DIT Training Programme
DIT Training Steps
The training programme for DIT provides psychoanalytically/dynamically trained practitioners with a structure within which to conduct a time limited (16 sessions), manualized psychodynamic therapy.
It is intended as a CPD course to hone the skills of already established psychodynamic practitioners so as to enable them to deliver an effective brief psychodynamic intervention for the treatment of depression.
In order to become a DIT Practitioner trainees are required to attend the 5-day training and pass the role play (Step 1), successfully complete supervision (Step 2) and pass a case study (Step 3).
The course is accredited by The British Psychoanalytic Council.
1. DIT Practitioner training
Attendance at a five-day training course offered jointly by the Anna Freud National Centre for Children and Families nd Tavistock & Portman NHS Foundation Trust is the first part of the DIT programme. The course aims to provide a post-qualification ‘top-up’ training to practitioners who meet the following pre-entry criteria:
- Evidence of a course of study (this could be through different courses over time) that has exposed you to the fundamentals of psychoanalytic theory as specified in the Psychodynamic Competences framework (www.ucl.ac.uk/CORE)
- A minimum of 150hrs of supervised psychodynamic work
- At least one year of weekly personal psychodynamic psychotherapy/counselling
- At least two years’ employment in an NHS, private capacity or voluntary institution working in a therapeutic capacity with adults with mental health problems
- HPC, BPC, BPS, UKCP or BACP registration (or an equivalent professional registration at the discretion of the course tutors)
At the end of the five days students will be invited to undertake a videotaped role play with an actor role playing a depressed patient. The role-play vignette will be scripted with a relatively mild to moderately depressed patient in mind. During this role-play students will have to evidence:
- An aptitude for identifying relational and affective themes from the patient’s material: the aim is to ensure that the student can pick up on themes but there is no requirement to evidence a capacity to formulate
- A capacity to articulate and share with the patient these relational and affective themes in a clear and coherent manner so as to test their relevance to understanding the patient’s current predicament
- Demonstrate the DIT therapeutic stance.
In order to proceed to supervision (Step 2) component of the training, the role play must be passed.
It is advised that trainees start supervision soon after passing their role plays. The deadline for starting supervision is 2 years after the training. After 2 years trainees would need to complete the DIT Refresher training if they wish to go to the supervised practice.
Supervision should not take more than 18 months to complete and we strongly recommend that supervision is successfully completed within 2 years from completing the 5-day training. If supervision is not successfully completed within 3 years, without attendance at the DIT Refresher training the trainee will be required to repeat the training. Once the refresher course has been attended further supervision time is provided for completion of the training.
The supervised practice component will involve seeing two patients under weekly supervision. Each patient will be seen for sixteen sessions of weekly DIT. This is typically structured as half an hour supervision per patient over sixteen sessions.
In addition, four additional tape recordings will need to be submitted for rating. All therapy sessions will be audio or videotaped. In the first case three tapes will be randomly selected and rated according to the DIT rating scale. For the second case, assuming that a student is progressing well in the training, one tape will be selected for rating. Where there are concerns about the student’s progress an additional two tapes may be requested and rated.
Supervision cost will depend on individual supervisor but this is usually further £2,000.
At the end of the supervision period, trainees will be able to see DIT patients with weekly supervision until they are registered DIT practitioners.
3. Case study
Upon successful completion of the clinical casework the trainee will need to submit a 3000 word case study, which should evidence a capacity to integrate theory and practice through giving an account of work with one of the two training cases.
Trainees are expected to submit their case study within three months of completing their last case.
Please see case study submission guidelines here.
There will be an additional fee of £100 for case study marking.
If the case study passes the trainee will be accredited by the BPC and will receive a certificate from them at a fee of £35. If the case study does not pass the trainee will be allowed to resubmit the same case study revised according to the marker's comments. If the case study fails a second time the trainee must write up another case and will be referred to a DIT supervisor for private tuition. If the trainee fails a third and final time they will not be BPC accredited.
Once the trainee has passed the case study, there is a CPD requirement to have one hour of DIT supervision for every 12 hours of DIT therapy work for the first year of work as a DIT practitioner. This equates to an hour of supervision a month if you have a caseload of three DIT patients. This supervision does not count towards accreditation as a supervisor, however, it is helpful to consolidate one’s understanding of and work within the model by gaining more experience before going on to becoming a supervisor.
Beyond the first year, we advise using peer supervision of DIT work.
To maintain DIT practitioner status, there is a requirement to see at least one patient a year.
4. Supervisor training
Following sucessfull completion of DIT Practitioner course, supervision and case study DIT Practitioners can train as a Supervisors in DIT.
Initial requirements for this are:
- Approval from the original supervisor about the candidate’s supervisory capabilities
- At least two year’s experience as a psychodynamic supervisor of psychodynamic practice
- Approval from line manager
For DIT practitioners who do not meet the previous criteria of two years of psychodynamic supervision experience, they can now attend three one-day DIT supervisor events to be eligible.
Supervisor training consists of:
- Successful completion of two further supervised cases, incl. 2 tapes rated from each case
- At least six months of working as a DIT supervisor of at least three DIT cases (or two trainees), with monthly consultations on the supervision from an approved DIT supervisor (6 x 1hr consultations)
- Attendance at 3 x CPD workshops on DIT, which may involve assessment of a supervisor’s recorded supervision work or assessment of a supervisor’s feedback on a trainee’s work. Newly qualifying DIT supervisors must attend all three days unless they have demonstrable psychodynamic supervision experience; existing DIT supervisors must attend at least one day a year.
Costs vary depending on a supervisor but it is usually a further £3,730.
2 cases under supervision (16hrs) = £1,920
4 tapes rated = £480
6 x hourly consultations = £720
Supervisor workshop £200 a day
5. Becoming a trainer
For those based in the UK
- The Supervisor shadows the full DIT training at the Centre
- The Supervisor delivers a 4-day training at the Centre as a support trainer (the supervisor will be paid a reduced teaching rate of £150 a day)
- The Supervisor gains Trainer status following approval from the DIT Lead
- The Trainer can be approached to deliver teaching at the Centre at the full teaching rate. Trainings delivered independently of the Centre by the Trainer will require a contractual agreement between the Centre and the Trainer in advance and would incur a licence fee of 10% of gross income or £100 per person, whichever amount is the greater
- The trainer must attend a yearly CPD event for trainers/supervisors
- The trainer must jointly deliver the training with the Centre at least once every two years (for at least 1 day).
For those based outside of the UK
- The Supervisor shadows the full DIT training at the Centre and receives a 1hr consultation with a DIT Trainer. There will be a consultation fee of £200
- The Supervisor gains Trainer status in their country following approval from the DIT Lead
- Trainings delivered independently of the Centre by the Trainer will require a contractual agreement between the Centre and the Trainer in advance and would incur a licence fee of 10% of gross income or £100 per person, whichever amount is the greater
- The trainer must attend a yearly CPD event for trainers/supervisors
- The trainer must shadow the training at least once every two years (for at least 1 day).