Chichester Counselling Services Student Handbook 2017-18

Chichester Counselling Services Student Handbook 2017-18

CCS Training– STUDENT FORMS

STUDENT HANDBOOK

ACADEMIC YEAR 2017-2018

Forms in MS Word Format

Table of Contents

FORMS SECTION 173

STUDENT FORMS 173

SUBMISSION RECEIPT FORM 174

TEACHING EVALUATION FORM 175

WORKSHOP FEEDBACK FORM 176

END OF YEAR TRAINING EVALUATION FORM 178

APPLICATION FORM FOR INTERNAL CANDIDATES FOR ENTRY TO CCS DIPLOMA (YEAR 2-3) 183

SUPERVISION PRE-ASSESSMENT FORM YEAR 2 TERM 1 184

SUPERVISION SELF-ASSESSMENT FORM YEAR 2 TERM 2 AND YEAR 3 TERM 1-2 187

SUPERVISION SELF-ASSESSMENT FORM YEAR 2-3 TERM 3 189

PPDG TERMLY SELF-RATING OF ACHIEVEMENT LEVELS 192

TUTOR FORMS 193

END OF TERM YEAR TUTOR’S REPORT 194

ASSESSMENT FORM — LEARNING JOURNAL ESSAYS – CERTIFICATE (Year 1) 195

ASSESSMENT FORM — LEARNING JOURNAL ESSAYS – DIPLOMA (Year 2/3) 196

SUPERVISOR’S STUDENT ASSESSMENT FORM YEAR 2 TERM 2 AND YEAR 3 TERM 1-2 197

SUPERVISOR’S STUDENT ASSESSMENT FORM YEAR 2-3 TERM 3 200

FORMS SECTION

STUDENT FORMS

SUBMISSION RECEIPT FORM

CCS ASSIGNMENT RECEIPT
COPY 1
Student's copy / Student Name / Course Year / Item being submitted / For (name and role of tutor) / Stipulated submission date / Student signature and date being submitted / Staff signature and date
CCS ASSIGNMENT RECEIPT
COPY 2
CCS’ copy / Student Name / Course Year / Item being submitted / For (name and role of tutor) / Stipulated submission date / Student signature and date being submitted / Staff signature and date

TEACHING EVALUATION FORM

Year: (indicate as appropriate) / 1 / 2 / 3
Term: (indicate as appropriate) / Autumn / Spring / Summer
Student’s Name:

Please rate each session (see your syllabus) weekly for Overall quality of teaching, Learning and Usefulness of the session and hand the completed form to your Year Tutor on the last day of term.

Ratings: ① = very good, ② = good, ③ = needs attention, ④ = unsatisfactory/major development needed

Week / Session name/topic / Rating / Comments
Quality of teaching / Learning / Usefulness of session
1
2
3
4
5
6
7
8
9
10

WORKSHOP FEEDBACK FORM

Any general comments you wish to make (continue overleaf if you wish)

Workshop Title:
Year: (indicate as appropriate) / 1 / 2 / 3
Student’s Name:
Date:

Please complete on the day of the workshop and return to the Year Tutor.

Please give us your views on this workshop (both negative and positive)
If the workshop was in any way unsatisfactory, please say how it could be improved

END OF YEAR TRAINING EVALUATION FORM

Year: (please indicate) / 1 / 2 / 3
Student’s Name:

You are asked to tell us about your experience as a student during the year and to give your feedback about the course as you reach the end of this year.

Please complete the questionnaire and return to the Training Manager at the end of Term 3.

① = very good, ② = good, ③ = poor, ④ = very poor

GENERAL FACILITIES
1.  On the whole, how have you found the training accommodation to be? / 1 / 2 / 3 / 4
2.  How do you rate the refreshment and facilities? / 1 / 2 / 3 / 4
3.  How do you find the library? / 1 / 2 / 3 / 4
4.  On the whole, how have you found the counselling rooms to be? / 1 / 2 / 3 / 4
Comments:
EVALUATION OF TRAINING, AND STUDENT VOICE
How have you found the opportunities to give feedback and let us know about your opinions of training?
Did you use this method? / How useful was this method?
5.  Course appraisal / 1 / 2 / 3 / 4
6.  Student Representative / 1 / 2 / 3 / 4
7.  Direct contact with training staff (tutor, Training Manager, etc.) / 1 / 2 / 3 / 4
Comments:

