ST0820Clinical Associate in Psychology Standards

National Competency Framework for Clinical Associates in Psychology (or Assistant Psychologists).

CLINICAL ASSOCIATE IN PSYCHOLOGYOccupation summary

Overview of the role: A Clinical Associate in Psychology (CAP)

This is a new occupation, developed for implementation in England, introduced as part of a programme of work to provide greater access to psychologically informed mental health and wellbeing services. Clinical Associates in Psychology fill an identified skills gap between assistant psychologist and Health and Care Professions Council (HCPC) registered practitioner psychologists. They are able to practice autonomously with appropriate support, working within their scope of practice, under the supervision of an appropriately registered HCPC practitioner psychologist. Where the term ‘patient’ is used in the standard it covers service users, clients or any individuals in receipt of psychological support and interventions.

The broad purpose of the occupation is to provide high quality, evidence based psychological interventions to inform practice, with formulations derived from specialist psychological measurement and assessment tools to work with populations across the lifespan from different backgrounds, cultures and beliefs. They work with specific populations and therefore provide a more proscribed range of activities than HCPC registered practitioner psychologists.

A Clinical Associate in Psychology responsibilities include:

  • Psychological Assessments and Interventions: Deliver evidence-based psychological assessments, formulations, and interventions for individuals and groups, especially those with complex, long-term needs.
  • Autonomous Practice Under Supervision: Work independently within their scope of practice under the supervision of an HCPC-registered psychologist.
  • Work in Various Settings: Provide services across multiple settings, including homes, workplaces, hospitals, and secure facilities.
  • Multidisciplinary Collaboration: Collaborate with healthcare, justice, education, and community professionals as part of a multidisciplinary team.
  • Training and Support: Provide training and supervision to colleagues using psychological models.
  • Risk Management and Evaluation: Conduct risk assessments and evaluate the effectiveness of interventions.
  • Resource Management and Service Improvement: Manage resources effectively and contribute to audit and service improvement initiatives.
  • Continuing Professional Development (CPD): Engage in ongoing learning, meet weekly with supervisors, and follow BPS standards for accredited practice.
  • Manage Caseloads: Independently manage and evaluate clinical cases within their scope of practice.
  • Applied Research: Conduct applied research to inform and improve psychological interventions.

Typical job titles include:

  • Clinical Associate in Psychology
  • Assistant Clinical Psychologist
  • Psychological Associate
  • Associate Psychologist
  • Assistant Practitioner in Psychology

MAPPEDClinical Associate in Psychology STANDARDS

Standard No. 0820. This standard is from and belongs to IfATE and is used under the terms of the Open Government Licence in the United Kingdom
LEVEL EQF7
ROUTEPsychology
EQAOfqual UK.Gov
APPLIEDMaster of Psychology
STATUSApproved for Applied

CLINICAL ASSOCIATE IN PSYCHOLOGYOccupation duties & KSBs

Duty 1

Be an accountable professional acting in the best interests of patients by providing personalized psychological interventions that are evidence-based, compassionate, and empowering.

Knowledge must have for Duty 1:
  • K1: Understand British Psychological Society (BPS) Professional Code of Conduct, local and national policies and procedures that define scope of practice.
  • K2: Understand how to assess limits of professional boundaries and capacity, and understand when to seek supervision/advice to ensure best care.
  • K3: Understand the principles of clinical supervision and its role in providing a supportive environment for reflection and professional development.
  • K4: Understand principles of handling confidential information and when to share information for appropriate professional purposes with consent.
    stakeholders.
  • K5: Understand how to maintain knowledge of contemporary evidence-based practice through appropriate continued professional development.
  • K6: Understand and recognize professional duty to challenge and report discriminatory behavior.
Skills must have for Duty 1:
  • S1: Work within the scope of practice of the role and within the bounds of professional competence, in line with employer’s requirements around values, conduct, and ethics.
  • S2: Act in accordance with the BPS Professional Code of Conduct in all clinical and professional activities, identifying and challenging discriminatory behavior.
  • S3: Participate actively in clinical supervision to develop individual scope of practice within legal and ethical boundaries to manage risk and enhance clinical practice.
  • S4: Take responsibility for continuous self-reflection, seeking and responding to support and feedback to develop professional knowledge and skills.
Behavior must have for Duty 1:
  • B1: Treat patients with dignity, respecting diversity, beliefs, culture, needs, values, privacy, and preferences.
  • B2: Show respect and empathy, have the courage to challenge areas of concern, and adhere to evidence-based best practices.
  • B3: Be adaptable, reliable, consistent, and demonstrate professional and clinical competence while maintaining resilience and self-awareness.
Duty 2

Communicate effectively through creating and maintaining clinical records.

