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Verification report for Benchmark Checklist and Appendix metrics
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Verification Report — Benchmark Checklist & Appendix Metrics

Date checked: 2026-01-27

Verdict legend: ✅ Verified | ⚠️ Partial / Mismatch | ❌ Not found

2) Benchmark Checklist

A. 合法性与对外陈述（Legality & Claims）

ID 要点 结论 证据与说明
A1 需有“是否为 HCSA licensable service”的判定流程；若属 licensable 则须持有效许可并遵守许可条件与 Codes of Practice ⚠️ Partial 来源仅明确 HCSA licensees 必须遵守 HCSA/法规/许可条件/Codes of Practice，但未要求建立“判定流程”。1
A2 非 HCSA licensee 禁止用“treat/治疗”；避免用“doctor/医生”暗示医师身份 ✅ Verified MOH 明确“treat”限制适用于所有非 HCSA licensees，并说明“doctor”称谓保护适用于所有非注册医疗从业者。2
A3 若宣传/提供 licensable healthcare service，广告主体必须是 HCSA licensee 或 authorised person ✅ Verified FAQ 明确仅 HCSA licensee 或其 authorised person 可广告 licensable services。3
A4 对外陈述不得虚假/误导（学历、培训、经验、成功率、费用等） ✅ Verified SAC Public Statements 禁止虚假/误导性陈述并列举学历/培训/成功率/费用等类别。4
A5 不得向当前来访者索取 testimonials ✅ Verified SPS 10.4 明确不得向当前客户或其亲友索取 testimonials。5
A6 跨境/远程服务需告知适用法律与争议解决条款 ✅ Verified SAC “Applicable Law” 明确跨境 counselling 适用法律、保密与争议解决等需在服务前告知。6
A7 远程 counselling 需身份核验 + 技术方式知情同意 + 风险与替代方案告知 ✅ Verified SAC 要求跨境/技术辅导前核验身份并取得技术使用同意；并要求告知技术风险与替代方式。64
A8 收费透明且无 fee sharing ✅ Verified SAC 要求公开费用结构并禁止 fee sharing。7
A9 需建立营销合规审查机制（审查/抽检/处置闭环） ⚠️ Partial SPS/SAC 只给“不得虚假/误导、广告合规”的原则，未要求内部审查机制或抽检闭环。45

B. 隐私、PDPA 与记录管理（Privacy, PDPA, Records）

ID 要点 结论 证据与说明
B1 同意书写明保密义务与例外 ✅ Verified SAC Confidentiality 4.1–4.3 规定保密与例外（法律要求/保护第三方）。8
B2 高风险情境强调保密限制 ✅ Verified SPS High Risk 4.7(c) 要求向来访者澄清保密限制与何时披露。9
B3 记录安全（访问控制/防未授权访问） ✅ Verified SAC Records 5.1 要求确保记录安全且无未授权访问。8
B4 记录保存 ≥3 年 ✅ Verified SPS Record Keeping 7.1(c) 明确记录至少保留三年或更久。10
B5 记录销毁需审慎判断未来可能需要 ✅ Verified SAC 5.3 要求销毁记录前慎重考虑未来可能需要。8
B6 数据泄露通报：尽快且不迟于 3 个日历日，并通知受影响个人 ✅ Verified PDPC 页面与指南均给出 3 个日历日通报要求，并要求通知受影响个人。1112
B7 保护义务与保留限制：定期复查、避免无限期保存 ⚠️ Partial PDPC 指引明确保护义务与保留限制，并强调定期复查、非必要不保存；但未明确“心理咨询数据需更高保护等级”。13
B8 跨境/海外云传输合规（评估/合同/告知） ⚠️ Partial 指引明确 Transfer Limitation：不得随意跨境传输；但未规定“数据流图/供应商条款/评估与同意书结构”的具体做法。13

