Care Co-ordinator - London, United Kingdom - South London and Maudsley NHS Foundation Trust

Description

Job overview

The Southwark Mentalization Based Treatment (MBT) Service is looking to recruit a Band 7 staff member. The Service is part of Southwark's personality pathway and stepped care model.

A suitable candidate might be an experienced community mental health clinician wishing to move into a psychological therapy post. Equally, this post might be suitable for a Psychologist or Psychotherapist who wishes to enhance their psychological training / experience, specifically in the field of MBT.

Post holders will be expected to work towards gaining MBT practitioner status with a year of appointment. Funded training is likely to be available through NHS England Workforce, Training and Education.

The post holder will provide individual and group MBT, take part in the MBT duty system, will screen MBT referrals, assess the suitability of patients referred to MBT, will complete MBT formulations / relational passports, co-facilitate psychoeducational groups called MBTi, will organise and participate in regular MBT clinical reviews and offer a bank of MBT follow-up sessions. The post holder will also be expected to take part in daily feedback sessions and attend MBT clinical and supervision meetings.

There is also an expectation to work alongside / support community clinicians with patients with personality disorder or with complex emotional difficulties. This might include supporting the implementation of structured clinical management (SCM) in the community mental health teams.

Main duties of the job

To provide a specialist Mentalization Based Treatment (MBT) service to individuals and groups of people with Personality Disorder and complex emotional difficulties. This includes specialist assessment, treatment, planning, implementation and monitoring of outcomes.

To contribute to enabling other staff, service users and carers from diverse backgrounds to flourish by working to create a psychologically safe environment.

To provide clinical supervision and consultation as appropriate.

To promote service evaluation, audit, and research.

To work as an autonomous professional within registration body guidelines and codes of conduct and guided by the policies and procedures of the service, taking responsibility for own work including treatment and discharge decisions with support of clinical supervisor.

To be active in the provision of staff support within area, including but not limited to Critical Incident Staff Support and Reflect-Support-Resolve. To participate, as a recipient, in staff support work.

Working for our organisation

The MBT Team is made up with a number of individuals whose backgrounds are from medical, psychiatric nursing, occupational therapy and social work, these individuals have then gone onto specialise in psychology or psychotherapy and or MBT practitioner status. The MBT Team has an MBT Administrator.

The Southwark MBT Service is led by a Clinical Service Lead and Consultant Psychiatrist / Medical Psychotherapist.

The Southwark MBT Service is guided by the work of the Trust on PCREF and the Team annually audits referrals to the service, acceptance rates and completion of therapy in terms of ethnicity, diversity and protected characteristics to form a picture of accessibility and to explore and remove barriers to treatment.

At times, the demand and pace of the work can be stressful and requires individuals and Team members to work flexibility, consistently and coherently as a whole. This involves reflecting on ones self and with others, whilst trying to not get into certain positions. Therefore, trying to remain curious, open minded and looking at given situations from multiple perspectives, to then arrive at the most suitable way forward.

The MBT Team has regular internal individual and group supervision and also external supervision from the Trust Lead in MBT, who supports the delivery of adherent MBT interventions.

The MBT Team is supportive of research, development, quality improvement projects and carries out regular treatment outcome measures.

Detailed job description and main responsibilities

Key Responsibilities:

KR 1 Clinical and Patient Care

·To provide specialist psychotherapeutic assessments, formulations, and interventions for clients with personality disorder in the Southwark MBT service, within limits expected at Band 7.

·To provide culturally appropriate psychotherapeutic interventions with carers or families of referred clients when required.

·To assess and monitor risk and draw up appropriate risk management plans.

·To provide reports, including relevant formulation, opinion, and interventions, to inform referrers and, where appropriate, service users and their families.

·To select and deliver evidence-based, specialist MBT therapeutic interventions, monitoring outcome and modifying and adapting interventions as necessary, based on the highly complex factors concerning historical and developmental processes that have shaped the individual, couple, family, or group.

·To promote psychological support for carers or families as appropriate of referred patients.

KR 2 Contributing to team or service clinical functioning

To contribute to the effective working of the Southwark MBT Service and to a psychologically/psychotherapeutically informed framework for the service.

To contribute to the team or service's delivery of accessible and acceptable services to diverse local communities.

To be proactive in challenging discrimination and support the development of culturally competent services.

To liaise with referrers, GPs and other professionals concerned with patients to develop and review care plans

To liaise with the service/s MDT and other professionals.

KR 3 Policy and service development

To implement policies and procedures in own area of work, and to propose improvements or beneficial changes.

To contribute to the consultation and engagement of service users in planning and delivering services which meet the needs of local communities.

To contribute to service development through undertaking and participating in appropriate projects.

KR 4 Care or management of resources

To take care of, and use carefully, the Trust's equipment and physical resources.

To ensure that the post-holder has sufficient resources by estimating future needs and requesting or ordering supplies as needed.

To ensure the cleanliness and safe functioning and use of equipment that will be used by patients or other persons.

To monitor and advise patients on the safe use of materials and processes.

To ensure adequate confidential and safe storage for artefacts produced during the therapy process in line with professional guidelines.

To be responsible for obtaining, storing and maintaining all materials and equipment for the provision of therapy in work setting within budgetary constraints.

To authorise patient travel expenses, if required.

KR 5 Management and supervision

To be responsible for the allocation and/or clinical supervision of the work of a paid assistant if required, under supervision from a more senior therapist.

To supervise trainees within own area of specialism after completion of the relevant Supervision Training.

KR 6 Teaching and Training

To provide occasional specialist training in psychological/psychotherapeutic approaches to care to other professions as appropriate.

To disseminate research/service evaluation findings through presentations and published articles.

KR 7 Record-keeping and Information Governance

To ensure that all information generated by own work is recorded as required by Trust policies and local procedures.

To maintain the highest standards of clinical record keeping and report writing, according to professional and Trust guidelines, including electronic data entry.

KR 8 Research and development

To undertake regular complex service evaluation, audits, or research relevant to service needs.

KR 9 Maintaining professional standards and continuing professional development

To receive regular clinical and professional supervision from a more senior therapist according to discipline, professional body and Trust guidelines.

To maintain own Continuing Professional Development in line with professional body and Trust Personal Development Plan requirements and professional Standards for Continuing Professional Development.

To maintain an up-to-date knowledge of current developments in professional and clinical practice and of relevant legislation and policies

To comply with professional body Standards of Conduct, Performance and Ethics/Standards of Proficiency.

KR10 General

To travel to community settings for meetings as appropriate and across the Trust when required.

To be aware of risk relating to aggressive and challenging behaviour amongst the patient group and follow trust policies relating to its management.

To work flexibly, which may include offering early, to late clinics or Saturday working, within the overall Job Plan.

To respond appropriately and professionally to emotionally distressing situations (such as challenging behaviour, abuse etc) and to support others involved in such situations through Trust-wide approaches including Critical Incident Staff Support and Reflect-Support-Resolve.

Person specification

Qualifications

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Experience

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Knowledge

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