Dual Diagnosis Recovery Co-ordinator

Employer
Devon Partnership NHS Trust
Location
Torquay
Salary
£35,392 to £42,618 a year NHS band 6 pay scale
Closing date
29 Sep 2023

View more

Profession
Other Health Profession
Grade
Band 6
Hours
Full Time
Working as a recovery coordinator within the specialist drug and alcohol service, you will be part of a multi-disciplinary team, working alongside individuals who are accessing the service to support them to achieve their personal recovery from substance misuse

The role involves managing a defined caseload of service users with a focus on those with a concurrent presentation of substance misuse and a severe and enduring mental health problem, ensuring effective engagement and treatment delivery to address both presentations in a coordinated approach.

You will be required to coordinate treatment packages that are personalised to the individuals treatment and recovery needs. To do this effectively you will be required to liaise with a wide range of statutory and non-statutory agencies

You will be required to provide a range of evidence based recovery focused interventions. You will be working with service users with complex issues related to their substance misuse including vulnerability, homelessness, criminal justice safeguarding issues and mental health issues.

Within the alliance the post holder will be identified as the locality resource to develop links with mental health services and to develop resources for the wider team.

You will be an initial point of contact for the network in respect of any individuals with concurrent mental health and substance misuse issues. You will be expected to work closely with the Community network mental health teams.

Main duties of the job

This role will include:
  • Providing recovery coordination of complex individuals presenting to TRI. This will include consideration of safeguarding needs, mental health comorbidity (Dual diagnosis) and multi-agency risk assessment conference MARAC.
  • Monitor opiate substitute therapy for safety and efficacy.
  • Take responsibility for specific pathways and ensuring relationships and communication is clear between Torbay recovery initiatives and primary care networks and mental health services
  • Support and engage people who typically find it hard to access and utilise community services and resources.
  • Actively engage and work with individuals with a wide range of mental health problems, who may also have co-existing complex needs including homelessness, substance misuse, significant risk to self or others, are socially excluded, and who at times may present with extremely challenging behaviours.


About us

About Devon Partnership Trust

We provide mental health, learning disability and neurodiversity services, as well as a range of specialist & secure services for the wider south west region & nationally. We are passionate about promoting good mental health & wellbeing. We strive to use the expertise & resources within our organisation, and through our partnerships, to deliver high quality services that are safe & focused on people's recovery.

We are committed to developing a culture of coproduction, involving patients, families & carers in everything we do

Our values

We not only recruit based on qualifications & experience - we recruit individuals who possess & demonstrate the behaviours which underpin our Trusts core values. These include such attributes as showing a commitment to quality of care, improving lives of others, giving respect, dignity & compassion. We can bring those values to life in our everyday tasks by giving a smile making time for people challenging ourselves & others, & being open to new ideas.

We are committed to being an inclusive employer & applications are encouraged & welcomed from all sections of the community, regardless of any protected characteristics as governed by the Equality Act 2010. Part time & flexible working applications will be considered & supported, where possible. We particularly encourage applicants with lived experience of mental health conditions, neurodiversity or learning disabilities. We are a Disability Confident Leader.

Job description

Job responsibilities

A key part of the Band 6 role will include:
  • Providing recovery coordination of complex individuals presenting to TRI. This will include consideration of safeguarding needs, mental health comorbidity (Dual diagnosis) and multi-agency risk assessment conference MARAC.
  • Monitor opiate substitute therapy for safety and efficacy.
  • Take responsibility for specific pathways and ensuring relationships and communication is clear between Torbay recovery initiatives and primary care networks and mental health services
  • Support and engage people who typically find it hard to access and utilise community services and resources.
  • Actively engage and work with individuals with a wide range of mental health problems, who may also have co-existing complex needs including homelessness, substance misuse, significant risk to self or others, are socially excluded, and who at times may present with extremely challenging behaviours.

