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DR LLOYD HUMPHREYS B.Sc. (Hons), M.Phil., D.Clin.Psy., C.Psychol., AFBPsS CONSULTANT CLINICAL PSYCHOLOGIST Medico-legal work (all enquiries/correspondence) to: Medico-Legal Secretary, SM Legal Services, High Pines, 71 Walsall Road, Little Aston, Sutton Coldfield, Birmingham, B74 3BA Tel: 0121 352 0517 Fax: 0121 353 9408 [email protected] www.smlegalservices.co.uk QUALIFICATIONS AND MEMBERSHIPS 2009-Present: Associate Fellow of British Psychological Society AFBPsS 2005-Present: Practitioner Psychologist with Health Professions Council 2003-Present: Chartered Clinical Psychologist with British Psychological Society C.Psychol. 2000-2003: Doctorate in Clinical Psychology, University of Lancaster D.Clin.Psy. 1999-2002: Masters in Clinical Psychology Research, University of Manchester M.Phil. 1994-1998: Undergraduate Degree in Psychology, University of St. Andrews B.Sc. (Hons) EMPLOYMENT 2013-Present: Consultant Clinical Psychologist Individual Psychology Services 2004-2013: Founder and Consultant Clinical Psychologist Clinical Psychology Associates 2009-2013: Director and Consultant Clinical Psychologist Breaking Free Online 2003-2005: Clinical Psychologist Trafford P.C. Psychology NHS Service 2003-2005: Specialist Clinical Psychologist Salford Refugee and Asylum Seeker Service 2000-2003: Trainee Clinical Psychologist University of Lancaster Doctoral Course in Clinical Psychology 2000: Assistant Psychologist University Hospital of South Manchester NHS Foundation Trust 1998-2000: Research Assistant University of Manchester CLINICAL EXPERIENCE: PERSONAL INJURY AND TRAUMA Medico-legal / assessment Examples of reports: Assessment of trauma following Road Traffic Collisions; Assessment of the long-term impact on mental health following medical injuries; Assessment of workplace trauma (e.g. following an incident at an abattoir, construction site incidents, bullying and harassment); Child assessment of PTSD following the witness of assault on father; Assessment of PTSD in military personnel; Assessment of risk, mental health and personality disorder following assault with a weapon; Assessment of trauma following physical, sexual or emotional abuse in adults and young people; Assessment of Type-II trauma responses; Distinction between, bereavement, acute stress and PTSD reactions; Assessment of hospital staff and emergency personnel; Assessment of trauma and reliability of testimony in a human trafficking case; Review of psychologists report into the impact of detention on unaccompanied minors. Clients: Personal injury solicitors; Treasury Solicitors; Crown Prosecution Service; Greater Manchester Police; local, regional and national legal firms; Social Services and Local Authorities; Occupational Health organisations; national companies and HR departments (EAP programmes); individual clients Measures used: Clinician Administered PTSD Scale (CAPS), MCMI-III, Post-Traumatic Diagnostic Scale (PDS), PENN Inventory, Harvard Trauma Scale, Impact of Events Scale (IES), Dissociative Experiences Scale (DES) Therapy Examples: Early intervention service for emergency personnel (fire, ambulance, police, prison and hospital staff); Therapy for ex-intelligence and military service personnel; Group therapy for prison staff and families following a prolonged riot; Therapy for individuals following assault, physical, sexual or emotional abuse; Therapy for search and rescue personnel following north Sea Disaster Types of therapy: Consistent with National Institute for Clinical Excellence (NICE) – cognitive behavioural therapy (CBT), EMDR and early intervention. Consultation Crisis response service for DWF’s business unit for high profile rapid response intervention following critical incidents in the workplace. Training Guest lecturer at University of Lancaster Doctoral Course in Clinical Psychology 2004-2007 – PTSD diagnosis and treatment Training of clinical and counselling psychologists on assessing and preparing expert reports for clients suffering from trauma reactions Training in delivering cognitive behavioural therapy for mental health and substance misuse practitioners for nationwide third sector providers Workshops on distinguishing different types of trauma reactions following critical incidents for Clinical and Counselling Psychologists Conference presentations at European Society of Traumatic Stress Studies Supervision Provided supervision and mentorship in working with complex trauma for clinical and counselling psychologists CLINICAL EXPERIENCE: CRIMINAL CASES Medico-legal / assessment Examples of past reports: Assessment of the long-term impact of an assault on the victim mental health and well-being; Assessment of risk, mental health and personality disorder following assault with a weapon; Assessment of risk, mental health and personality disorder following arson and criminal damage; Report on mental health and risk of convicted client for the purposes of sentencing; Assessment of client’s past military service on reasons for assault; Assessment of causative factors and clients understanding of the impact of exposure on others; Assessment of victim empathy and awareness of other people’s mental state; Impact of domestic violence upon the victim and recommendations for their recovery; Assessment of substance use and dependence on clients committing criminal acts under the influence of drugs; Assessment of mental health malingering in driving under the influence case; Assessment of panic attacks and the impact upon providing a breathalyser sample; Assessment of risk of future offending of convicted sex offender; Assessment of susceptibility to be coerced into committing criminal acts, including fraud Approximate ratio of cases: Defendant 32%: Claimant 27%: Joint instruction 41% Examples of past clients: Courts; local, regional and national legal Firms; Crown Prosecution Service; Probation Trusts; individuals Examples of measures used: Million Clinical Multi-axial Inventory (MCMI-III), Beck Depression Inventory, Beck Anxiety Inventory, Positive and Negative Syndrome Scale, Malingering Scale, Symptom Checklist (SCL-90), General Health Questionnaire, Clinician Administered PTSD Scale Therapy Examples of difficulties treated: Trauma, PTSD and acute stress reactions, depression, anxiety, Obsessive Compulsive Disorder, victim empathy, addressing guilt and shame, bereavement, agoraphobia, social anxiety, panic attacks, worry, bipolar disorder, mania, low self-esteem Types of therapy: Cognitive behavioural therapy (CBT) and other evidence-based approaches Training Attended Bond Solon Expert Witness Training Presented at international conferences on culturally-sensitive approaches to working with Post- Traumatic Stress Disorder Training of clinical and counselling psychologists on assessing and preparing expert reports Training of mental health professionals in psycho-social interventions Supervision Provided supervision and mentorship for clinical and counselling psychologists working with clients CLINICAL EXPERIENCE: CHILD AND FAMILY Medico-legal / assessment Examples of reports: Assessment of parenting abilities, mental health, risk issues and personality factors in residence orders, child protection proceedings and placement of young people; Assessment of trauma on young person following Road Traffic Collision; Child assessment of PTSD following the witness of assault on father; Assessment of young person’s risk, mental health and personality disorder following schedule one sexual offences by a minor; Assessment of trauma following physical, sexual or emotional abuse; Assessment of placement suitability for looked after young people; Assessment of mental health status and presence of early onset psychosis symptoms in an adolescent; Review of psychologists report into the impact of detention on unaccompanied minors; Assessment of the causative and maintaining factors for self-harm and parasuicide; Assessment of extreme challenging behaviour and aggression towards self and others Examples of past clients: Local Authorities, Courts, CAFCASS, national and regional providers of residential and fostering care (e.g. Continuum Group, Advanced Childcare, Horizon Care, Lynstead, Hillcrest, Meadows Care, Oakfields, Independent Living Alliance); mainstream schools and academies; individual clients Examples of measures used: Beck Youth Inventories; Strengths and Difficulties Scale; Resiliency Scale; MAPI; Child Trauma Checklist; Parenting Relationship Inventory; Bene Anthony Family Relations Test; La Vigna Assessment framework; Adaptive Behaviour Scale; Full range of intellectual functioning assessments Therapy Examples: anger and aggression, attachment difficulties, trauma, self-esteem, severe challenging behaviour, depression, anxiety, obsessive-compulsive disorder, extreme self-harm, parasuicide, early onset psychosis, personality disorders, overcoming abuse eating difficulties (binging and starvation), encopresis, enuresis Plus, emotional well-being issues associated with individuals with autistic spectrum disorders and learning disabilities Types of therapy: Consistent with National Institute for Clinical Excellence (NICE) – cognitive behavioural therapy (CBT), narrative therapy, play therapy, using creative therapy techniques, EMDR, attachment therapy, parenting interventions (including Webster Stratton early years) and structured behavioural interventions Consultation Service development of young people’s services and education to deliver structured models of care based on best practice guidelines Training Training for national providers of residential child care in: Managing Challenging behaviour; Introduction to Cognitive Behavioural Therapy, Understanding Mental Health; Childhood Sexual Abuse and Trauma; Positively Managing Risk; Introduction to Psycho-Social Interventions; Fundamentals of Childhood Attachment; Working with Young People with Autistic Spectrum Disorders Training of clinical and counselling psychologists on assessing and preparing expert reports for young people’s services Supervision Provided supervision and mentorship in working with young people’s services for clinical and counselling psychologists CLINICAL EXPERIENCE: IMMIGRATION AND ASYLUM Medico-legal / assessment In 2003, acted as lead psychologist in establishing one of the UK’s first GP-led Personal Medical Services (PMS) for asylum seekers and refugees Examples of reports: Assessment of mental health status for Home Office applications for asylum and refugee status; Assessment of PTSD following torture with non-English speakers; Assessment of trauma and reliability in a human trafficking case with main witness from the Czech Republic; Supervision of a review of a class action against the government regarding the impact of detention on their client’s emotional and psychological wellbeing subsequent to age disputes; Assessment of current mental health for tribunal following detention under Mental Health Act with non-English speaking asylum seeker; Assessment of the impact of a return to home country for individual seeking indefinite leave to remain Examples of past clients: NHS, Local Authorities, Courts, Greater Manchester Police, Law Firms, immigration tribunals, national and regional providers of residential care; individual Examples of measures used: Harvard Trauma Scale (translated versions), Hopkins Symptom Inventory, General Heath Questionnaire (translated and culturally sensitive versions of GHQ-12), language appropriate measures of depression and anxiety Therapy Examples: (Majority of work has been through interpreters) trauma following detention and interrogation from alleged government agencies (e.g. affiliated with PKK, Tamil Tigers and former Ba’ath party); PTSD following extreme torture and medical experimentation; dissociation following witnessing family murdered in Kosovo; depression and anxiety following government collapse and having to flee Iraq; mental health issues following religious persecution in Iran, Darfur and other countries; abnormal grief reactions and guilt following forced recruitment as a child soldier and committing acts of violence in Sierra Leone. Examples of regions and countries where clients have been displaced from: African continent (e.g. Darfur region of Sudan, Democratic Republic of Congo, Ivory Coast, Zimbabwe, Ghana and Sierra Leone), Middle East (e.g. Iran, Iraq, Pakistan), Europe (Turkey, Kosovo, Serbia and other Balkan states), and Asia (e.g. Sri Lanka) Types of therapy: Cognitive behavioural therapy (CBT), EMDR, therapy to foster post-traumatic growth, anger control techniques, grief counselling Consultation Co-founded, with the Medical Foundation, the Specialist Interest Group for Psychologists working with asylum seekers and refugees in the North-West (PSYRAS), Chair 2004-2005 Service development of young people’s services and education to deliver structured models of care based on best practice guidelines Training Training for interpreters on working with mental health issues Presented at international conferences on culturally-sensitive approaches to working with Post-Traumatic Stress Disorder Training of clinical and counselling psychologists on assessing and preparing expert reports for asylum cases Workshops on best practice guidelines for working with translators in mental health settings Supervision Provided supervision and mentorship for clinical and counselling psychologists working with non-English speaking clients PUBLICATIONS AND CONFERENCES Peer reviewed journals Humphreys, L. & Barrowclough, C. (2006). Attributional style, defensive functioning and persecutory delusions – symptom specific or general coping strategy? British Journal of Clinical Psychology Barrowclough, C., Tarrier, N., Humphreys, L., Ward, J., Gregg, L., & Andrews, B. (2003). Self-esteem in schizophrenia: The relationships between self-evaluation, family attitudes and symptomotology. Journal of Abnormal Psychology, 112 (1), 92-99. Tarrier, N. & Humphreys L. (2000). Subjective improvement in PTSD patients with treatment by exposure or cognitive therapy: session-by-session changes. British Journal of Clinical Psychology, 39, 27-34 Tarrier, N., Kinney, C., McCarthy, E, Humphreys, L., Wittkowski, A., & Morris, J. (2000). Two-year follow-up of cognitive-behaviour therapy and supportive counselling in the treatment of persistent symptoms in chronic schizophrenia. Journal of Consulting and Clinical Psychology, 68 (5), 917-922 Tarrier, N., Sommerfield, C., Pilgrim, H., & Humphreys, L. (1999). Twelve-month follow-up of a trial of cognitive therapy or imaginal exposure in the treatment of PTSD. British Journal of Psychiatry, 175, 571-576 Tarrier, N., Kinney, C., McCarthy, E., Wittowski, A., Yusupoff, L., Gledhill, A., Morris, J., and Humphreys, L. (2001). The cognitive-behavioural treatment of persistent symptoms in chronic schizophrenia: Are some types of psychotic symptoms more responsive to cognitive behaviour therapy. Behavioural and Cognitive Psychotherapy, 29, 45-55 Tarrier, N., Kinney, C., McCarthy, E., Wittkowski, A., Yusupoff, L., Gledhill, A., Morris, & Humphreys, L. (1999). The durability of the effects of cognitive behaviour therapy in the treatment of chronic schizophrenia: twelve months follow-up. British Journal of Psychiatry, 174, 500-504 Peer attended conferences Humphreys, L. (2005) Working with traumatised refugees and asylum seekers: A phased approach to treatment. Manchester Medical Society Humphreys, L. (2005). Delivering specialist primary care services for traumatised refugees and asylum seekers in the UK. IX European Conference on Traumatic Stress Studies, Stockholm Ørner, R., Humphreys, L., & Smith, C. (2005). Overcoming difficulties encountered when conducting research in clinical settings; a sharing of obstacles and opportunities. IX European Conference on Traumatic Stress Studies, Stockholm Humphreys L., Kinderman P., Lobban, F., Ward, J. (2004). Attributions and Psychosis: Current Perspectives. European Association of Behavioural and Cognitive Psychotherapies Annual Conference, Manchester Humphreys L. (2004) Attributional style, defensive functioning and persecutory delusions. European Association of Behavioural and Cognitive Psychotherapies Annual Conference, Manchester Humphreys L. & Barrowclough, C., (2004). Self-esteem and attributional style in psychosis. Selfesteem: From theory to practice. Behavioural and Cognitive Psychotherapies Annual Conference Humphreys, L. (2003). The Impact of the family environment upon the onset and course of challenging behaviours in young children with Intellectual Disabilities. Annual Conference of the Faculty of Children and Young People (Division of Clinical Psychology, BPS), Gloucestershire Humphreys, L. (2003). Chair of Symposium at the VIII European Conference on Traumatic Stress, Berlin. Presenters: Dr. R. Ørner, S. Davies, & Dr. R. Bretherton. Discussant: Prof. C. Brewin Humphreys, L. (2003). Managing and Analysing Databases: The Basics of Statistics in Audit and Research. Department of Clinical Psychology, Lincoln Turvey, T., Humphreys, L., Morgan, I., Smeddle, M., and Smith, F. (1998). Trends in clinical outcomes 1988-1998. Lothian CPD Annual Conference