3rd big idea core and specific work
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3rd Big Idea Core and Specific Work. Clinical skills. ABCD’S Skills (Alphabet skills): These are the range of skills that clinicians need: A ssessment B ehavioural C ognitive D ynamic. S ystemic. “Traditional” skills pattern. Extended skills clinician. Single modality Core work. - PowerPoint PPT PresentationTRANSCRIPT
3rd Big Idea
Core and Specific Work
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Clinical skillsABCD’S Skills (Alphabet skills): These are the
range of skills that clinicians need:AssessmentBehavioural CognitiveDynamic.Systemic
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AssessmentBehavioural
CognitiveDynamic
Systemic
Advanced
Core
“Traditional” skills pattern
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Extended skills clinician
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AssessmentBehavioural
CognitiveDynamic
Systemic
Single modality Core work
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AssessmentBehavioural
CognitiveDynamic
Systemic
Single modality Core work II
Slide 7
CBT: core vs advanced skillsCore CBT: Core/basic work- explain model, structure sessions, using homework,
reviewing homework
Specific CBT: (using advanced skills)All the above PLUS Socratic questioning/guided discovery Automatic thoughts/assumptions/beliefs Problem specific competencies eg in ERP for OCD
Could you manage a bottleneck to CBT by extending clincal skills to increase capacity at core/core level?
Ref: The competencies required to deliver effective cognitive and behavioural therapy for people with depression and with anxiety disorders. Dept of Health 2007.
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Integrative Core work
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AssessmentBehavioural
CognitiveDynamic
Systemic
Skill summaryAdvanced Skills are often distinct skills in a single
modality trained to a higher level and delivered a higher intensity
CORE skills are eitherto be competent at that modality = single modalityIntegrative work across modalities at lower fidelity
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A Possible Pattern… Effects?
1 2 3 4 5 6 7 8
AdvancedPartial
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A Possible Pattern… Effects?
1 2 3 4 5 6 7 8
Core
Partial
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A Possible Pattern… Effects?
1 2 3 4 5 6 7 8
AdvancedCorePartial
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Work streamsSo now we’ve defined the streams by
skill / intervention intoCoreSpecific
We need to work out how much we can do in THAT stream…
This is a PACKING problem.
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Splitting the streamsThe demand and capacity term for
identifying different streams is segmentation
Dividing a group up into smaller groups with similar characteristics
But first lets look at what happens with no segmentation…
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No segmentation?
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One big fruit crate…
Hard to know quite how much fruit we can get in.
SegmentationSegment the big crate into 4 smaller crates…
Fill 2 of the crates with the SAME sized fruit – apples and oranges… CORE fruit
Now we know how much of averaged sized fruit we can pack in…
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Specific FruitWhat if we have bigger fruit like melonsCan put them in another crate…
Again we can calculate how many melons we can fit in
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Another fruitWhat if we have some bigger fruit?
A 4th crate could have pumpkinsThey are bigger still…So even less can be packed in
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