C. 知情同意、来访者权利与边界（Consent & Boundaries）

ID 要点 结论 证据与说明
C1 知情同意覆盖：性质/流程、风险、退出权、记录/数据、费用等 ✅ Verified SPS 4.1(a) 列出服务性质、风险、退出权、记录方式、费用等要素。14
C2 未成年人/无行为能力成年人需监护人同意 ✅ Verified SAC 2.2 明确需监护人或适当人士同意。7
C3 来访者可终止服务；机构有终止/转介流程 ✅ Verified SAC 2.1 确认终止权利；5.2–5.4 规定终止/转介处理。715
C4 咨询师无法提供帮助时须转介或终止 ✅ Verified SAC 5.2 要求无法专业协助时转介或终止，并在拒绝替代方案时终止关系。15
C5 终止前提供预终止支持并促进转接 ✅ Verified SAC 5.4 要求终止前提供预终止支持与转介。15
C6 （已划线）禁止与当前来访者及其家庭成员发生性/浪漫关系；终止后 ≥5 年内不得发生性关系 ✅ Verified SAC 3.1–3.3 明确禁止当前关系与五年限制。7
C7 双重关系与利益冲突申报/处置机制 ✅ Verified SAC 2.7 禁止双重关系；SPS 2.4/2.5 规定多重关系与冲突处理。1516
C8 录音/录像需事先征得许可 ✅ Verified SAC 3.2 明确录音需事先许可。17
C9 咨询环境保护身份与隐私 ✅ Verified SAC 3.3 要求咨询环境保护身份与隐私。17
C10 儿童/脆弱人群有充分提问与澄清机会 ✅ Verified SPS 4.1(e) 要求给儿童与脆弱成人充分提问/澄清机会。18

D. 人员资质、胜任力与督导（Workforce Competence & Supervision）

ID 要点 结论 证据与说明
D1-1 需清晰“角色与服务范围”声明并与训练匹配 ⚠️ Partial SAC/SPS强调不得夸大资格与须在胜任力范围内执业，但未明确要求“角色/服务范围声明”。814
D1-2 不得超出胜任力执业；超出须转介/督导升级 ✅ Verified SAC 2.1–2.3 要求仅在胜任力范围内执业并转介；SPS 5.1 同样强调边界。89
D1-3 实习生服务需告知且在督导下工作 ✅ Verified SAC 2.5 明确实习生需告知并在督导下工作。8
D2-1 宣称 RegCLR 需有有效注册证明 ⚠️ Partial 宪章仅规定注册者可使用 RegCLR 后缀，未明确“对外宣称必须出示证明”。19
D2-2 600 小时 counselling（2–3 年内完成）；视频最多 300 小时 ✅ Verified SAC 5.2.2(iv) 明确 600 小时与视频上限。19
D2-3 督导比率 ≥1:10 ✅ Verified SAC 5.2.2(iii)/(iv) 明确 1 小时督导/10 小时实践。19
D2-4 续期：每 2 年 ≥50 CPD + ≥400 临床小时，证据可抽查 ✅ Verified SAC 5.3.1–5.3.3 规定续期周期、CPD 50h、临床 400h，且证据可被要求提交。1920
D2-5 注册/续期需 PI 保险证据 ✅ Verified SAC 5.5.1 要求专业责任险证据。20
D3-1 全体人员需有明确督导安排（频率/形式/责任人/记录） ⚠️ Partial SAC 规定督导比率；NHS 标准仅强调“trained and supervised”。未具体到频率/记录机制。1921
D3-2 督导含 outcomes-focused 复盘（个案/伦理/边界） ⚠️ Partial NHS 标准明确 outcomes‑focused supervision，但未提及伦理/边界/个案讨论细节。21
D3-3 督导者需接受督导方法训练并持续进修 ✅ Verified SAC 3.2 要求督导者接受督导训练并持续进修。17

