Structured Clinical Management Senior Practitioner

Northamptonshire Healthcare NHS Foundation Trust
£40,057 to £45,839 a year pa, pro rata
Closing date
27 Jun 2022

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Old Age
Band 7
Full Time
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Clinical/Counselling Psychologist or Mental Health Nurse, Occupational Therapist, Social Worker to work as a Senior Practitioner

Personality disorder has been an under-recognised issue for older people within mental health services in the UK which has meant access to effective intervention has been limited. Due to the current post holder commencing maternity leave, we are advertising for a 12 month secondment for experienced mental health practitioners with expertise in working with people with personality disorder to join our multi-disciplinary teams and build an innovative pathway for older people living with these difficulties. This role will involve work across the 2 Older People's Community Mental Health Teams (OPCMHTs) in the south of the county with the aim of establishing a Structured Clinical Management (SCM) pathway and benefit from strong links with NHFTs specialist personality disorder service; the Northants Personality Disorder Hub (NPDH). The NPDH works to enhance understanding of personality disorder and promote the delivery of effective management strategies across community and inpatient services in Northamptonshire. The NPDH also delivers training to community and inpatient teams in order to enhance the capabilities of staff and benefits from an established Lived Experience Advisory Panel (LEAP) that is involved in promoting hope, improving services and co-developing and delivering staff training.

Main duties of the job

As a Senior Practitioner you'll be expected to:
  • support the delivery of group-based Structured Clinical Management (SCM) jointly with the OPCMHT Psychologists
  • contribute to service evaluation and development
  • promote effective working in an advisory role by providing:
    • consultation to your 2 OPCMHT multi-disciplinary teams to support care planning incorporating a range of effective interventions for service users with potential/diagnosed personality disorder
    • support assessment for OPCMHT service users for the in-house SCM programme & referral on for Dialectical Behaviour Therapy (DBT) within the NPDH where appropriate
    • advice and supervision to OPCMHT staff on a range of interventions incorporated under the Structured Clinical Management approach
    • liaison with the Older People's in-patient service & Crisis Team in your catchment to ensure any admissions are time-bound, collaborative & goal-oriented
    • advice for the Liaison Psychiatry team for Older People (LPOP) in your catchment to ensure that older people with personality difficulties receiving care within the general hospitals are supported well
    • training to staff, service users and carers including increasing the profile of older people within the Recovery College

About us

The South Senior Practitioner post will be based across Northampton OPCMHT (Watermill Resource Centre, Berrywood Hospital, NN5 6UD) and Daventry & Towcester OPCMHT (Danetre Hospital, Daventry, NN11 4DY). The NPDH is based at Lotus House, Northampton, NN1 3EB. Both posts will involve travel to other locations across the county and therefore the ability to drive and have access to a car will be required. The role will involve close liaison with the North Senior Practitioner to ensure equitable service provision across the county.

The OPCMHTs comprise of staff from a range of professional backgrounds (Assistant Psychologist, Clinical/Counselling Psychologist, Community Psychiatric Nurses, Occupational Therapist, Peer Support Worker, Psychiatrists, Support worker plus Service Manager) and appointees will be encouraged to maintain professional links. They will also be able to access the ongoing CPD programme. NPDH & DOPPS both view frequent supervision as integral to the effective delivery of therapeutic interventions and maintenance of staff wellbeing. There are also opportunities for CPD via a range of special interest and peer supervision networks (e.g. working with complex cases, conducting research and audit) within the Trust.

Job description Job responsibilities

This post will give the successful candidate the opportunity to develop their capabilities via line management within the Dementia & Older Peoples Psychology Service (DOPPS) which is a supportive and highly motivated team working across all areas of service provision, led by a Consultant Clinical Psychologist. Psychological formulation, reflective practice, and an investment in continued professional development (CPD) are embedded in the services approach. The post holder will be supported to develop required competencies within their role. Experience of working with people with personality difficulties within a therapeutic framework is required, as well as self-awareness, team-working skills, and a commitment to reduce exclusion and stigma for this client group and improve services. Knowledge of the needs of older people would be an advantage.

The post holder will undertake the following roles:

Assessment and Planning
  • Engage in 1:1 and joint working to assess for/identify personality disorder and establish acute admission and longer-term quality of life/recovery goals, and identify barriers to discharge by completing comprehensive psychosocial assessment. Timescales for admission will be established and informed by wider pathway development.
  • Jointly initiate SCM pathway across services with the Psychology staff
  • Establish a framework for integrating admission goals in all care planning and decision making discussions across the MDT
  • Support the in-patient service to structure time-bound goal-focused admissions for service users when required

  • Jointly review incidents of self-harm and crisis with an appropriate practitioner and service users to establish immediate and longer term safety plans and guide practitioners in completing ongoing therapeutic tasks
  • Share the problem solving approach with staff and service users
  • Co-facilitate the SCM group programme within the OPCMHTs with the Psychology staff

Supervision and Training
  • Facilitate peer supervision sessions according to guidelines focusing on problem identification, promoting curiosity regarding emotional/mental states of service users and staff, and enhancing the control/autonomy of service users
  • Supervise SCM Practitioners offering individual therapeutic work within the Older Peoples Community Mental Health Team (OPCMHTs)
  • To take an impartial position to prompt consideration of whether service users are 1) continuing to benefit from working within the OPCMHT 2) enable staff to reflect on the emotional impact of their role and effective practice.
  • To take an impartial position to prompt consideration of whether service users are 1) continuing to benefit from any admissions 2) safer because of the admission; and 3) enable staff to reflect on the emotional impact of their role and effective practice.
  • Review crisis/safety plans co-developed by staff and service users
  • Deliver training sessions to promote skill development in structuring and reflecting interventions and rehearsal of skills that promote emotion regulation, impulse control, and understanding and management of relationships.

Pathway Development
  • Foster strong links with community pathways by regularly attending SCM peer supervision sessions
  • Liaise with services within the Crisis Pathway to ensure consistency in approach across the countys services for older people with personality difficulties
  • Collect data that will enable the service to audit adherence to the SCM pathway including
  • Feedback learning and contribute to PD strategy and implementation groups

Person Specification Knowledge and Experience Essential
  • Recognised qualification in one of the core mental health professions e.g. psychiatric nursing, clinical psychology, social work and occupational therapy or other relevant experience and demonstrable competence to work in the mental health field in the N.H.S (e.g. by maintaining registration with the HCPC and/or your recognised professional body).
  • Significant experience of working in a mental health profession (or equivalent), and in a therapeutic role with people with significant personality difficulties
  • Demonstrate evidence of substantial post qualification training and interest in psychosocial approaches and working with people with personality disorders and complex emotional needs
  • Autonomously organising and managing a complex caseload of patients who are suffering from severe difficulties and who require highly specialist therapies/intervention
  • Knowledge and practice of specialised therapies specific to treating complex presentations pertaining to personality difficulties
  • Awareness and appreciation of equality and diversity issues
  • For professionals whose core training isn't in delivering psychological therapy, significant post-qualification training in a psychological approach
  • Prior experience of working within a DBT or SCM programme
  • Experience of facilitating group interventions
  • Experience of work with older people
Skills Essential
  • Communicating clearly, effectively and sensitively with patients, particularly when presenting highly complex and contentious issues in a high-risk situation
  • To demonstrate clear strategies of maintaining psychological well-being when working with intense emotions and distressing material
  • Has the capacity to use reflective practice and supervision as an aid to understanding and development
  • oIT and keyboard skills

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