Helen Cawley

Clinical Responsibilities Supervisory & Training Responsibilities Administrative & Organisational Responsibilities

• Providing specialist CBT interventions for patients with anxiety disorders, depression, PTSD, OCD, and other complex conditions.
• Conducting comprehensive assessments, including risk assessments, to determine appropriate treatment.
• Developing personalised treatment plans based on evidence-based CBT approaches.
• Delivering therapy through various formats such as face-to-face, telephone, or video sessions.
• Ensuring adherence to NICE guidelines and best clinical practices.
• Managing a caseload of patients efficiently, prioritising those with high-risk presentations.
• Applying self-reflective practice and using supervision to enhance therapy effectiveness.
• Liaising with GPs, psychiatrists, and other healthcare professionals to coordinate patient care.
• Providing group therapy sessions, where applicable.
• Offering guidance and supervision to junior therapists or trainees within the IAPT (Improving Access to Psychological Therapies) service.
• Contributing to the training and development of other professionals, including providing workshops or educational sessions.
• Engaging in ongoing professional development to ensure continued competency in CBT methodologies.
• Maintaining accurate and up-to-date clinical records in line with NHS policies and GDPR regulations.
• Contributing to service evaluation and audit activities, ensuring high standards of patient care.
• Meeting performance targets related to patient outcomes and therapy sessions.
• Supporting the development of service improvement initiatives within the NHS mental health team.

Clinical Responsibilities Administrative & Organisational Responsibilities

• Providing specialist CBT interventions for patients with anxiety disorders, depression, PTSD, OCD, and other complex conditions.
• Conducting comprehensive assessments, including risk assessments, to determine appropriate treatment.
• Developing personalised treatment plans based on evidence-based CBT approaches.
• Delivering therapy through various formats such as face-to-face, telephone, or video sessions.
• Ensuring adherence to NICE guidelines and best clinical practices.
• Managing a caseload of patients efficiently, prioritising those with high-risk presentations.
• Applying self-reflective practice and using supervision to enhance therapy effectiveness.
• Liaising with GPs, psychiatrists, and other healthcare professionals to coordinate patient care.
• Providing group therapy sessions, where applicable.

• Maintaining accurate and up-to-date clinical records in line with NHS policies and GDPR regulations.
• Contributing to service evaluation and audit activities, ensuring high standards of patient care.
• Meeting performance targets related to patient outcomes and therapy sessions.
• Supporting the development of service improvement initiatives within the NHS mental health team.

Clinical Responsibilities Training & Development Responsibilities Organisational & Team Responsibilities Supervision & Progression

• Providing CBT interventions to patients with depression, anxiety disorders, PTSD, OCD, and other mental health conditions under supervision.
• Conducting structured clinical assessments to determine patient needs and suitability for CBT.
• Developing individualised treatment plans using evidence-based CBT approaches.
• Delivering therapy through face-to-face, telephone, or online sessions.
• Engaging in clinical supervision to reflect on practice and enhance skills.
• Managing a small caseload of patients while ensuring safe and effective care.
• Working closely with supervisors and senior therapists to improve competency.
• Maintaining accurate clinical records and ensuring patient confidentiality.
• Attending university-based training (e.g., PGDip in High Intensity CBT) as part of the role.
• Engaging in self-directed study to consolidate learning from coursework.
• Participating in case discussions, role plays, and reflective practice sessions.
• Completing assessments and coursework required for qualification.
• Implementing feedback from supervisors and academic staff to improve practice.
• Collaborating with multi-disciplinary teams, including GPs, psychiatrists, and mental health professionals.
• Contributing to service development by engaging in audits and research projects.
• Meeting NHS performance targets related to training, patient outcomes, and therapy delivery.
• Attending team meetings, training workshops, and professional development sessions.
• Working under close supervision from qualified CBT therapists.
• Gradually increasing clinical responsibility as competency develops.
• Completing training and obtaining a BABCP-accredited qualification to transition into a qualified High Intensity CBT Therapist role.

