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Questions and Answers
In ACAT training, the CAT Therapist/ Practitioner route is designed for individuals in therapy roles.
In ACAT training, the CAT Therapist/ Practitioner route is designed for individuals in therapy roles.
True
The noncareer route in ACAT training focuses on CAT Case Management Skills and is suitable for therapy practitioners.
The noncareer route in ACAT training focuses on CAT Case Management Skills and is suitable for therapy practitioners.
False
The term 'Practitioner' is the only title used by ACAT Trustees to refer to individuals who have completed the CAT Therapist training.
The term 'Practitioner' is the only title used by ACAT Trustees to refer to individuals who have completed the CAT Therapist training.
False
The two-year CAT Therapist/ Practitioner training requires trainees to complete 12 clinical appraisals over two years.
The two-year CAT Therapist/ Practitioner training requires trainees to complete 12 clinical appraisals over two years.
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Successful completion of the two-year CAT Therapist/ Practitioner training leads to ACAT accreditation as a CAT Therapist or a CAT Practitioner.
Successful completion of the two-year CAT Therapist/ Practitioner training leads to ACAT accreditation as a CAT Therapist or a CAT Practitioner.
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Trainees undertaking the two-year CAT Therapist/ Practitioner training are required to complete a 20-session CAT training therapy.
Trainees undertaking the two-year CAT Therapist/ Practitioner training are required to complete a 20-session CAT training therapy.
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The two-year course for CAT training requires applicants to attend a three-day workshop.
The two-year course for CAT training requires applicants to attend a three-day workshop.
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Completion of the One Year Foundation course allows trainees to become fully licensed CAT psychotherapists in the UK.
Completion of the One Year Foundation course allows trainees to become fully licensed CAT psychotherapists in the UK.
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The ACAT Foundation Certificate in CAT Practice is awarded after completing the One Year Foundation course.
The ACAT Foundation Certificate in CAT Practice is awarded after completing the One Year Foundation course.
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The CAT Case Management course focuses on equipping participants with therapy skills to work with clients directly.
The CAT Case Management course focuses on equipping participants with therapy skills to work with clients directly.
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CAT offers a framework for one-on-one therapy but is not applicable for team practices or multi-agency working.
CAT offers a framework for one-on-one therapy but is not applicable for team practices or multi-agency working.
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There have been numerous controlled studies confirming the efficacy of CAT in forensic populations.
There have been numerous controlled studies confirming the efficacy of CAT in forensic populations.
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Robert's idealized mother-child relationship led to him developing a healthy self-image.
Robert's idealized mother-child relationship led to him developing a healthy self-image.
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Robert's borderline personality disorder does not exhibit any narcissistic characteristics.
Robert's borderline personality disorder does not exhibit any narcissistic characteristics.
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Robert's SDR diagram is a complex representation of his different self-states.
Robert's SDR diagram is a complex representation of his different self-states.
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Robert's core emotional pain state led him to engage in self-harm and substance abuse.
Robert's core emotional pain state led him to engage in self-harm and substance abuse.
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Robert's self-state 2 involves an idealized perception of his mother.
Robert's self-state 2 involves an idealized perception of his mother.
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Robert's core pain state was associated with feelings of loneliness and insecurity.
Robert's core pain state was associated with feelings of loneliness and insecurity.
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Robert was under the influence of substances at the time of the index offence.
Robert was under the influence of substances at the time of the index offence.
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Robert's relationship behavior was characterized by independence, confidence, and trust.
Robert's relationship behavior was characterized by independence, confidence, and trust.
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Robert's father was not involved in substance abuse.
Robert's father was not involved in substance abuse.
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Robert's early history did not feature significant adversity and neglect.
Robert's early history did not feature significant adversity and neglect.
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Robert lived with his father after social services' intervention.
Robert lived with his father after social services' intervention.
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Multiple foster care placements were not part of Robert's upbringing as an adolescent.
Multiple foster care placements were not part of Robert's upbringing as an adolescent.
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Robert's core emotional pain was triggered by the nurturing and loving behavior he received from his mother.
Robert's core emotional pain was triggered by the nurturing and loving behavior he received from his mother.
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Robert's pursuit of care and devotion in relationships helped him cope with his core emotional pain.
Robert's pursuit of care and devotion in relationships helped him cope with his core emotional pain.
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Robert perceived that he was being cherished and appreciated by his partner, reducing his feelings of neglect and rejection.
Robert perceived that he was being cherished and appreciated by his partner, reducing his feelings of neglect and rejection.
