Play Therapy Canada
An Introduction to Clinical Governance
Clinical Governance (CG) is the third element of the Ethical system adopted by Play Therapy International and recommended by Play Therapy Canada (see also).
Introduction to Clinical Governance in Play Therapy
Clinical governance is the process of managing the quality of the therapists' clinical work. PTC regards it as an essential element in its ethical system. Whereas the Ethical Framework and Professional Conduct elements provide the basis for safe working with children, the purpose of clinical governance is to safeguard the effectiveness of the therapeutic work.
Clinical governance aims to answer the questions:
Much is talked about evidence based practice in primary health care. However practice based evidence is at least as equally important because it is based upon actual 'real world' therapy with a direct link to an individual therapist's work. PTI uses data acquired as a result of clinical governance to assemble practice based evidence through its international database of clinical outcomes.
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|PTC also believes that each
of its practitioner members has a duty to continually strive to improve
their practice. It is not sufficient to undertake CE (Continuing
Education), including further play therapy training, without identifying learning needs. Clinical
governance provides the means to do this.
The use of clinical governance for psychology based therapies is in its infancy. Some progress is being made in adult counselling in primary care but there are significant differences in working with children:
At present there isn't an agreed standardised measure. Many different psychometric instruments are, for example, used for assessment. Many of these could be used for clinical governance.
PTC does not make the use of any particular instrument mandatory but it does require the therapist to submit details of the documentation/measure/system that they are using for approval. PTI's international database is sufficiently flexible to accommodate data from most measures. The use of the Goodmans SDQ is recommended by PTC..
Principles of Using Clinical Governance in Play Therapy
The main principles of applying clinical governance in play therapy are:
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