Knowledge must have for Duty 2:
  • K7: Understand responsibility for fulfilling and maintaining local and national information governance policies.
  • K8: Understand the need to maintain accurate clinical records and why all entries in clinical and practice records are dated, timed, and signed.
  • K9: Understand policy and practice with regard to incident reporting within your organization.
  • K10: Understand how to communicate confidential information effectively.
  • K11: Understand the need for recording patient consent, including verbal consent where appropriate, and ensuring consent is given for sharing information for professional purposes.
Skills must have for Duty 2:
  • S5: Communicate effectively, share information, and check understanding using clear language and appropriate written materials, making reasonable adjustments to optimize understanding.
  • S6: Recognize and accommodate sensory impairments during all communications, including the use of personal communication aids.
  • S7: Implement, produce, and maintain clear, legible, and contemporaneous patient records regarding direct and indirect patient contacts, adhering to professional and ethical standards.
  • S8: Comply with service and national standards of clinical record-keeping.
Behavior must have for Duty 2:
  • B1: Treat patients with dignity, respecting diversity, beliefs, culture, needs, values, privacy, and preferences.
  • B2: Show respect and empathy, have the courage to challenge areas of concern, and adhere to evidence-based best practices.
  • B3: Be adaptable, reliable, consistent, and demonstrate professional and clinical competence while maintaining resilience and self-awareness.
Duty 3

Conduct psychological assessment to identify the priorities and requirements for personalised, evidence-based psychological interventions.

 

Knowledge must have for Duty 3:
  • K12: Understand how individual life experiences and life-events may be relevant when taking an individual history for specialist psychological assessment to enable personalized interventions.
  • K13: Understand cognitive functioning and the factors that may affect performance during assessment.
  • K14: Understand how to conduct individualized psychological and cognitive assessments, utilizing behavioral observations, self, and other observation data.
  • K15: Understand fundamentals of psychometric principles to guide the use of standardized assessment tools with specific populations.
  • K16: Understand how to analyze and appraise the range of cognitive-behavioral and other psychological assessment methods used in clinical practice.
  • K17: Understand how to analyze outputs from specialist psychological assessments across a broad range of patient needs.
Skills must have for Duty 3:
  • S9:Assess individuals and/or families using a variety of approaches and psychological assessment methods to assess baseline and post-intervention change.
  • S10: Analyze outputs from specialist psychological and cognitive assessments to inform practice and share findings with the multidisciplinary team.
  • S11: Conduct assessments and treatment interventions according to evidence-based practice, especially in cases with limited treatment protocols.
  • S12: Take into account the impact of conflicting and contradictory information from carers and healthcare professionals during assessment.
Behavior must have for Duty 3:
  • B1: Treat patients with dignity, respecting diversity, beliefs, culture, needs, values, privacy, and preferences.
  • B2: Show respect and empathy, have the courage to challenge areas of concern, and adhere to evidence-based best practices.
  • B3: Be adaptable, reliable, consistent, and demonstrate professional and clinical competence while maintaining resilience and self-awareness.
Duty 4

Develop psychological formulations to inform the delivery of effective personalised care and to enhance the range of psychological interventions that other professionals may utilise in their practice.

 

Knowledge must have for Duty 4:
  • K18: Understand how formulation integrates psychological, biological, emotional, interpersonal, social, cultural, and interpersonal factors.
  • K19: Understand that formulations draw on psychological theory to describe an individual’s problems and provide a rationale for how these problems have developed and are maintained.
  • K20: Understand a range of psychological hypotheses to explain the development and maintenance of distress in patients.
  • K21: Understand how formulation informs treatment and how it can be used by others in a multidisciplinary team.
  • K22: Understand how to appraise the range of cognitive-behavioral and other assessment methods to underpin diagnosis and/or formulation.
  • K23: Understand the importance of considering the preferences of individuals with complex conditions, as well as their caregivers, when planning interventions.
Skills must have for Duty 4:
  • S13: Formulate individual distress to explain how psychological difficulties are influenced by sociocultural and attitudinal factors.
  • S14: Create, implement, and evaluate formulations based on multiple sources of data to inform the management of interventions, especially where no protocols exist.
  • S15: Develop collaborative formulations with patients to ensure shared understanding and inform the delivery of evidence-based interventions.
  • S16: Share formulations with others in a multidisciplinary team to enhance patient engagement and anticipate potential obstacles to treatment.
Behavior must have for Duty 4:
  • B1: Treat patients with dignity, respecting diversity, beliefs, culture, needs, values, privacy, and preferences.
  • B2: Show respect and empathy, have the courage to challenge areas of concern, and adhere to evidence-based best practices.
  • B3: Be adaptable, reliable, consistent, and demonstrate professional and clinical competence while maintaining resilience and self-awareness.
Duty 5

