CASUS Senior Substance Misuse Practitioner / Nurse

Cambridgeshire & Peterborough NHS Foundation Trust
£32,306 to £39,027 a year per annum pro rata
Closing date
6 Jul 2022

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Substance misuse
Band 6
Contract Type
Full Time
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An exciting opportunity has arisen for an enthusiastic, highly motivated and skilled practitioner to join the well-established and nationally recognised Cambridgeshire Child and Adolescent Substance Use Service - CASUS. This dynamic and supportive multi-disciplinary team provides interventions to young people and families across Cambridgeshire.

The successful candidate will work as a Senior Substance Misuse Practitioner / Nurse offering specialist assessments, formulation and evidence-based interventions to children, young people and their families, who are experiencing problems with substance misuse, offending and mental health difficulties, in line with locally commissioned and national guidelines.

The post is full time, Monday to Friday 9-5pm and is a permanent position, with some working from home and sometime based in our Huntingdon offices or central Cambridge clinic. The post holder will be required to work peripatetically across the county.

Main duties of the job

To provide treatment and interventions as part of CASUS, a multi-disciplinary team working with children, young people and their families to address drug and alcohol use and misuse, including the impact of adult substance misuse on children. The post holder will offer advice and consultation on the drug and alcohol needs of service users to colleagues and partner agencies and to other, nonprofessional carers, working autonomously within professional guidelines and the overall framework of the team's policies and procedures. The team uses AMBIT -a mentalization based multi component framework.

The post holder will assist the Clinical Lead and Team Manager in the provision of clinical leadership, acting on behalf of and to deputise, as directed and in their absence and provide quality evidence-based treatment advice, support and care for service users drug and alcohol needs and to their carers within a community setting. Working in conjunction with the Clinical Lead and the Team Manager to set, maintain and audit clinical standards in adherence to local and national priorities as well as having a working knowledge of local, national policies and legislation which govern current service provision.

To take a lead in the development of a new CASUS pathway for young people who are affected by the substance use of a parent/carer, in close liaison with CGL (Cambridgeshire adult substance use service provider) and Cambridgeshire social services.

About us

Cambridgeshire & Peterborough NHS Foundation Trust is a health & social care organisation dedicated to providing high quality care with compassion to improve the health & wellbeing of the people we care for, as well as supporting & empowering them to lead a fulfilling life.

Our clinical teams deliver many NHS services not only via inpatient and primary care setting but also with the community. These services include Children, Adult & Older Peoples mental & physical health, Forensic & Specialist mental health, Learning Disabilities, Primary Care & Liaison psychiatry, Substance misuse, Social care, Research & Development.

To achieve our goal, we look to recruit high calibre candidates that share our vision & values. As an equal opportunities employer, we encourage applications from all sectors of the community, particularly from under-represented groups including disabled people & members of our ethnic minorities & LGBTQ+ communities.

CPFT encourages and supports vaccination uptake, as this remains the best line of defence against Covid-19

Job description Job responsibilities

Please refer to the attached job description and person specification for full details of responsibilities
  • To work as an integral member of the CASUS team, using AMBIT approach
  • Adolescent Mentalization Based Integrative Therapy - with young people and families, to undertake comprehensive assessment of substance use, risk and needs.
  • To plan, implement and evaluate packages of care for young people to address their identified substance use needs.
  • To provide substance specific interventions such as information, advice, psychoeducation, reduction planning, harm reduction advice and relapse prevention.
  • To liaise and formulate care closely with other individuals and organisations that form part of the network that is involved with a young person and family such as Childrens Services Locality teams, Social Care teams, Education providers, Youth Offending Service, CAMH, Primary Care, third sector agencies.
  • To participate in working collaboratively with other Trust services and external agencies to provide seamless care for service users.
  • To promote the teams implementation of the AMBIT approach through gained mentalization based expertise, practice and role modelling.
  • To provide a range of evidenced based specialist therapeutic interventions, such as Motivational Interviewing, Cognitive Behavioural interventions, Systemic Family interventions and solution focused interventions.
  • To deliver interventions in CPFT settings, education, community, other health settings and at home.
  • To deliver targeted and specialists substance misuse interventions to identified individuals and groups of young people.
  • To promote the wider addressing of substance misuse needs of young people by providing support, consultation and training to the childrens services workforce.
  • To participate in and deliver team clinical supervision processes as agreed by the Clinical Lead and Team Manager and in line with the CPFT policy.
  • Participate in Team, Trust and Commissioner audits, with particular priority for service user feedback and service evaluation processes in conjunction with Clinical Lead and Team Manager.
  • To attend team meetings, other meetings and training as required and agreed with team leader.
  • To be responsible for maintaining and conducting oneself in a professional manner towards service users, carers, colleagues and other agencies, at all times.
  • To ensure that accurate and timely written records are kept which comply with the Trust policy and professional bodys guidance, reporting on any issues as appropriate.
  • To provide formal and informal training to Substance Misuse Practitioners, Students and Visitors to the team in areas such as AMBIT, co morbidity and substance misuse
  • To understand the teams compliance with service performance reporting requirements to PHE, CQC and other commissioners/authorities.
  • To be a key person in the development and delivery of a new CASUS pathway to support young people who are affected by the substance use of a parent/carer in close liaison with CGL (the adult substance use service in Cambridgeshire)
  • To work with the Team Manager to ensure satisfactory day-to-day management of the team in the community and youth offending settings and acting on behalf of and to deputise, as directed and in the Team Manager absence.
  • To undertake teaching sessions/being an assessor/sign off mentor as appropriate to students to attain appropriate qualifications.
  • To work within their professional framework commensurate with their level of knowledge and competence and to act accordingly within their sphere of responsibility.

  • For Registered Nurses
  • To provide nursing interventions to support the initiation, management and monitoring of substitute prescribing and detoxification treatment, overdose and Blood Borne Virus interventions including Hepatitis B vaccinations.
  • To be responsible for the safe custody, administration and monitoring of medicines in accordance with all medicine policies and ensure compliance is maintained.
  • To contribute to comprehensive mental health assessments and mental health interventions, as agreed with Clinical Lead, Team Manager and Senior Substance Misuse Practitioners/ Nurses

  • Person Specification Education / Qualifications Essential
    • A recorded/registered qualification in one of the following at graduate level in nursing, social work, occupational therapy, arts therapy or within a psychological therapy.
    • Training in an evidence based therapeutic intervention recommended by NICE Guidelines relevant to Substance Misuse/ CAMHS, i.e. CBT, DBT, Systemic Therapy,
    • Motivational Interviewing Training in mentalization based interventions such as AMBIT, MBT-F, MBT-A
    • Training in family systems theory and interventions
    • Mentorship qualification for registered discipline
    Experience Essential
    • Post-qualification experience in assessment and treatment of substance misuse in children and adolescents
    • Post-qualification experience in assessment and treatment of children and adolescents and their families using evidence-based therapeutic intervention recommended by NICE Guidelines relevant to children's mental health or social care.
    • Experience of multidisciplinary working, multi-agency working, and working with families
    • Experience of audit systems at service user, team and organisational level.
    • Lived experience of mental health.
    • Delivering training to professionals.
    • Experience of working within a multicultural framework
    • Experience of group work for children and adolescents.
    • Supervision and Appraisal delivery to others.
    • Using performance management systems for individuals or teams.
    Skills & Abilities Essential
    • Excellent interpersonal and communication skills, enabling formation of networks with professionals within the Trust and from other agencies to promote effective team working with clients.
    • Well-developed skills and the ability to communicate effectively, orally and in writing, complex, highly technical and/or clinically sensitive information, including contentious and highly distressing information, to clients, their families, carers and other professional colleagues both within and outside the NHS.
    • Ability to identify and employ mechanisms of clinical governance, including regular supervision, to support and maintain clinical practice in the face of regular exposure to highly emotive material and challenging behaviour. To provide this to other team members.
    • Ability to exercise appropriate levels of self-care and to monitor own state, recognising when it is necessary to take active steps to maintain fitness to practice. To provide this to other team members.
    • Good organisational and time management skills
    • Motivated towards personal and professional development with a strong CPD record.
    • Training and teaching skills
    • Research skills
    Knowledge & Understanding Essential
    • Sound knowledge of safeguarding processes for children and vulnerable adults.
    • Sound knowledge of risk assessment
    • Sound knowledge of one therapeutic intervention recommended by NICE
    • Guidelines relevant to Substance Misuse /CAMHS, i.e. CBT, DBT, Systemic Therapy, Motivational Interviewing
    • Sound knowledge of AMBIT or other mentalization based interventions
    • Knowledge of legislation in relation to the client group and its implications for both clinical practice and professional management in relation to the client group.
    • Knowledge of SOVA processes
    • Knowledge of NDTMS.
    • Interest in applying research to practice
    • Good understanding of other professionals' theoretical perspectives of this client group.
    Physical Requirements Essential
    • Physically

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