Resources for your upcoming supervision.
Cognitive Therapy Rating Scale (CTRS)
This tool is designed to measure therapist competency and can highlight a therapist’s specific strengths and weaknesses in a therapy session. The manual provides detailed instructions to raters.
CBT Worksheet Packet
- Cognitive Conceptualization Diagram
- Activity Chart
- Therapy Report
- Preparing for a Therapy Session
- Thought Record
- Core Beliefs
- Download Worksheet Packet
- Supervision Protocol (Individual) (Updated June 12, 2017)
- Supervision Protocol (Group) (Updated June 12, 2017)
- File Encryption and Delivery Portal Instructions (Updated June 8, 2017)
- Terms and Conditions
Consent to Record Sessions Form by Agency
- CGFS: Central
- CGFS: Front Street – Annex
- CGFS: Front Street – Main
- CGFS: North Summit
- CGFS: Southeast
- CGFS: Southwest
- Greenleaf: Please refer to your electronic medical record
Presentations and handouts from workshops.
- CBT for Depression
- Fundamentals with Suicide Part 1
- CBT for Suicidality Part 2
- CBT for Youth Part 1
- CBT for Youth Part 2
- CBT for Substance Use Disorders
- Supervising CBT
Frequently Asked Questions
Supervision terms consist of 10 sessions over the course of 3 months. Sessions are held weekly, although we have factored in two extra weeks to accommodate illness, vacation, holidays, etc.
The first supervision term for all participants is scheduled to begin July 1st and end on September 30th. Those in Individual Supervision will begin another supervision term, immediately following the first supervision term This second term will run from October 1st to December 31st, and will be a continuation of regular supervision, unless you qualify for supervision of supervision.
Recordings will be submitted through a private, password-protected file-sharing service that Beck Institute is providing to all supervisees. Instructions on how to use this service are included above (see “File Encryption and Delivery Portal Instructions” under “Resource Documents.”)
A single session recording should be submitted at least three days in advance of your supervision call (approximately weekly.) Those of you in Individual Supervision will end up submitting 10 session recordings. Those of you in Group Supervision will rotate who is responsible for submitting the next week’s recording; for example, in a group of four clinicians, each clinician should expect to submit 2-3 session recordings across 10 sessions
Supervision calls may be conducted via telephone or video conferencing. If using video conferencing, you are not permitted to enable the “Record” feature as recording supervision calls are strictly prohibited. More details on specific programs will be provided to program participants.
You will need to use a digital voice recorder that converts to audio files.
We’ve found that saying something like the following helps:
“I have an unusual opportunity for you. You should feel free to say yes or no. I’m about to begin a special supervision program and if you do say yes, I think you’ll really benefit. Here’s what I’d do. I’d record our next few therapy sessions but I would never say or write down your full name. I’ll send the recordings to a special supervisor who will listen to it, then delete it, and then give me feedback. I always think two heads are better than one. You’d get the benefit of the expert supervision that I’ll be getting. [pause] What do you think? Do you want to be the client I choose? Or would you like to think about it?”
If you are in group supervision, just change the script to say:
“I’ll send the recordings to a special supervisor and to a couple of my colleagues. They’ll listen…”
Beck Institute recommends that you record two consenting clients per week (or, in advance of your scheduled week, for those of you in Group Supervision.) Recording more than one client at a time is helpful in the event that the primary client you’re using for supervision misses a session.
We recommend using the same client for at least the first few supervision sessions. You can then move onto another client if that would be more helpful. You are not required to use the same client throughout your supervision term, nor switch to another client.
Both you and your supervisor will rate every patient recording you submit using the Cognitive Therapy Rating Scale (CTRS.) You will need to read the CTRS Manual first. A Passing Score on the CTRS is 40. A copy of the CTRS and CTRS Manual are provided as downloadable documents on www.beckinstitute.org/Akron-Resources.
Your supervisor will rate your therapy recordings using the Cognitive Therapy Rating Scale (CTRS). In order to receive a Letter of Completion, you must obtain a score of 44 three times and be recommended by your supervisor. You must attend all ten sessions and submit at least nine recordings. Trainees who do not reach competency receive a Letter of Participation and may enroll in additional terms.
Supervision terms are eligible for 7.5 CEs. When you complete the supervision term, you will receive a letter of participation or a letter of completion.
You will receive a Letter of Participation documenting your participation in the supervision program and you may enroll in additional terms.
To be eligible to participate in supervision of supervision, you must first successfully complete your first standard term of supervision (Individual) and receive 3 scores of 50 or higher on the CTRS. Please note that the standard to progress to supervision of supervision is a higher standard than is required to receive a Certificate of Completion. You must also receive a recommendation from your supervisor to begin supervision of supervision.
Supervision of supervision is structured the same way as regular supervision (10 sessions over the course of 3 months). However, instead of recordings of therapy sessions, you will send your supervisor recordings in which you are supervising your own trainees. You will then receive feedback from your Beck Institute supervisor on how to become a more effective CBT supervisor.
Beck Institute will provide you with a copy of the Cognitive Therapy Rating Scale (CTRS) and CTRS Manual, a Cognitive Therapy Worksheet Packet, access to a secure file sending service to send your recordings, and a sample consent form to use with your clients. You will also be provided with copies of Beck scales (BDI, BAI, and BHS and, if applicable, the Beck Youth Scales). Please note, the BDI, BAI, BHS, and all Youth Scales are owned by Pearson Assessments and are provided as a special courtesy as part of your participation in the Beck Institute Supervision Program. They are only to be used with clients with whom you are working within the scope of the Beck Institute Supervision Program. Otherwise you will be in violation of copyright laws.