Provide a range of psychological treatments to individuals and groups appropriate to the needs of patients in the context in which they experience distress.

 

Knowledge must have for Duty 5:
  • K24: Understand mental health issues and maintain awareness of common mental health myths, misconceptions, and stereotypes.
  • K25: Understand the importance of therapeutic alliance and recognize the barriers to effective interventions, such as stigma and discrimination.
  • K26: Understand the appropriateness of various evidence-based psychological models for addressing individual patient needs.
  • K27: Critically appraise psychological models and interventions to inform treatment planning and the appropriate choice of treatment protocols.
  • K28: Understand theoretical concepts of psychological models at both individual and group levels as recognized in national guidelines.
  • K29: Understand how psychological interventions impact self-management strategies and existing action plans.
  • K30: Understand the importance of setting appropriate intervention goals and agreeing on these with patients, families, and caregivers.
  • K31: Understand the need for interventions to minimize harm, maximize benefits, and improve overall quality of life.
Skills must have for Duty 5:
  • S17: Apply psychological interventions consistent with assessment and diagnosis/formulation.
  • S18: Explain the rationales for evidence-based psychological treatment models to individuals, groups, and professional colleagues.
  • S19: Deliver psychological treatments appropriate to patient needs, considering the level of distress and complexity.
  • S20: Recognize and respond to individual distress using evidence-based psychological treatment models and protocols.
  • S21: Analyze and evaluate the appropriateness of various psychological models to address individualized patient needs.
  • S22: Evaluate psychological interventions at both individual and group levels to inform treatment planning and implementation.
Behavior must have for Duty 5:
  • B1: Treat patients with dignity, respecting diversity, beliefs, culture, needs, values, privacy, and preferences.
  • B2: Show respect and empathy, have the courage to challenge areas of concern, and adhere to evidence-based best practices.
  • B3: Be adaptable, reliable, consistent, and demonstrate professional and clinical competence while maintaining resilience and self-awareness.
Duty 6

Provide a range of psychological interventions when working with complex and chronic needs within scope of practice, selecting and implementing interventions where an established evidence-base is absent.

Knowledge must have for Duty 6:
  • K32: Understand how to interpret evidence-based psychological treatment choices for individuals, groups, and other healthcare colleagues, especially for managing complex and chronic needs.
  • K33: Understand lifespan development and its impact on performance, adjusting interventions accordingly for complex needs.
  • K34: Understand how to plan and manage psychological interventions for individuals with complex and long-term needs.
  • K35: Critically appraise the best available evidence and existing practices to make informed clinical decisions when treatment protocols are absent.
  • K36: Understand behavioral change models, including health belief models, to guide interventions in the absence of strong evidence or clinical guidelines.
Skills must have for Duty 6:
  • S23: Plan and implement evidence-based treatment protocols specific to the complexity and chronicity of individual or group needs.
  • S24: Develop psychological interventions based on potentially conflicting clinical data.
  • S25: Actively engage patients in treatment plans to address emotive situations and resolve issues.
  • S26: Apply psychological interventions consistent with self-management strategies for patients with complex and chronic needs.
  • S27: Implement evidence-based interventions for complex or long-term needs, ensuring intervention goals are agreed upon with patients, families, and caregivers.
  • S28: Use evidence-based interventions to address complex and/or long-term needs, in alignment with models of psychological change.
  • S29: Plan and execute psychological treatment models, providing a patient-specific rationale.
Behavior must have for Duty 6:
  • B1: Treat patients with dignity, respecting diversity, beliefs, culture, needs, values, privacy, and preferences.
  • B2: Show respect and empathy, have the courage to challenge areas of concern, and adhere to evidence-based best practices.
  • B3: Be adaptable, reliable, consistent, and demonstrate professional and clinical competence while maintaining resilience and self-awareness.
Duty 7

Choose appropriate psychological measurement tools for ongoing evaluation of psychological treatments that make a significant contribution to the continuous enhancement and quality improvement of clinical practice.