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In self-state 3, Robert experienced a sense of secure and independent dependency.
In self-state 3, Robert experienced a sense of secure and independent dependency.
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Robert had clear memories of his violent conduct during the 'offence self-state'.
Robert had clear memories of his violent conduct during the 'offence self-state'.
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Robert believed that positive change in therapy should be embraced and encouraged.
Robert believed that positive change in therapy should be embraced and encouraged.
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Robert's therapy lasted for six months on a weekly basis.
Robert's therapy lasted for six months on a weekly basis.
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During therapy, Robert canceled several sessions consistently.
During therapy, Robert canceled several sessions consistently.
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The middle phase of therapy focused on Robert's narrative sense of himself and others.
The middle phase of therapy focused on Robert's narrative sense of himself and others.
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The CAT reformulation introduced a range of techniques such as avoiding communication with others and suppressing emotions.
The CAT reformulation introduced a range of techniques such as avoiding communication with others and suppressing emotions.
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Robert's therapy aimed to enhance his ability to observe all reactions and responses, except for improving self-reflection.
Robert's therapy aimed to enhance his ability to observe all reactions and responses, except for improving self-reflection.
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The 'goodbye letter' provided to Robert triggered feelings of contentment and satisfaction.
The 'goodbye letter' provided to Robert triggered feelings of contentment and satisfaction.
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Robert self-reported that no positive change had been achieved for the target problem procedures addressed.
Robert self-reported that no positive change had been achieved for the target problem procedures addressed.
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In follow-up two years post-therapy, Robert had resorted to relationship abuse in his new partnership.
In follow-up two years post-therapy, Robert had resorted to relationship abuse in his new partnership.
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ACAT accreditation as a CAT Practitioner is only granted to individuals in therapy roles.
ACAT accreditation as a CAT Practitioner is only granted to individuals in therapy roles.
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One of the outcome measures used in Robert's therapy was a repertory grid technique.
One of the outcome measures used in Robert's therapy was a repertory grid technique.
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The term 'CAT Therapist' has been approved by ACAT Trustees in place of Practitioner to reflect the adopted title emerging from the Centre for Workforce Intelligence (CfWI) title ________ Therapist.
The term 'CAT Therapist' has been approved by ACAT Trustees in place of Practitioner to reflect the adopted title emerging from the Centre for Workforce Intelligence (CfWI) title ________ Therapist.
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The Two Year CAT Therapist/ Practitioner training aims to develop skills to practice CAT as a one-to-one therapy.It is open to trainees with a core profession (e.g.nursing, psychology, psychiatry, occupational therapy) and relevant experience.It leads to ACAT accreditation as a CAT Therapist/ CAT Practitioner, allowing the graduate to practice CAT within their core profession.It consists of eight modules over two years consisting of theory, skills and supervised clinical case work and is assessed through four clinical appraisals every six months: two clinical case studies and two essays.Trainees must complete a 16-session CAT training ________.
The Two Year CAT Therapist/ Practitioner training aims to develop skills to practice CAT as a one-to-one therapy.It is open to trainees with a core profession (e.g.nursing, psychology, psychiatry, occupational therapy) and relevant experience.It leads to ACAT accreditation as a CAT Therapist/ CAT Practitioner, allowing the graduate to practice CAT within their core profession.It consists of eight modules over two years consisting of theory, skills and supervised clinical case work and is assessed through four clinical appraisals every six months: two clinical case studies and two essays.Trainees must complete a 16-session CAT training ________.
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The 'goodbye letter' provided to Robert triggered feelings of ________ and satisfaction.
The 'goodbye letter' provided to Robert triggered feelings of ________ and satisfaction.
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The middle phase of therapy focused on Robert's narrative sense of ________ and others.
The middle phase of therapy focused on Robert's narrative sense of ________ and others.
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In self-state 3, Robert experienced a sense of secure and independent ________.
In self-state 3, Robert experienced a sense of secure and independent ________.
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The completion of the One Year Foundation course allows trainees to become fully licensed CAT psychotherapists in the ________.
The completion of the One Year Foundation course allows trainees to become fully licensed CAT psychotherapists in the ________.
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Robert entered CAT because of the interpersonal nature of his ______ and identification that he presented with a range of severe personality problems with some dissociation noted.
Robert entered CAT because of the interpersonal nature of his ______ and identification that he presented with a range of severe personality problems with some dissociation noted.