E. 安全与风险管理（Safety, Screening, Triage, Escalation）

ID 要点 结论 证据与说明
E1-1 PHQ-4 初筛：子量表≤2→自助；任一≥3→PHQ‑9/GAD‑7 ✅ Verified MOH 流程图明确 PHQ‑4 阈值与后续量表。22
E1-2 PHQ‑9/GAD‑7 分层阈值（Tier 2/3/4） ✅ Verified MOH 表格给出 PHQ‑9 与 GAD‑7 Tier cut-offs。22
E1-3 C‑SSRS 触发：Q9≥1 或总分≥20；或临床怀疑 ✅ Verified MOH 表 5 与抑郁流程备注明确触发条件与临床判断。2324
E1-4 仅 PHQ‑4/PHQ‑9/GAD‑7/C‑SSRS 用于分层；WHODAS 不用于 triage ✅ Verified MOH Principle 4 + Note 明确 WHODAS 不用于分层，仅用于更深评估。25
E2-1 Tier2 遇到 Tier4 必须转介/升级；red flags 可直接 Tier4 ⚠️ Mismatch MOH 说明：Tier2 遇到 Tier4 转介至 Tier3 进一步评估；若 red flags 则直接 Tier4。与“必转 Tier4”不一致。24
E2-2 危机响应流程（自杀/自伤/他伤/虐待），含 24/7 路径 ⚠️ Partial MOH 红旗表提供紧急处置（警察/救护车/IMH/通知家属/热线），但未明确“24/7”或“虐待”流程细则。26
E2-3 持续风险评估 + 熟悉 mandatory reporting（如虐待） ✅ Verified SPS 4.7 要求持续评估与熟悉强制报告（含虐待）。9
E2-4 偏离阈值需记录“临床判断”理由 ⚠️ Partial MOH 强调应依专业判断/临床裁量，但未明确“必须记录理由”。24

F. 服务交付与有效性（Delivery & Outcomes）

ID 要点 结论 证据与说明
F1-1 至少基线 + 结案 outcome（PHQ‑9/GAD‑7；必要时 WHODAS） ✅ Verified MOH Table 5 规定基线与结案 timepoints，并包含 WHODAS。23
F1-2 session‑by‑session 常规 outcome 监测 ✅ Verified NHS 标准明确每次会话常规 outcome 监测。21
F1-3 outcome paired scores 完整率（>98% 标杆） ✅ Verified NHS 标准称 session‑by‑session 体系使 >98% 个案有 outcome 数据。21
F2-1 caseness cut‑off：PHQ‑9 ≥10；GAD‑7 ≥8 ✅ Verified NHS Manual Table 9 给出阈值。27
F2-2 Reliable improvement / deterioration 定义 ✅ Verified NHS Manual 明确 improvement（无可靠恶化）与 deterioration（可靠恶化）的定义。2829
F2-3 Reliable recovery = recovery + reliable improvement ✅ Verified NHS Manual 明确可靠康复需同时满足恢复与可靠改善。28
F2-4 Reliable change thresholds：PHQ‑9 ≥6；GAD‑7 ≥4 ✅ Verified NHS Manual Table 9 可靠变化阈值。27
F2-5 缺失结案数据不计 recovered ✅ Verified NHS Manual 指出缺失结案数据的个案不计 recovered（demonstrated recovery）。28
F3-1 等待时间指标（Referral→first appointment） ✅ Verified NHS 标准以“转介→首次会面”衡量等待时间标准。21
F3-2 目标：75% 在 6 周内；95% 在 18 周内 ✅ Verified NHS 标准明确 6/18 周等待时间标准。21
F4-1 PEQ 在结案或倒数第二次收集，且不在治疗师面前填写 ✅ Verified NHS 标准明确 PEQ 收集时点与保密要求。21
F4-2 course of treatment 至少两次会话（含“assessment and treatment”/“treatment”） ✅ Verified NHS 标准明确 course of treatment 的编码口径。21