Knowledge must have for Duty 7:
  • K37: Understand, appraise, and differentiate the selection of appropriate measurement tools from a range of options in the context of individual and service-level change.
  • K38: Understand how to conduct individualized psychological evaluations using behavioral observation and measurement.
  • K39: Understand the use of valid and reliable measurement tools for the purposes of outcome evaluation, incorporating feedback from formal and informal caregivers.
  • K40: Understand fundamentals of psychometric principles to guide the use of standardized evaluations for identifying appropriate quality improvement strategies.
Skills must have for Duty 7:
  • S30: Accurately measure and evaluate outcomes across different care settings by selecting suitable measurement tools for individual and service-level change.
  • S31: Participate in all stages of audit and evaluation activities to contribute to the continuous enhancement and quality improvement of clinical practice.
  • S32: Implement a range of psychological measurement tools with individuals, families, or services to evaluate treatment outcomes and inform quality improvement strategies.
Behavior must have for Duty 7:
  • B1: Treat patients with dignity, respecting diversity, beliefs, culture, needs, values, privacy, and preferences.
  • B2: Show respect and empathy, have the courage to challenge areas of concern, and adhere to evidence-based best practices.
  • B3: Be adaptable, reliable, consistent, and demonstrate professional and clinical competence while maintaining resilience and self-awareness.
Duty 8

Provide support and guidance as part of the multidisciplinary teams.

Knowledge must have for Duty 8:
  • K41: Understand how to communicate to non-psychology colleagues a range of psychological hypotheses explaining the development and maintenance of distress in patients.
  • K42: Understand how to support and guide contributions from multidisciplinary team members to provide safe, integrated, and effective psychological practice, recognizing the impact of team and organizational dynamics.
  • K43: Understand the principles of leadership theory to influence best psychological practice when working in teams.
  • K44: Understand the impact of multiple perspectives within the context of multidisciplinary teams.
Skills must have for Duty 8:
  • S33: Provide guidance, support, and facilitation to multidisciplinary team members in the delivery of psychologically enhanced approaches.
  • S34: Act as a psychological resource within the multidisciplinary team to demonstrate how psychological theories and models can facilitate practice innovations.
  • S35: Apply psychological theory and research to address emotive and challenging situations, considering conflicting and contradictory information from carers and other healthcare professionals.
  • S36: Work as part of a multidisciplinary community team or in specialized clinical settings and liaise with relevant external agencies to facilitate and enable psychological interventions.
Behavior must have for Duty 8:
  • B1: Treat patients with dignity, respecting diversity, beliefs, culture, needs, values, privacy, and preferences.
  • B2: Show respect and empathy, have the courage to challenge areas of concern, and adhere to evidence-based best practices.
  • B3: Be adaptable, reliable, consistent, and demonstrate professional and clinical competence while maintaining resilience and self-awareness.
Duty 9

Provide training to others in order to inform psychological interventions across a range of service settings.

Knowledge must have for Duty 9:
  • K45: Understand psychological practice requirements and safe practice, and how to convey this to the broader clinical workforce in line with the evidence base.
  • K46: Understand different learning styles and how this can affect the success of training delivery.
  • K47: Understand the range of tools and techniques that can be used to support learning, set goals, and evaluate learning.
  • K48: Understand different training approaches using psychological theory and research to bring about changes in the delivery of treatments.
  • K49: Understand the impact of teaching others to enhance reflective practice in the context of a range of service settings.
Skills must have for Duty 9:
  • S37: Work collaboratively to identify and meet the learning and development needs of health or care professionals.
  • S38: Communicate new learning approaches and provide constructive feedback to overcome barriers to the implementation of best psychological practice.
  • S39: Communicate the core concepts of psychological theory, research, and practice to others in order to enhance their delivery of psychological interventions.
  • S40: Provide training to inform and support psychological models of change.
  • S41: Provide training within teams to enhance delivery of clinical and research practice interventions appropriate to the health and psychological needs of patients across a range of service settings.
Behavior must have for Duty 9:
  • B1: Treat patients with dignity, respecting diversity, beliefs, culture, needs, values, privacy, and preferences.
  • B2: Show respect and empathy, have the courage to challenge areas of concern, and adhere to evidence-based best practices.
  • B3: Be adaptable, reliable, consistent, and demonstrate professional and clinical competence while maintaining resilience and self-awareness.
Duty 10

Undertake research and service development activities to inform change in the area of work.