Please continue to next page

THE COURSE
8.  How have you found the administration and organisation of the course to be generally? / 1 / 2 / 3 / 4
9.  How have you found the demands made upon your time by the reading requirements for the course generally? / 1 / 2 / 3 / 4
10.  How has the support of your Year Tutor been generally? / 1 / 2 / 3 / 4
11.  In relation to the amount of time available, how would you rate the quantity and quality of information provided this year? / 1 / 2 / 3 / 4
12.  The clarity with which the material was presented / 1 / 2 / 3 / 4
13.  The vocational relevance of this year to psychodynamic counselling / 1 / 2 / 3 / 4
14.  The opportunities presented for participation in discussion / 1 / 2 / 3 / 4
15.  Overall your experience of the workshops / 1 / 2 / 3 / 4
Comments:
SUPERVISION (Year 2 and 3)
16.  The support from your supervisor / 1 / 2 / 3 / 4
17.  How helpful has the self-assessment and tutorial system been? / 1 / 2 / 3 / 4
18.  How much have assessments made an important contribution to your learning? / 1 / 2 / 3 / 4
Comments:

Please continue to next page

PERSONAL TUTOR
19.  The support from your Personal Tutor / 1 / 2 / 3 / 4
20.  The number of tutorials / 1 / 2 / 3 / 4
21.  The value of the learning journal to the learning experience provided by the course / 1 / 2 / 3 / 4
Comments:
PERSONAL AND PROFESSIONAL DEVELOPMENT GROUP (PPDG)
If applicable, how do you view your PPDG in terms of facilitating your growth and learning within these 3 main areas?
22.  Personal development / 1 / 2 / 3 / 4
23.  Professional development / 1 / 2 / 3 / 4
24.  Understanding group process / 1 / 2 / 3 / 4
Comments:
THE YEAR 2-3 PROJECT
25.  The support from you Project Tutor and Research Tutor / 1 / 2 / 3 / 4
26.  The clarity of the project guidelines / 1 / 2 / 3 / 4
27.  The value of the project to the learning experience provided by the course / 1 / 2 / 3 / 4
Comments:

Please continue to next page

ASSESSMENT OF YOUR WORK
28.  How would you rate the end of year assessment process? / 1 / 2 / 3 / 4
29.  On the whole, how helpful did you find the feedback in tutorials with your Year Tutor? / 1 / 2 / 3 / 4
30.  The extent to which the ongoing assessments have made an important contribution to your learning / 1 / 2 / 3 / 4
Comments:
ANY OTHER GENERAL COMMENTS
31.  Can you suggest how the quality and/or relevance of the course could be improved?
32.  Please comment generally about the course, or comment upon some aspect that you think has not been covered in this questionnaire?

Your comments are greatly appreciated.

Thank you for the time and thought that you have given to this questionnaire.

APPLICATION FORM FOR INTERNAL CANDIDATES FOR ENTRY TO CCS DIPLOMA (YEAR 2-3)

For candidates currently completing CCS Certificate training.

This completed form must be returned by 31 May in hard copy to The Training Manager, CCS, 106-108 The Hornet, Chichester, West Sussex PO19 7JR

Name
Address
Phone
Email / Please tick to confirm
I will have been in personal counselling/psychotherapy with a practitioner agreed by CCS for at least six months prior to the intended start of clinical practice which may start from October onwards in Year 2;
I will participate in a Readiness-to-Practice group evaluation session
I will attend an individual meeting with the Training Manager and Head of Counselling in July to discuss my application;
If offered a place on the training, and accepting it, I will attend the Preparation for Practice Saturday induction workshop in September;
I am aware that I will also need to go through CCS processes for DBS clearance, Health Declaration, Training contracting and Counsellor Contracting;
I have read and understand the criteria for admission to the Diploma;
I have read and understand the outline of the time and flexibility requirements for Diploma training;
Signed: / Dated:

SUPERVISION PRE-ASSESSMENT FORM YEAR 2 TERM 1

Please complete and print this form and take it with you to your supervision tutorial in the Autumn Term (Term 1) of Year 2. Your supervisor will discuss it with you, complete their comments based on your discussion and return it to you for your joint signatures within 14 days.

Supervisor’s Name:
Student’s Name:
Term 1 (Autumn) – Supervision Skills and Attitudes (the ability to demonstrate the following:) /
Student comment / Supervisor comment
Giving honest feedback:
Receiving feedback:
Commitment to learning as demonstrated by attendance, active listening, participation, trust and honesty:
Challenging:
Questioning:
Creative exploration of material:
Support of others:
Dealing with competing needs:
Respect for the needs of others:
Capacity to use supervision constructively:
To present material using narrative, demonstrating the ability to recognise and discuss process:
Any other business:
Signatures:
Student: / Date:
Supervisor: / Date:

SUPERVISION SELF-ASSESSMENT FORM YEAR 2 TERM 2 AND YEAR 3 TERM 1-2

For completion Year 2, Term 2 (Spring) & Year 3, Term 1 (Autumn) and Term 2 (Spring)

Please print, complete and take with you to each of your supervision tutorials a copy of the relevant form (see Supervision Pre-assessment form).