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The victim's account of the relationship indicated that Robert's relationship behavior was characterized by dependence, neediness, anxious insecurity, jealousy, and preoccupation with his partner's ______.
The victim's account of the relationship indicated that Robert's relationship behavior was characterized by dependence, neediness, anxious insecurity, jealousy, and preoccupation with his partner's ______.
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Robert's early history featured significant adversity and ______.
Robert's early history featured significant adversity and ______.
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Robert's father introduced him to drug misuse when aged 12; his father was a substance abuser ______.
Robert's father introduced him to drug misuse when aged 12; his father was a substance abuser ______.
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Robert showed psychological disturbance as a child before he was removed from his mother's care, triggered by her decision to enter and favour a new relationship with a man known to be a sexual ______.
Robert showed psychological disturbance as a child before he was removed from his mother's care, triggered by her decision to enter and favour a new relationship with a man known to be a sexual ______.
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From the age of 14, Robert showed aggression, oppositional conduct, substance misuse, and associated with criminal and ______ peer groups.
From the age of 14, Robert showed aggression, oppositional conduct, substance misuse, and associated with criminal and ______ peer groups.
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Robert experienced intermittent periods of casual employment when in the community, interspersed with periods of __________ for a diversity of offending.
Robert experienced intermittent periods of casual employment when in the community, interspersed with periods of __________ for a diversity of offending.
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Robert experienced an idealised mother-child relationship when his mother left his father, and she appeared to over-indulge Robert in a privileged, worshipping relationship in the absence of his father’s influence. This relationship was internalized as a narcissistic self-state in which Robert yearned for and sought a recapitulation of this type of relationship within his relationships with __________.
Robert experienced an idealised mother-child relationship when his mother left his father, and she appeared to over-indulge Robert in a privileged, worshipping relationship in the absence of his father’s influence. This relationship was internalized as a narcissistic self-state in which Robert yearned for and sought a recapitulation of this type of relationship within his relationships with __________.
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Robert's betrayal by his mother instilled a hatred for her, a feeling he openly disclosed during his later __________.
Robert's betrayal by his mother instilled a hatred for her, a feeling he openly disclosed during his later __________.
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Robert was known to have endured experiences likely to have caused development of restricted, narrow, and damaged models of relating and a damaged sense of __________.
Robert was known to have endured experiences likely to have caused development of restricted, narrow, and damaged models of relating and a damaged sense of __________.
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Robert was assessed to demonstrate clinical features of borderline personality disorder with some __________ characteristics.
Robert was assessed to demonstrate clinical features of borderline personality disorder with some __________ characteristics.
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Robert's SDR diagram represents a simplified version of a more complex diagram, condensed to provide the client with a framework to understand his other-self, self-self, and __________.
Robert's SDR diagram represents a simplified version of a more complex diagram, condensed to provide the client with a framework to understand his other-self, self-self, and __________.
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Robert experienced a sense of insecure, anxious dependency in self- state ______
Robert experienced a sense of insecure, anxious dependency in self- state ______
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In the 'offence self- state' (self- state 3), Robert perceived his partner as betraying and rejecting, triggering him to act ______ as a means of changing the threat
In the 'offence self- state' (self- state 3), Robert perceived his partner as betraying and rejecting, triggering him to act ______ as a means of changing the threat
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Robert acknowledged that he would experience a degree of dissociation when experiencing self- state ______
Robert acknowledged that he would experience a degree of dissociation when experiencing self- state ______
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The Self-States Sequential Diagram (SSSD) highlights a dilemma, trap, and ______
The Self-States Sequential Diagram (SSSD) highlights a dilemma, trap, and ______
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Robert engaged in self-harm, substance misuse, and crime, which reinforced his sense of being ______ and flawed
Robert engaged in self-harm, substance misuse, and crime, which reinforced his sense of being ______ and flawed
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Robert believed that progress and positive change should be sabotaged because he was ______ and unworthy
Robert believed that progress and positive change should be sabotaged because he was ______ and unworthy
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Robert's therapy lasted for ________ on a weekly basis.
Robert's therapy lasted for ________ on a weekly basis.
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Robert cancelled several sessions on an ________ basis.
Robert cancelled several sessions on an ________ basis.
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The middle phase of therapy focused on Robert's narrative sense of ________ and others.
The middle phase of therapy focused on Robert's narrative sense of ________ and others.
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The CAT reformulation introduced a range of techniques such as compassionate listening to self and others, anger control, and emotional self-________.
The CAT reformulation introduced a range of techniques such as compassionate listening to self and others, anger control, and emotional self-________.