Duties and Responsibilities

Communication and Working Relationship Skills
  • Contribute to the teams engagement with a wide range of stakeholders including staff, service users, their carers and other statutory and voluntary sector agencies.
  • Impart highly complex and sensitive information to :
    • Patients and families/carers re assessment, care planning, treatment and review
    • Multi-disciplinary teams to ensure the provision of consistent well-coordinated care
    • Primary care teams regarding client care
    • External agencies also involved in the provision of care e.g.: voluntary and private sector, police, social services, housing, employment etc
    • Service user/carer groups
  • Liaise with a wide range of other professionals and agencies.
  • Contribute to the safe and effective day to day operations of the service including the handling of clinical enquires.
  • Provide and receive information some of which may be contentious, sensitive and highly complex to and from individuals and their families/carers, where there may be barriers to understanding.
  • Provide a high standards of written and verbal communication that is clear and in line with professional documentation standards
  • To work in partnership with service users in the development of person centred care based upon the principles of the recovery model and trauma informed therapy
  • To report to senior practitioners on issues related to the safe and effective delivery of care
  • To provide advice and information both face to face and by telephone as required
  • To attend meetings both within the service and with partner agencies as directed by your line manager.
  • To promote effective communication within the service and with external partner agencies
  • To liaise and work jointly with partnership agencies, service user and carer groups, with both the statutory and non-statutory sectors as appropriate
  • To provide verbal and written information to the team and external agencies as requested by your line manager
  • Liaise with a range of statutory and non-statutory agencies
  • To liaise regularly with dispensing pharmacies with regard to mutual service users in order to ensure continuity of treatment and service user safety
  • To participate in the development of service user and carer involvement in service delivery
  • Relate to families, parents and carers where the service user has given informed consent
  • To engage with and participate in any child protection/safeguarding children or adults meetings and to share information with other statutory agencies as part of the development of a plan to support both the parent and child
  • To develop joint working relationships with mental health services where there are concurrent substance misuse and mental health issues
  • To liaise and work jointly with partnership agencies, service user and carer groups, with both the statutory and non-statutory sectors as appropriate
  • To develop joint working relationships with mental health services where there are concurrent substance misuse and complex mental health presentation.
  • To develop effective links with local community mental health services and act as a point of interface with these services.
  • Attend locality dual diagnosis meetings

Responsibility for Patient/Client Care, Treatment and Therapy
  • To provide and monitor the progress of the service users recovery through a broad range of evidence based interventions which include pharmacological, psychosocial and recovery support
  • To work closely with partner agencies including statutory and non-statutory services to ensure effective delivery and coordination of services.
  • Promote choice, well-being and the protection of individual service users
  • To provide and supervise community based alcohol detoxifications as appropriate.
  • To fully assess the needs of service users referred to the service
  • To use agreed assessment, recovery planning and outcome measurements tools
  • Be involved, as part of the multi-disciplinary team, in the discussion and review of service user cases
  • To develop, monitor and review individual recovery plans with each service user
  • To plan, co-ordinate, implement and review a range of interventions appropriate to the identified needs of service users taking a person centred approach
  • To care co-ordinate interventions, in liaison with GPs and other organisations / agencies
  • To assess risk both to service user and risks to the organisation and to communicate these appropriately and with other agencies where appropriate
  • To consider all service users needs, such as housing, employment, education, criminal justice and health within the individual recovery plan
  • To provide or enable service users to access a range of interventions to address risk of blood borne viruses, such as hepatitis b vaccinations and blood borne virus testing
  • To provide care management and coordination in partnership with the service user to ensure that their holistic needs are being met.
  • To assist the transfer and referral of individual service users between agencies and services
  • To undertake assessment of service users use of alcohol where it impacts upon their drug treatment to provide interventions to address this use
  • To support and monitor service users undertaking community based specialist prescribing programmes and to review the effectiveness of these in partnership with the service user
  • To provide a range of clinical psychosocial interventions. In particular home detoxification, coordinate inpatient detox, drug screening, monitoring of prescribing intervention, motivational interviewing, relapse awareness and a broad range of psychosocial interventions
  • Be responsible for maintaining live registration with your registered profession and ensuring personal, professional profile requirements are met
  • To be directly accountable for own practice and to operate in line with your professional code of conduct in relation to policies on direct patient care
  • Be responsible for the on-going delivery of the treatment component of a criminal justice intervention
  • To support service users in addressing their offending behaviour
  • To provide assessment, support and clinicalinterventions in a range of appropriate environments such as police custody suites, magistrate courts.
  • To actively engage individuals prior to release from prison in community services and upon release ensure they engage and remain retained in treatment.
  • Ensure that all interventions have clear outcomes and that these are taken into consideration when sourcing the resources to best meet the individuals needs. This will include enabling individuals to take up Direct Payments and offering the person as much choice and control of resources as appropriate.

Analytical and Judgemental Skills
  • To provide electronic data for the purpose of performance management as directed by the Service Manager
  • Undertake complex risk assessments and develop a formulation of risk which will lead to the development of risk management plans which have taken into consideration a range of possible options
  • Undertake and continuously re-evaluate complex bio-psycho-social assessments and develop a working formulation and diagnosis which will lead to the development of personalised care packages in line with evidence based interventions
  • Ensure the continuous re-evaluation of the service users needs and clinical risk situations and use clinical judgement to formulate the most appropriate clinical plan


Person Specification

Qualifications

Essential

  • A professional Nursing qualification, Social Work degree or equivalent, BSc/Diploma in OT
  • Evidence of relevant continuing professional development
  • A willingness to complete a duel diagnosis training programme


Desirable

  • Post graduate qualification relevant to specialism
  • Clinical supervision qualification
  • Training to level 3 in safeguarding children and young people: roles and competencies for health care staff
  • Mentoring students in line with professional requirements


Experience

Essential

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    C9369-23-0641

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