Clinical Responsibilities Risk Management & Safeguarding Training & Supervision Responsibilities Administrative & Organisational Responsibilities Collaboration & Multi-Agency Working

• Providing short-term, structured counselling interventions to individuals experiencing depression, anxiety, trauma, bereavement, and other emotional difficulties.
• Conducting initial assessments to identify client needs and determine suitability for counselling.
• Offering one-to-one and group counselling sessions, using approaches such as person-centred therapy, integrative counselling, or psychodynamic therapy.
• Managing a caseload while prioritising those at higher risk, including individuals with self-harm or suicidal thoughts.
• Adapting counselling techniques to work with individuals who have complex needs, including trauma, substance misuse, and offending behaviours.
• Using motivational and engagement strategies to encourage participation in therapy within the prison environment.
• Signposting individuals to appropriate services within the prison and the community upon release.
• Conducting risk assessments and responding appropriately to concerns related to self-harm, suicide, and aggression.
• Ensuring all interventions comply with prison security procedures and NHS safeguarding policies.
• Maintaining clear boundaries and following ethical guidelines for working in a secure setting.
• Reporting any safeguarding concerns in line with prison service and NHS policies.
• Attending regular clinical supervision to ensure best practice and personal development.
• Engaging in ongoing professional development, including training on trauma-informed care and working with offenders.
• Providing guidance and support to trainees or junior counselling staff, where appropriate.
• Maintaining secure and confidential records, ensuring compliance with GDPR, NHS, and prison regulations.
• Contributing to service evaluations, audits, and research projects to enhance mental health support within the prison.
• Meeting service targets related to session delivery, client outcomes, and reporting requirements.
• Attending multidisciplinary team meetings to coordinate care with healthcare staff, probation officers, and prison staff.
• Working alongside mental health professionals, substance misuse teams, prison healthcare staff, and offender rehabilitation services.
• Liaising with offender management units to support rehabilitation and reintegration into the community.
• Supporting individuals in their transition post-release, signposting them to community counselling and mental health services.

Clinical Responsibilities Training & Supervision Responsibilities Administrative & Organisational Responsibilities Collaboration & Multi-Agency Working

• Delivering short-term, evidence-based counselling (e.g., Person-Centred Therapy, Integrative Therapy, or Counselling for Depression – CfD) to patients with mild to moderate mental health difficulties.
• Conducting initial assessments to determine patient suitability for counselling within an IAPT setting.
• Managing a caseload of clients, ensuring timely access to therapy.
• Providing one-to-one and group therapy sessions in person, via telephone, or online.
• Adapting interventions to meet the diverse needs of patients, including those with complex life experiences, trauma, or long-term conditions.
• Ensuring counselling is delivered in line with IAPT guidelines and NICE (National Institute for Health and Care Excellence) recommendations.
• Identifying and managing risk, including safeguarding concerns, self-harm, and suicide risk, and escalating appropriately.
• Encouraging patient engagement and collaborating on treatment goals to support recovery.
• Liaising with other healthcare professionals, such as Psychological Wellbeing Practitioners (PWPs), High-Intensity CBT Therapists, and GPs, to coordinate patient care.
• Attending regular clinical supervision in line with BACP (British Association for Counselling and Psychotherapy) or UKCP (UK Council for Psychotherapy) standards.
• Engaging in continuing professional development (CPD) to ensure up-to-date practice within IAPT services.
• Contributing to peer support and reflective practice groups within the IAPT team.
• Supporting trainee counsellors where appropriate.
• Maintaining accurate and confidential client records, ensuring compliance with NHS and GDPR regulations.
• Completing required outcome measures, such as PHQ-9 and GAD-7, to monitor patient progress.
• Meeting IAPT service targets, including session delivery and recovery rates.
• Contributing to service evaluations and audits to improve counselling provision.
• Attending team meetings and participating in service development initiatives.
• Working alongside CBT therapists, PWPs, mental health professionals, and GPs to provide holistic care.
• Referring patients to other services when counselling is not the most appropriate intervention.
• Signposting individuals to community support services, such as peer support groups and wellbeing initiatives.