Knowledge must have for Duty 10:
  • K50: Understand how research is conducted and implemented to inform effectiveness in clinical practice.
  • K51: Understand the range of legal, ethical, professional, financial, and organizational policies and procedures that apply to clinical research activities.
  • K52: Understand the importance and impact of organizational culture in service delivery and development.
  • K53: Understand a range of quantitative and qualitative research methodologies relevant to the situation and service context.
  • K54: Understand a range of research approaches, drawing on specialist psychological tools to collect data and enhance service delivery.
  • K55: Understand knowledge of evidence-based practice through supporting others in planning audits, evaluation, and research of their work.
Skills must have for Duty 10:
  • S42: Engage in research activity to identify service gaps and problems and implement new approaches to solve clinical and service issues.
  • S43: Communicate clinically relevant research material to a range of practitioners.
  • S44: Apply and analyze a range of research approaches, including both qualitative and quantitative methods, in clinical practice.
  • S45: Act as a resource within teams to inform clinical and research practice, critically appraise and interpret the outcomes of research methodologies, such as service evaluation and clinical audit.
  • S46: Evaluate and audit clinical practice by conducting service evaluations and disseminating findings to ensure best use of publicly funded resources.
Behavior must have for Duty 10:
  • B1: Treat patients with dignity, respecting diversity, beliefs, culture, needs, values, privacy, and preferences.
  • B2: Show respect and empathy, have the courage to challenge areas of concern, and adhere to evidence-based best practices.
  • B3: Be adaptable, reliable, consistent, and demonstrate professional and clinical competence while maintaining resilience and self-awareness.
Duty 11

Provide psychological models of clinical supervision to the broader range of professionals they work with within their scope of practice.

Knowledge must have for Duty 11:
  • K56: Understand models of clinical supervision and requirements for practice in line with the evidence base and professional codes of conduct.
  • K57: Understand that clinical supervision provides opportunities for others to review and modify their practice, maintain high professional standards, and enhance individualized care.
  • K58: Understand the appropriate boundaries of professional competency in offering support and supervision and recognize the need for regular supervision for personal practice.
Skills must have for Duty 11:
  • S47: Act as a psychological resource by offering support and clinical supervision in a safe, professional manner.
  • S48: Provide a supportive space for clinical supervision, helping to improve psychological treatment outcomes.
  • S49: Act appropriately when serious concerns arise during supervision regarding conduct, competence, or health of a practitioner.
  • S50: Facilitate support and clinical supervision to promote implementation of psychological models of change for better treatment outcomes.
Behavior must have for Duty 11:
  • B1: Treat patients with dignity, respecting diversity, beliefs, culture, needs, values, privacy, and preferences.
  • B2: Show respect and empathy, have the courage to challenge areas of concern, and adhere to evidence-based best practices.
  • B3: Be adaptable, reliable, consistent, and demonstrate professional and clinical competence while maintaining resilience and self-awareness.
Duty 12

Conduct risk assessments and risk formulations.

Knowledge must have for Duty 12:
  • K59: Understand the evidence base, including contemporary approaches to assessing and managing risks in different contexts.
  • K60: Understand how to assess risk in relation to psychological distress and integrate risk formulations with interventions.
  • K61: Understand contingency management and the use of risk indicators to mitigate against crises.
  • K62: Understand appropriate crisis interventions that are safe, effective, and compassionate, following a rights-based approach.
  • K63: Understand the identification, reporting, and reflection on critical incidents and adverse events to influence and improve clinical practice.
Skills must have for Duty 12:
  • S51: Apply and review risk assessments and formulations when working with complex patients within the scope of practice.
  • S52: Effectively communicate decision-making processes that inform the psychological management of risk, using appropriate guidance and support.
  • S53: Assess and identify appropriate practices related to critical incidents and severe adverse events.
Behavior must have for Duty 12:
  • B1: Treat patients with dignity, respecting diversity, beliefs, culture, needs, values, privacy, and preferences.
  • B2: Show respect and empathy, have the courage to challenge areas of concern, and adhere to evidence-based best practices.
  • B3: Be adaptable, reliable, consistent, and demonstrate professional and clinical competence while maintaining resilience and self-awareness.

APPLIEDPrograms mapped with
Clinical Associate in Psychology Standard

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