Website Cookie Policy

 

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Updated 04 may 2018C

 

 

CONSENT FORM

Please take time to read this carefully. It forms part of the agreement between you and your therapist,   Patrizzia Ciaccio when you attend an appointment. You will be requested to sign 2 copies of the Consent and Disclosure form and be given a copy and the other copy will be kept with your records.

Data Protection and Storage of Data

The Data Protection ACT 1998 requires that psychological and medical data is treated with strict confidentiality. Patrizzia Ciaccio adheres strictly to the ethical and confidential guidelines of professional practice. From the 25th May 2018 a new law called The General Data Protection Regulation (GDPR) came into effect. GDPR is designed to give you more choices in how you are contacted and how your personal data (name, contact details, email address and case histories) is processed.

As a sole practitioner/therapist I am registered with the Information Commissioner’s Office (ICO)  as a ‘data controller’. I will only contact you for consultation (mobile/landline phone numbers, emails, letters) during our agreed contracting period and I will not pass your details on to any third party. Electronic Data and Paper Records: Electronic data is password protected on the computer and involves 3 stages: - (1) The computer is encrypted and can only be opened by using a removal disc to activate access with a password, (2) password protected to gain access into electronic data and (3) password protected files including assessment reports, interim reports and discharge reports via referral agencies all require encryption passwords to open them when sent by email attachments or via an organisational electronic login portal. Confidentiality is maintained by using an allocated case code number.    

The computer and any Paper records are stored in a locked filing cabinet in a locked office in my residential clinic. No other person has access to client records. The property also has a security alarm system that is activated when the premises is empty.

I confirm that I have read the Data Protection and Storage Data information and understand the above.  I understand that I can evoke my consent at any time during treatment by informing the therapist in writing.

Name in Print

Signature

Date

 

 

 

 

 

 

 

Form should also be signed by parent or guardian if client is under 18 years of age.

Download form (word document - opens in new window)

 

AGREEMENT FOR TALKING THERAPIES CONDUCTED BY PATRIZZIA CIACCIO

THE TALKING THERAPY PROCESS

Participation in therapy can result in a number of benefits to you, including improving relationships and resolution of the specific concerns that led you to seek therapy. It may help you deal with difficult feelings or experiences, or address issues that have been troubling you. Working toward these benefits requires effort, and therapy relies on your active involvement, honesty, and openness in order to help with the concerns that have brought you to it. During therapy talking about unpleasant events, feelings, or thoughts may result in your experiencing discomfort or difficult feelings such as anger, sadness, worry, fear, etc. or experiencing anxiety, depression, insomnia, etc. Your counsellor may challenge some of your assumptions or perceptions or propose different ways of looking at, thinking about, or handling situations that can cause you to feel upset, angry, depressed, challenged, or disappointed. Your therapist will ask for your feedback and views on your sessions, its progress, and other aspects of the therapy and will expect you to respond openly and honestly. Sometimes more than one approach can be helpful in dealing with a certain situation. I am able to offer a selection of psychological interventions:-Counselling incorporating Cognitive Behaviour Therapy strategies, person-centred psychodynamic counselling, brief therapy intervention and Cognitive Behaviour Therapy.

All information disclosed within sessions and the written records pertaining to those sessions are confidential and may not be revealed to anyone without your written permission, except where disclosure is required by law or if there is significant risk of harm to others or if there are concerns about the safety of a child or vulnerable adult. Additionally, all counsellors are required by the ethical standards set by the profession to discuss their work with a qualified Supervisor. However, you would not be identified in such discussions which are intended to support the counsellor in their work.

SUPERVISION

As noted above, counsellors consult regularly with other professionals regarding clients; however, the client's name or other identifying information is never disclosed. The client's identity remains completely anonymous, and confidentiality is fully maintained.

PROFESSIONAL CODE OF CONDUCT

As a qualified Counsellor and Cognitive Behaviour Therapist I adhere to the BACP Ethical Framework for Good Practice in Counselling and BABCP Ethical Framework for Good Practice in Cognitive Behaviour Therapy.

DISCLOSURE OF INFORMATION

Sometimes it may be necessary to share confidential information with another health care provider for example your G.P/doctor in order to provide you with the best possible care/service. By signing below you are giving consent to the therapist to share confidential information as outlined above.

Clients Signature:                                                                                                 Date:
Name (block letters):

Address:

G.P Name:
G.P Address:


I have read and understand this information. I understand I can revoke my consent at any time during therapy sessions by writing to the therapist Patrizzia Ciaccio.