G. 质量治理与持续改进（Governance & Continuous Improvement）

ID 要点 结论 证据与说明
G1 治理结构（clinical lead/质量负责人/责任链） ❌ Not found NHS 标准强调数据/监督，但未要求具体“治理角色与责任链”；SPS Avoiding Harm 仅要求记录与咨询。2116
G2 投诉与事件处理流程（分级/时限/调查/CAPA） ❌ Not found 所引来源未明确要求投诉处理流程或 CAPA。2116
G3 风险事件复盘并改进 SOP ⚠️ Partial SPS 高风险要求持续评估与法律披露，但未明确“复盘”与 SOP 改进。9
G4 outcome 定期复盘（团队/治疗师维度） ✅ Verified NHS 标准指出 outcomes framework 用于监督与改进服务表现。21
G5 公共透明度（对外发布 outcome） ✅ Verified NHS 标准明确服务 outcome 公开发布以促进透明度与问责。21
G6 跨提供者协作与避免重复填写 ✅ Verified MOH Principle 2 Note 要求多机构协调并共享结果以避免重复测量。25

3) 附录：量化指标与公式

附录 A：新加坡分层（Tiers）与筛查阈值

条目 结论 证据
PHQ‑4 初筛 ✅ Verified MOH 流程图明确 PHQ‑4 初筛。22
抑郁子量表 ≤2 且 焦虑子量表 ≤2 → 自助资源 ✅ Verified MOH 流程图明确 ≤2 时可自助。22
任一子量表 ≥3 → PHQ‑9 / GAD‑7 ✅ Verified MOH 流程图明确 ≥3 转入 PHQ‑9/GAD‑7。22
PHQ‑9 分层 ✅ Verified MOH 表格提供分层 cut‑offs。22
5–9：Tier 2 ✅ Verified 同上。22
10–19：Tier 3 ✅ Verified 同上。22
20–27：Tier 4 ✅ Verified 同上。22
GAD‑7 分层 ✅ Verified MOH 表格提供分层 cut‑offs。22
5–9：Tier 2 ✅ Verified 同上。22
10–14：Tier 3 ✅ Verified 同上。22
15–21：Tier 4 ✅ Verified 同上。22
C‑SSRS 触发 ✅ Verified MOH 明确 C‑SSRS 触发条件。2324
PHQ‑9 Q9 ≥1 或总分 ≥20 → 施测 ✅ Verified MOH 表 5 与抑郁流程均列明。2324
临床怀疑自杀/自伤风险 → 施测（即使 Q9=0） ✅ Verified MOH “To note” 明确临床判断触发。24
WHODAS 2.0 ✅ Verified MOH Principle 4 说明 WHODAS 定位。25
WHODAS 不用于分层，可用于更深评估 ✅ Verified MOH Principle 4 + Note。25

附录 B：IAPT/NHS outcome 口径

条目 结论 证据
PHQ‑9 ≥10 ✅ Verified NHS Manual Table 9。27
GAD‑7 ≥8 ✅ Verified NHS Manual Table 9。27
PHQ‑9 变化 ≥6 ✅ Verified NHS Manual Table 9。27
GAD‑7 变化 ≥4 ✅ Verified NHS Manual Table 9。27
Reliable improvement 定义 ✅ Verified NHS Manual 可靠改善定义。28
Reliable deterioration 定义 ✅ Verified NHS Manual 可靠恶化定义。29
Reliable recovery 定义 ✅ Verified NHS Manual 可靠康复定义。28
75%：6 周内首次会面 ✅ Verified NHS 服务标准等待时间。21
95%：18 周内首次会面 ✅ Verified NHS 服务标准等待时间。21
期望：≥67% reliably improve；≥48% reliably recover ✅ Verified NHS 服务标准“Getting as many people better”期望值。21
数据完整率：session‑by‑session 可达 >98% ✅ Verified NHS 服务标准提到 >98% outcome 完整率。21