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Robert self-reported that positive change had been achieved for all target problem procedures ________.
Robert self-reported that positive change had been achieved for all target problem procedures ________.
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In follow-up, two years post-therapy, Robert had been released into the community on licence conditions and had entered a new ________.
In follow-up, two years post-therapy, Robert had been released into the community on licence conditions and had entered a new ________.
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The ending phase and 'goodbye letter' provided to Robert activated strong feelings of ________ and loss.
The ending phase and 'goodbye letter' provided to Robert activated strong feelings of ________ and loss.
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Robert shared that he felt anger about dependence on others to meet his needs and resentment that relationships had to ________.
Robert shared that he felt anger about dependence on others to meet his needs and resentment that relationships had to ________.
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One of the outcome measures used in Robert's therapy was a repertory grid ________.
One of the outcome measures used in Robert's therapy was a repertory grid ________.
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Robert had modified his attitudes, responses, and conduct within the new relationship and that, during its one-year duration, the partnership had not exhibited any form of relationship ________.
Robert had modified his attitudes, responses, and conduct within the new relationship and that, during its one-year duration, the partnership had not exhibited any form of relationship ________.
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The One Year Foundation course is equivalent to the Year One of a CAT Therapist/ Practitioner course in academic and clinical content and written work requirements. The therapy component is a brief reformulation experience and is setting-specific. The award is an ACAT Foundation Certificate in CAT Practice (IAPT setting). The ______ course is modular and has been designed for trainees satisfactorily completing the course to opt to do a second year.Other specialties/ contexts can be considered on a case by case basis.This ______ training may be adopted by other professional training courses (e.g.some clinical psychology training courses in the UK). 2.CAT skills – non- career route (CAT Case Management) ACAT also accredits a six- month long CAT skills course as a non- career route (CAT Case Management).These courses are equivalent to two modules and are designed to enable the use of CAT concepts in case management (not therapy).They aim to enhance skills in team working with complex clients, psychologically informed case management and understanding the impact of working within a context, usually with complex clients.The award is an ACAT CAT Contextual Skills Certificate in Case Management.Possible applications include IAPT/ SMIPD case management, MDT team care and CAT-informed care coordination e.g.for complex cases and forensic settings.Client characteristics (indicators/ contra- indicators) If clients are not ready to engage in therapy – for instance, if they are floridly psychotic or repeatedly heavily under the influence of substances – there are a range Cognitive Analytic Therapy 51 51 of other ways (apart from individual therapy) in which CAT has enhanced clinical and team practices (Kellett, Wilbram, Davis, & Hardy, 2014; Thompson et al., 2008).A reformulation of the client’s repeating patterns can inform ‘good enough’, non- collusive care and service provision by the staff member/ team and service provision effect change, until such a time where the client might engage.CAT therefore offers a conceptualisation of forensic complexity with flexible application for one- to- one therapy, a relational framework for offence- focused intervention (e.g.in an offence- focused group), a CAT- informed intervention and/ or as a contextual reformulation to aide team(s) and multi- agency working.
The One Year Foundation course is equivalent to the Year One of a CAT Therapist/ Practitioner course in academic and clinical content and written work requirements. The therapy component is a brief reformulation experience and is setting-specific. The award is an ACAT Foundation Certificate in CAT Practice (IAPT setting). The ______ course is modular and has been designed for trainees satisfactorily completing the course to opt to do a second year.Other specialties/ contexts can be considered on a case by case basis.This ______ training may be adopted by other professional training courses (e.g.some clinical psychology training courses in the UK). 2.CAT skills – non- career route (CAT Case Management) ACAT also accredits a six- month long CAT skills course as a non- career route (CAT Case Management).These courses are equivalent to two modules and are designed to enable the use of CAT concepts in case management (not therapy).They aim to enhance skills in team working with complex clients, psychologically informed case management and understanding the impact of working within a context, usually with complex clients.The award is an ACAT CAT Contextual Skills Certificate in Case Management.Possible applications include IAPT/ SMIPD case management, MDT team care and CAT-informed care coordination e.g.for complex cases and forensic settings.Client characteristics (indicators/ contra- indicators) If clients are not ready to engage in therapy – for instance, if they are floridly psychotic or repeatedly heavily under the influence of substances – there are a range Cognitive Analytic Therapy 51 51 of other ways (apart from individual therapy) in which CAT has enhanced clinical and team practices (Kellett, Wilbram, Davis, & Hardy, 2014; Thompson et al., 2008).A reformulation of the client’s repeating patterns can inform ‘good enough’, non- collusive care and service provision by the staff member/ team and service provision effect change, until such a time where the client might engage.CAT therefore offers a conceptualisation of forensic complexity with flexible application for one- to- one therapy, a relational framework for offence- focused intervention (e.g.in an offence- focused group), a CAT- informed intervention and/ or as a contextual reformulation to aide team(s) and multi- agency working.
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The award for completing the six-month long CAT skills course (non-career route) is an ACAT CAT Contextual Skills Certificate in Case Management. Possible applications include IAPT/ SMIPD case management, MDT team care, and CAT-informed care coordination for complex cases and forensic settings. Client characteristics (indicators/ contra-indicators) If clients are not ready to engage in therapy – for instance, if they are floridly psychotic or repeatedly heavily under the influence of substances – there are a range of other ways (apart from individual therapy) in which CAT has enhanced clinical and team practices.
The award for completing the six-month long CAT skills course (non-career route) is an ACAT CAT Contextual Skills Certificate in Case Management. Possible applications include IAPT/ SMIPD case management, MDT team care, and CAT-informed care coordination for complex cases and forensic settings. Client characteristics (indicators/ contra-indicators) If clients are not ready to engage in therapy – for instance, if they are floridly psychotic or repeatedly heavily under the influence of substances – there are a range of other ways (apart from individual therapy) in which CAT has enhanced clinical and team practices.
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Applied to forensic settings, early work took the form of case ______ as examples and illustrations of the model, method and tools for offenders. These ______ have encompassed a range of offences including serial or single homicide, sexual offending, intimate partner violence, and aggression and violence. In 2006, Pollock et al. produced the most extensive range of clinical case ______ to date that has described CAT application for offenders. CAT is now used across the full gamut of security levels and several case ______ have advanced the model and practice to different genders, offence types, age ranges, disorders and settings (Shannon, 2009; Mitzman, 2010; Withers, 2010; Annesley & Sheldon, 2012; Kirkland & Baron, 2014). To date, the application of CAT has been confined to case ______ and the research has few controlled ______.
Applied to forensic settings, early work took the form of case ______ as examples and illustrations of the model, method and tools for offenders. These ______ have encompassed a range of offences including serial or single homicide, sexual offending, intimate partner violence, and aggression and violence. In 2006, Pollock et al. produced the most extensive range of clinical case ______ to date that has described CAT application for offenders. CAT is now used across the full gamut of security levels and several case ______ have advanced the model and practice to different genders, offence types, age ranges, disorders and settings (Shannon, 2009; Mitzman, 2010; Withers, 2010; Annesley & Sheldon, 2012; Kirkland & Baron, 2014). To date, the application of CAT has been confined to case ______ and the research has few controlled ______.
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A review by Knabb, Welsh, & Graham-Howard (2011) of treatment alternatives for mentally disordered ______ identified that CAT had accumulated multiple studies of the therapy’s efficacy in forensic populations. Studies to date were noted to have achieved significant reduction in symptoms and relevant target problems and functioning.
A review by Knabb, Welsh, & Graham-Howard (2011) of treatment alternatives for mentally disordered ______ identified that CAT had accumulated multiple studies of the therapy’s efficacy in forensic populations. Studies to date were noted to have achieved significant reduction in symptoms and relevant target problems and functioning.
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To date, the application of CAT has been confined to case studies and the research has few controlled ________.
To date, the application of CAT has been confined to case studies and the research has few controlled ________.
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The award for completing the six-month long CAT skills course (non-career route) is an ACAT CAT Contextual Skills Certificate in Case Management. Possible applications include IAPT/ SMIPD case management, MDT team care, and CAT-informed care coordination for complex cases and forensic settings. Client characteristics (indicators/ contra-indicators) If clients are not ready to engage in therapy – for instance, if they are floridly psychotic or repeatedly heavily under the influence of substances – there are a range of other ways (apart from individual therapy) in which CAT has enhanced clinical and team practices.
The award for completing the six-month long CAT skills course (non-career route) is an ACAT CAT Contextual Skills Certificate in Case Management. Possible applications include IAPT/ SMIPD case management, MDT team care, and CAT-informed care coordination for complex cases and forensic settings. Client characteristics (indicators/ contra-indicators) If clients are not ready to engage in therapy – for instance, if they are floridly psychotic or repeatedly heavily under the influence of substances – there are a range of other ways (apart from individual therapy) in which CAT has enhanced clinical and team practices.
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