Download form (word document - opens in new window)

When Disclosure Is Ethically or Legally Required

Some of the circumstances where disclosure is ethically or legally required: where there is a reasonable suspicion of child, dependent or elder, abuse or neglect; and where a client presents a danger to self, to others, to property, or is gravely disabled.

Harm to Self or Others

If there is an emergency during the work with your therapist, or in the future after termination, in which they become concerned about your personal safety, concerned about the possibility of you injuring someone else, or concerned about you receiving proper psychiatric or medical care, they will do whatever they can within the limits of the law, to prevent you from injuring yourself or others and to ensure that you receive the proper care. For this purpose, I may also contact the police, hospital or an emergency contact whose name you have provided. This is, however, very rare and in any circumstances like this, your therapist will make every reasonable effort to discuss the situation with you first.

Litigation Limitation:

Due to the nature of the therapeutic process and the fact that it often involves making a full disclosure with regard to many matters which may be of a confidential nature, it is agreed that should there be legal proceedings (such as, but not limited to divorce and custody disputes, injuries, lawsuits, etc.), neither you (client) nor your legal representative, nor anyone else acting on your behalf will call on the therapist to testify in court or at any other proceeding, nor will a disclosure of the counselling records be requested.

Considering all of the above exclusions, if it is still appropriate, upon your request with written consent, I will release information to any agency/person you specify unless we conclude that release in such information might be harmful in any way.

TELEPHONE & EMERGENCY PROCEDURES

If an emergency situation arises that requires immediate attention, you should contact the Samaritans, dial 999, or go to the local emergency room.

 

Integrative Supervision 

I am a qualified Supervisor and I have a Diploma in Integrative Supervision.

Supervision Model

Integrative psychotherapy describes a psychotherapeutic approach in which elements from different schools of psychotherapy may be used. The generic term, integrative psychotherapy, can be used to describe any multi-modal approach which combines therapies.

What is Supervision?

Supervision is a working alliance between two professionals where supervisees offer an account of their work, reflect on it, receive feedback, and receive guidance if appropriate.  The object of this alliance is to enable the worker to gain in ethical competency, confidence and creativity as to give the best possible services to clients. Supervision helps to reduce the risk of serious oversight and helps the therapist concerned to reflect on their own feelings, thoughts, behaviour and general approach with the client.Supervision involves at least four elements: (1) The Supervisor, (2) The Supervisee/Therapist, (3) The Client and (4) a work context.

Choice of Supervisor

For any supervisee the choice of supervisor is critical. It is important that the supervisee seeks out a supervisor who will respect them, will not judge them and will relate to them with what Carl Rogers called ‘unconditional positive regard’. As a supervisor I believe the primary value of supervision comes from having a safe and supportive environment in which the supervisee can build on their own skills and insights as a practitioner, and in which the supervisee can reflect on any aspect of their profession and their client relationships. Safe practice is often demonstrated professionally through the compliance of fulfilling formal guidelines formulated by organizations such as the BACP’s and BABCP Ethical Framework for Good Practice in Counselling and Psychotherapy. Providing a secure environment for where the supervision is held is important because it provides a safe container for the supervisee.  My residential clinic is a comfortable warm room, clean and uncluttered, and a private space that’s uninterrupted and where the supervisee can feel valued and supported. 

The supervisee needs to attend 1.5 hours of supervision per month in accordance with accreditation compliance and they can be held weekly, fortnightly or monthly.

Supervision

Per Session (1hr)

Monthly (1.5hrs)

Qualified Therapist

£60.00

£90.00

For further details please contact Patrizzia Ciaccio on mobile number 07788613039 or email This email address is being protected from spambots. You need JavaScript enabled to view it.

 

 

 

 

 

Psychotherapy and Counselling in St. Albans


Thank you for visiting my website. I am a fully qualified Counsellor and Cognitive Behavioural Psychotherapist (CBT) with 13 years counselling and 7 years CBT experience in Private Practice as a therapist. In addition to this I am a Registered Mental Nurse with over 21 years clinical experience in the National Health Service (NHS) and over 11 years as a fully qualified Complementary Therapist.

Counselling and CBT can help you overcome a range of difficulties and provide you with tools and techniques to cope with life and problems in a positive and productive way. All therapies are held in quiet, safe and confidential space to facilitate the following therapies:

I work with most major insurance companies and clinics. (please see the page on fees for full details). Please follow the links on the left to find out more about me, my experience and qualifications, fees, location and interesting articles. Please feel free to contact me to discuss how we might work together.


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