附录 C：可选“核心量表包”

条目 结论 证据
抑郁：PHQ‑9（全体默认） ✅ Verified NHS 标准 ADSM/Measures 说明 PHQ‑9 为默认抑郁量表。21
焦虑：GAD‑7（默认） ✅ Verified NHS 标准说明 GAD‑7 为默认焦虑量表。21
明确焦虑障碍→用 ADSM 替换（PTSD=PCL‑5、社交焦虑=SPIN、惊恐=PDSS、强迫=OCI 等） ✅ Verified NHS 标准 ADSM 表列出对应量表。21
功能：WSAS ✅ Verified NHS 标准 “Work and social adjustment scale (WSAS)” 说明其用于干扰程度监测。21

附录 D：可选“执业胜任力考试蓝图”

条目 结论 证据
EPPP Part 1：225 题（175 计分 + 50 预试题），8 大内容域 ✅ Verified EPPP Handbook 明确题量与 8 个内容域。30
EPPP Part 2：170 题（130 计分 + 40 预试题），6 大技能域 ✅ Verified EPPP Handbook 明确题量与 6 个技能域。30
NCE：200 题（160 计分 + 40 不计分），3 小时 45 分 ✅ Verified NCE Content Outline 给出题量与时长。31
NCE 内容域含：职业伦理、评估/测试、干预技能、治疗计划、核心咨询特质等 ✅ Verified NCE Content Outline 的 6 大域覆盖上述内容。32
样题风格：如 CBT 应用、治疗联盟（handbook 附录示例） ✅ Verified NCE Handbook 附录样题包含 CBT 与治疗联盟示例。33

References

Footnotes

  1. “Summary of requirements”, https://www.hcsa.gov.sg/about-us/2-summary-of-requirements/, “Licensees must comply with all requirements… Codes of Practice”. ↩

  2. “HCSA and the Regulation of Psychologists”, https://www.moh.gov.sg/newsroom/hcsa-and-the-regulation-of-psychologists/, Answer paragraph on “treat” restriction and “doctor” title protection (page text snapshot). ↩

  3. “FAQs on HCS (Advertisement) Regulations_1.1”, https://isomer-user-content.by.gov.sg/7/1d84b66a-5625-49a2-8c0e-e06eea4ed9fd/FAQs%20on%20HCS%20%28Advertisement%29%20Regulations_1.1.pdf, p.6. ↩

  4. SAC “Code of Ethics”, https://sacsingapore.org/wp-content/uploads/2025.01-Jan-SAC-Code-of-Ethics-v2.pdf, p.7 (technology risks/alternatives; public statements not deceptive). ↩ ↩2 ↩3

  5. SPS “Code of Ethics 1st Edition”, https://singaporepsychologicalsociety.org/wp-content/uploads/2022/06/SPS-Code-of-Ethics-1st-Edition.pdf, p.26 (advertising/testimonials). ↩ ↩2

  6. SAC “Code of Ethics”, https://sacsingapore.org/wp-content/uploads/2025.01-Jan-SAC-Code-of-Ethics-v2.pdf, p.6 (cross‑border counselling: applicable law; identity verification & consent). ↩ ↩2

  7. SAC “Code of Ethics” (v2 Jan 2025), https://sacsingapore.org/wp-content/uploads/2025.01-Jan-SAC-Code-of-Ethics-v2.pdf, p.1 (legal relationship, minors, prohibited relationships, fees, fee sharing). ↩ ↩2 ↩3 ↩4

  8. SAC “Code of Ethics”, https://sacsingapore.org/wp-content/uploads/2025.01-Jan-SAC-Code-of-Ethics-v2.pdf, p.3 (confidentiality, records security, records destruction, competence, interns). ↩ ↩2 ↩3 ↩4 ↩5 ↩6

  9. SPS “Code of Ethics”, https://singaporepsychologicalsociety.org/wp-content/uploads/2022/06/SPS-Code-of-Ethics-1st-Edition.pdf, p.17 (High Risk: continuous assessment, confidentiality limits, mandatory reporting; competence boundary). ↩ ↩2 ↩3 ↩4

  10. SPS “Code of Ethics”, https://singaporepsychologicalsociety.org/wp-content/uploads/2022/06/SPS-Code-of-Ethics-1st-Edition.pdf, p.20 (records kept minimally 3 years). ↩

  11. PDPC “Required to Notify the PDPC”, https://www.pdpc.gov.sg/report-data-breach/before-you-report-a-data-breach-3/info, page text (3 calendar days; notify affected individuals). ↩

  12. PDPC “Guide on Managing and Notifying Data Breaches under the PDPA”, https://www.pdpc.gov.sg/-/media/files/pdpc/pdf-files/other-guides/guide-on-managing-and-notifying-data-breaches-under-the-pdpa-15-mar-2021.pdf, p.38 (timeline: within 3 calendar days). ↩

  13. PDPC “Advisory Guidelines for the Healthcare Sector (Sep 2023)”, https://www.pdpc.gov.sg/-/media/files/pdpc/pdf-files/advisory-guidelines/advisory-guidelines-for-the-healthcare-sector-sep-2023.pdf, pp.23–24 (Protection/Retention Limitation/Transfer Limitation obligations). ↩ ↩2

  14. SPS “Code of Ethics”, https://singaporepsychologicalsociety.org/wp-content/uploads/2022/06/SPS-Code-of-Ethics-1st-Edition.pdf, p.15 (Informed Consent to Therapy elements). ↩ ↩2

  15. SAC “Code of Ethics”, https://sacsingapore.org/wp-content/uploads/2025.01-Jan-SAC-Code-of-Ethics-v2.pdf, p.2 (referrals/termination; dual relationships). ↩ ↩2 ↩3 ↩4

  16. SPS “Code of Ethics”, https://singaporepsychologicalsociety.org/wp-content/uploads/2022/06/SPS-Code-of-Ethics-1st-Edition.pdf, pp.10–11 (multiple relationships; conflict of interest; sexual intimacies). ↩ ↩2 ↩3

  17. SAC “Code of Ethics”, https://sacsingapore.org/wp-content/uploads/2025.01-Jan-SAC-Code-of-Ethics-v2.pdf, p.4 (supervisor training; recording permission; environment privacy). ↩ ↩2 ↩3

  18. SPS “Code of Ethics”, https://singaporepsychologicalsociety.org/wp-content/uploads/2022/06/SPS-Code-of-Ethics-1st-Edition.pdf, p.16 (children/vulnerable adults opportunity for questions). ↩

  19. SAC “Constitution v1.2 (2025.04.25)”, https://sacsingapore.org/wp-content/uploads/2025.04.25-Apr-SAC-Constitution-v1.2.pdf, p.4 (RegCLR; supervision ratio; 600 hours; video limit; CPD 50h). ↩ ↩2 ↩3 ↩4 ↩5

  20. SAC “Constitution v1.2 (2025.04.25)”, https://sacsingapore.org/wp-content/uploads/2025.04.25-Apr-SAC-Constitution-v1.2.pdf, p.5 (400 clinical hours; PI requirement). ↩ ↩2

  21. NHS England “Service standards (NHS Talking Therapies)”, https://www.england.nhs.uk/mental-health/adults/nhs-talking-therapies/service-standards/, sections “Data and performance”, “Programme aspirations”, “Patient experience”, “The importance of data”, “ADSM”, “WSAS”. ↩ ↩2 ↩3 ↩4 ↩5 ↩6 ↩7 ↩8 ↩9 ↩10 ↩11 ↩12 ↩13 ↩14 ↩15 ↩16 ↩17 ↩18 ↩19 ↩20

  22. MOH “Practice Guide for Tiered Care Model…”, https://isomer-user-content.by.gov.sg/95/1dce7b4e-9848-4d0d-b709-49ef69a2fb3b/Practice%20Guide%20for%20Tiered%20Care%20Model%20for%20Mental%20Health_Final.pdf, p.26 (PHQ‑4 flowchart & tier cut‑offs). ↩ ↩2 ↩3 ↩4 ↩5 ↩6 ↩7 ↩8 ↩9 ↩10 ↩11 ↩12 ↩13

  23. MOH “Practice Guide for Tiered Care Model…”, https://isomer-user-content.by.gov.sg/95/1dce7b4e-9848-4d0d-b709-49ef69a2fb3b/Practice%20Guide%20for%20Tiered%20Care%20Model%20for%20Mental%20Health_Final.pdf, p.24 (Table 5 timepoints; C‑SSRS trigger). ↩ ↩2 ↩3 ↩4

  24. MOH “Practice Guide for Tiered Care Model…”, https://isomer-user-content.by.gov.sg/95/1dce7b4e-9848-4d0d-b709-49ef69a2fb3b/Practice%20Guide%20for%20Tiered%20Care%20Model%20for%20Mental%20Health_Final.pdf, p.27 (C‑SSRS triggers; clinical judgement; Tier2 referral and red flags). ↩ ↩2 ↩3 ↩4 ↩5 ↩6

  25. MOH “Practice Guide for Tiered Care Model…”, https://isomer-user-content.by.gov.sg/95/1dce7b4e-9848-4d0d-b709-49ef69a2fb3b/Practice%20Guide%20for%20Tiered%20Care%20Model%20for%20Mental%20Health_Final.pdf, p.25 (Principle 2 coordination; Principle 4 WHODAS not for triage). ↩ ↩2 ↩3 ↩4

  26. MOH “Practice Guide for Tiered Care Model…”, https://isomer-user-content.by.gov.sg/95/1dce7b4e-9848-4d0d-b709-49ef69a2fb3b/Practice%20Guide%20for%20Tiered%20Care%20Model%20for%20Mental%20Health_Final.pdf, p.22 (Table 4 red flags & urgent actions). ↩

  27. NHS “Talking Therapies Manual v7.1”, https://www.england.nhs.uk/wp-content/uploads/2018/06/nhs-talking-therapies-manual-v7.1-updated.pdf, p.46 (Table 9 caseness & reliable change index). ↩ ↩2 ↩3 ↩4 ↩5 ↩6

  28. NHS “Talking Therapies Manual v7.1”, https://www.england.nhs.uk/wp-content/uploads/2018/06/nhs-talking-therapies-manual-v7.1-updated.pdf, pp.52–53 (recovery definition; reliable improvement; missing post‑treatment data = not recovered). ↩ ↩2 ↩3 ↩4 ↩5

  29. NHS “Talking Therapies Manual v7.1”, https://www.england.nhs.uk/wp-content/uploads/2018/06/nhs-talking-therapies-manual-v7.1-updated.pdf, p.55 (reliable deterioration definition). ↩ ↩2

  30. ASPPB “EPPP Candidate Handbook”, https://asppb.net/wp-content/uploads/EPPP-Candidate-Handbook.pdf, p.5 (Part 1 & 2 domains and question counts). ↩ ↩2

  31. NBCC “NCE Content Outline”, https://nbcc.org/assets/exam/nce_content_outline.pdf, p.2 (200 questions; 160 scored/40 unscored; 3h45). ↩

  32. NBCC “NCE Content Outline”, https://nbcc.org/assets/exam/nce_content_outline.pdf, p.3 (domain list: ethics, assessment, treatment planning, counseling skills, core attributes, etc.). ↩

  33. NBCC “NCE Applicant Handbook”, https://nbcc.org/assets/exam/handbooks/nce_applicant_handbook_for_national_certification.pdf, p.30 (sample questions incl. CBT and therapeutic alliance). ↩

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