent to the use of recordings for the purpose of supervision by my therapist’s
supervisor/s.

Purpose: Assessment

I consent to the use of recordings and accompanying written case reports for the purpose of assessment on the programme which my therapist is undertaking.

Signed Client: ______Date: ______

Signed Therapist: ______Date: ______

It is very helpful to use real examples of therapy sessions for teaching purposes. Should you consent to this recording being used for teaching, it will only be listened to by trainees on University of Exeter CBT training courses. Please read the following paragraph and if you are willing to give this extra consent, tick the box and sign and date below.

Consent to Recording Form (page 3)

College of Life and Environmental Sciences: Psychology

Improving Access to Psychological Therapy: High Intensity Course 2014

I consent to being audio taped for the purpose indicated below. I give my consent on the understanding that the recording will be kept confidential and will be stored securely in a locked filing cabinet when not being accessed for training purposes. I am aware that the recording will be erased once the teaching purposes have been fulfilled (five years from the date of submission) at which point the recording will be erased. However, I may withdraw my consent at any time and have the recording erased.

Purpose: Teaching

 I consent to the use of recordings for the purpose of teaching cognitive behavioural therapy at the University.

Signed Client: ______Date: ______

This agreement has been discussed with me by ...... on:/ /

Copy to client Date: //Copy for client file Date: //

Therapist Statement

“I certify that I have conducted this clinical work in line with appropriate professional practice guidelines, Codes of Ethics [e.g. BABCP Standards of Conduct, Performance and Ethics] and/or workplace Policies, which have been strictly adhered to in terms of making the recording and seeking permission for use. This signed consent form will accompany the recording.”

Signed: …………………………………………. Therapist Name:…………………………......

(Adapted from University of Reading Consent Form, 2012)