Your supervisor will bring a copy of the Supervisor’s Student Assessment Form, which they will compete and return to you for your signature within 14 days.

Supervisor’s Name:
Student’s Name:
Year: (indicate as appropriate) / 2 / 3
Term: (indicate as appropriate) / Autumn(1) / Spring (2)
Supervision sessions attended this year:
Cumulative counselling sessions: / Counselling sessions missed:
Male clients : / Female cleints:

See ‘Clinical Practice Skills Reference List’ (Student Handbook, Clinical Section) for information supporting sections B – E below.

SUPERVISION SELF–ASSESSMENT, ct’d
For completion Year 2, Term 2 (Spring) & Year 3, Term 1 (Autumn) and Term 2 (Spring) /
A. Client/Supervision Hours
(If counselling or supervision hours are lower than is normal for your stage of training, please explain)
B. Comment on your progress in your client work, highlighting strengths and weaknesses and your ability to use theory in your practice.
(Please also refer to ‘Learning Outcomes’ relevant for your current year of training in the CCS Student Handbook as a guide)
B Ct’d
F. Use of/Contribution to Supervision
Comment on your relationship with the supervisor and supervision group.
H. Learning Plan and Any Other Comments
Student’s signature: / Date:

SUPERVISION SELF-ASSESSMENT FORM YEAR 2-3 TERM 3

For completion Year 2, Term 3 (Summer) & Year 3, Term 3 (Summer)

Please print, complete and take with you to each of your supervision tutorials a copy of this form.

Your supervisor will bring a copy of the Supervisor’s Student Assessment Form, which they will compete and return to you for your signature within 14 days.

Supervisor’s Name:
Student’s Name:
Year: (indicate as appropriate) / 2 / 3
Term: / Summer
Supervision sessions attended this year:
Cumulative counselling sessions: / Counselling sessions missed:
Male clients : / Female cleints:

See ‘Clinical Practice Skills Reference List’ (Student Handbook, Clinnical Section) for information supporting sections B – E below.

SUPERVISION SELF–ASSESSMENT, ct’d
For completion Year 2, Term 3 (Summer) & Year 3, Term 3 (Summer) /
A. Client/Supervision Hours
(If counselling or supervision hours are lower than is normal for your stage of training, please explain)
B. Therapeutic Alliance
Comment on your ability to establish, sustain and close therapeutic relationships.
C. Professional Conduct including Professional and Ethical Self-Management
Comment on case management skills, including agency procedures; personal records and ethical issues.
D. Basic Skills
Comment on your capacity to explore and understand a client’s internal world, including the understanding of defences/resistance; transference/counter transference; the ability to interpret and respond appropriately.
E. Advances/Psychodynamic Skills
Comment on growth and development of personal style and sophistication in your practice.
F. Use of/Contribution to Supervision
Comment on your relationship with the supervisor and supervision group.
G. Overall Development as a Counsellor
In what ways has your work developed? Please indicate areas of strength and areas for improvement.
H. Learning Plan and Any Other Comments

Student’s signature: Date:

PPDG TERMLY SELF-RATING OF ACHIEVEMENT LEVELS

Student’s name: Year: 2 / 3 Term: 1 / 2 / 3

Please keep one copy for yourself and hand one copy to your PPDG Tutor in week 8 each term. Your rating sheets will be added to your individual CCS training file. You will be able to monitor your own levels of achievement and to take responsibility for areas in which you need to develop. Periodically the tutors involved in your training will be referring back to your training files, particularly looking at changes in your achievement levels. There will also be the opportunity for peer feedback using these forms in week 9 and 10 each term.

Please circle one number only: (1) good, (2) on track, (3) needs attention, (4) needs major development

1. How able are you to express your feelings within PPDG? 1 2 3 4
2. How able are you to process feelings within PPDG? 1 2 3 4
3. How able are you to take risks and show vulnerability
   within PPDG? 1 2 3 4
4. How often do you notice and verbalise psychodynamic
   theory in action within PPDG? 1 2 3 4
5. How open are you to experiencing others? 1 2 3 4
6. How often have you given positive feedback? 1 2 3 4
7. How would you rate your ability to receive and accept
   positive feedback? 1 2 3 4
8. How often have you given negative feedback? 1 2 3 4
9. How would you rate your ability to receive and accept
   negative feedback? 1 2 3 4
10. How accepting of others’ opinions are you? 1 2 3 4
11. How would you rate your ability to stay with uncomfortable
    feelings (e.g. pain and anger) within PPDG? 1 2 3 4
12. How aware are you of your patterns of rescuing or avoiding
    within PPDG? 1 2 3 4

Student’s signature: Date: