An exciting opportunity has arisen for a mental health Nurse to join the Hillingdon Complex Emotional Needs Service
, embedded within our Community Mental Health Teams and Psychology Service. We are looking for an enthusiastic qualified Nurse with a core mental health training, with experience across the range of work within the Adult Mental Health Speciality, who are interested in being involved in provision of a service for people with complex personality difficulties.
As such, you will potentially receive further high level training in MBT, DBT and Structured Clinical Management with this client group. Psychological therapy staff lead this service provision, and you will work alongside established experienced members of this team.
The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.
Main duties of the job
The applicant should have a strong interest inproviding a high level of service for service users and carers, excellent multidisciplinary team working skills
and good knowledge of working with diversepopulations within one of the largestNHS Foundation Trusts in London. You should ideally have experience of setting up and running groups, and believe groups to be a rich therapeutic experience for our often socially isolated clients. The post holder will have strong team working skills and the ability to develop the capacity to provide consultation advice on clients' psychological care to other team members and carers.The successful applicant will join the well-established and respected Hillingdon Psychological Therapies Serviceand receive regular supervision from one of our experienced Clinical Psychologists.
There are great opportunities to deepen and widen your skills, working autonomously within an experienced team. As our referrals all come through the CMHTs they tend to be complex and present with risks of self -harm, so it is important that you enjoy this kind of challenge.
The service has strong links with the North Thames Clinical Psychology Doctorate Courses and the post holder will have the opportunity to supervisetrainee clinicalpsychologists on placement as appropriate, with supervision offered to develop their skills as a supervisor.
CNWL can offer the post holder: - A Trust committed to staff personal development including a robust supervision and appraisal process; - An opportunity to work for one of the top 10NHS employers; - A large and varied in-house training programme and access to external university courses;- We value and give you the opportunity to input into service development and;- We encourage staff input and ideas in relation to moving services forward, improving care pathways and meeting the client group's needs.
Job description Job responsibilities Main Responsibilities: Clinical Responsibilities To undertake, under supervision, assessments for the Complex Needs service, identifying specific personality traits, emotional ability of service user to use groups and their capacity to work towards shared treatment goals. Facilitate and co-facilitate a range of therapy groups including Mentalization Based Treatment (MBT) and Dialectical Based Treatment (DBT). To use psycho-educational and self-help materials for people with complex personality difficulties To conduct joint home visits, for engagement purposes or emergency assessments, as clinically indicated. To initiate and carry through safeguarding where appropriate. To be able to work with service users within intimate and emotionally intense individual and group sessions, where their behaviour may be unpredictable and challenging, while maintaining emotional equilibrium To undertake risk assessments and manage risk as part of the treatment process to maintain a safe and therapeutically sensitive environment for all when faced with threats of verbal abuse, deliberate self-harm and violence to self and/or others. To assess the needs of carers.
Person Specification Qualifications Essential
- Relevant core professional qualification and registration in Nursing
- Knowledge of therapies relevant to Personality Disorder, i.e. Mentalisation Based Therapy (MBT) and DBT and application to practice
- Student mentorship / fieldwork education training
- Substantial postgraduate training and/or qualifications to diploma level relevant to complex personality difficulties or models of practice in MBT and/or DBT
Previous Experience Essential
- Post (core profession) qualification experience in mental health
- Experience of working therapeutically with people with personality disorder
- Experience of conducting psychologically informed assessment and compiling reports
- Ability and experience in risk assessment and crisis management
- Experience of student and staff supervision
- Group work experience
- Experience of working in a dedicated personality disorder service
Skills and Knowledge Essential
- Sound clinical skills in mental health practice, including, group work, risk assessment and management, and crisis intervention
- To demonstrate to a high standard the ability to manage and understand the importance of therapeutic relationships and to hold the capacity to understand the psychological processes underlying their communications.
- To be able to undertake psychological assessment of service users with personality disorder
- To be equipped to offer complex liaison, advice and guidance concerning referrals to the service.
- Ability to work with minimal supervision on a day-to-day basis
- To demonstrate an understanding of the theoretical frameworks and evidence base on which the service is structured
- Capable of establishing and maintaining long term therapeutic relationships with patients and supporting other staff in maintaining therapeutic relationships & boundaries
- Capacity and willingness to use individual and team clinical supervision
- Capacity and willingness to participate in staff support meetings
- To be committed to continue to develop practice
- Ability to treat service users with respect and dignity at all times, adopting a culturally sensitive approach which considers the needs of the whole person
- Demonstrate an ability to build constructive relationships with warmth and empathy (colleagues and service users).
- To demonstrate and apply to practice & work relationships, a high degree of personal awareness
- Demonstrate an ability to learn from experience
- The post holder must demonstrate an understanding of the Equal Opportunities Policy and its implementation
- To be informed of clinical developments and research relevant to clinical setting
Attitudes and Aptitudes Essential
- To demonstrate the capacity to be robust, reflective and reliable
- Ability to tolerate positive and negative transferences from service users both individually and in groups without retaliating and whilst maintaining ones emotional equilibrium
- Able to work with trauma, and contain the emotional impact of the work through clinical supervision and team support systems
- To demonstrate the capacity to contain and manage own anxiety and frustration when working with service users.
- Ability to work in a healthy and constructive way being able to communicate and listen within a multi-disciplinary team and/or external departments
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