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Transcript
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