This post can be offered as a developmental post starting with Band 7 full time post with the possibility of carrier progression in to Band 8a within a year time if the appointed person shows competencies requested by a band 8a post ( ability to work independently in developing a range of systemic interventions within the team and effectively contribute to service development including activities like consultation, supervision and training). When the post gets upgraded to Band 8a position then weekly hours are reduced to 30 hours/4 days.
This post provides input for service users in the Early Intervention in Psychosis Team. The EIP Team works with people with psychosis, aiming to minimise the impact of the consequence of psychosis and to support recovery through the provision of recovery focused and enabling care
Main duties of the job
Direct provision of systemic in addition to the range of psychological therapies covered by NICE guidelines and the National Standards for Early Intervention (including CBT, and other models and model-informed treatments) to individuals, families, networks and community groups
The single point of entry to Trust adult services is through the Assessment Service in each borough. There is a range of community teams providing for patients with psychosis including the Early Intervention Service, Community Support and Recovery Teams, a Community Rehabilitation Team, and a Wellbeing Clinic. A therapy service provides for patients with complex non psychotic presentations. Acute care provision comprises a Crisis Resolution Home Treatment Team and acute admission wards. There are also specialist Forensic and Eating Disorder's services in the Trust as well as a Substance Misuse Service with integrated Dual Diagnosis workers linked into acute care and community teams.
Psychological therapists within the Trust have expertise in a range of models of psychological therapy, including CBT, psychodynamic therapy, systemic therapy, EMDR and CAT. There is a well-developed structure of professional and supervisory support as well as local operational support from the service and team manager
Job description Job responsibilities
Clinical: To provide specialist systemic assessments to clients referred to the teams based upon the appropriate use, interpretation and integration of complex data from a variety of sources including psychological and neuropsychological tests, self-report measures, rating scales, direct and indirect structured observations and semi-structured interviews with clients, family members and others involved in the clients care. To formulate and implement plans for the formal psychological and/or systemic intervention/ treatment and/or management of a clients and their familys system of concern, based upon an appropriate conceptual framework of the clients problems, and employing methods based upon evidence of efficacy, across the full range of care settings. To be responsible for implementing a range of psychological and systemic interventions for individuals, carers, families and groups, within and across teams employed individually and in synthesis, adjusting and refining psychological/systemic formulations drawing upon different explanatory models and maintaining a number of provisional hypotheses
4. To evaluate and make decisions about treatment options taking into account both theoretical and therapeutic models and highly complex factors concerning historical and developmental processes that have shaped the individual and their family system.
5. To exercise autonomous professional responsibility for the assessment, treatment and discharge of clients whose problems are managed by psychologically/systemically based standard care plans.To provide specialist psychological/systemic advice, guidance and consultation to other professionals contributing directly to clients formulation, diagnosis and treatment plan. To contribute directly and indirectly to a psychologically/systemically based framework of understanding and care to the benefit of all clients of the service, across all settings and agencies serving the client group. To undertake risk assessment and risk management for individual clients and to provide advice to other professions on psychological aspects of risk assessment and risk management. To communicate highly complex and potentially highly contentious information in a highly skilled and sensitive manner, in situations with patients who may be extremely hostile or highly emotional requiring the highest level of communication skills. To communicate in a skilled and sensitive manner, information concerning the assessment, formulation and treatment plans of clients under their care and to monitor progress during the course of both uni- and multi-disciplinary care.
Teaching, training, and supervision
1. To receive regular clinical professional systemic supervision from a senior clinical systemic psychotherapist, and where appropriate other senior professional colleagues. To continue to gain wider post-qualification experience and skills relevant to systemic practise and/or the service (as agreed with the professional systemic lead/ manager). To develop skills in the area of professional post-graduate teaching, training and supervision and to provide supervision to other MDT staffs psychological and systemic work, as appropriate. To provide professional and clinical supervision/consultation of assistant/graduate psychologists and, as appropriate, to contribute to the supervision of clinical cases for trainee clinical psychologists/systemic and family therapists. To contribute to the pre- and post-qualification teaching of clinical and/or counselling psychology and/or systemic and family psychotherapy, as appropriate. To provide advice, consultation and training to staff working with the client group across a range of agencies and settings, where appropriate. To carry out duties in relation to local, regional and national initiatives in developing services in the specialist area as opportunities arise.
Management, recruitment, policy and service development To contribute to the development, evaluation and monitoring of the services operational policies and services, through the deployment of professional skills in research, service evaluation and audit. To advise both service and professional management on those aspects of the service where psychological/systemic and/or organisational matters need addressing. To manage the workloads of assistant and graduate psychologists/, within the framework of the team/services policies and procedures. To be involved, as appropriate, in the shortlisting and interviewing of assistant/graduate psychological therapy trainees/trainee family therapists where appropriate. IT responsibilities (other than those used for research) To use computers to write reports and record data, including the use of statistical packages as part of gathering research data for the purpose of evaluation and assessment when needed. To be able to use research databases and advanced tools for analysis at both quantitative and qualitative levels
Research and service evaluation To utilise theory, evidence-based literature and research to support evidence based practice in individual work and work with other team members. To undertake appropriate research and provide research advice to other staff undertaking research. To undertake project management, including complex audit and service evaluation, with colleagues within the service to help develop service provision.
General To contribute to the development and maintenance of the highest professional standards of practice, through active participation in internal and external CPD training and development programmes, in consultation with the post holders professional and service manager(s). To contribute to the development and articulation of best practice in psychological therapies including systemic and family psychotherapy across the service, by continuing to develop the skills of a reflexive and reflective practitioner, taking part in regular professional supervision and appraisal and maintaining an active engagement with current developments in the field of clinical psychology, systemic and family psychotherapy and related disciplines. To maintain the highest standards of clinical record keeping including electronic data entry and recording, report writing and the responsible exercise of professional self-governance in accordance with professional codes of practice of UKCP/AFT and/or British Psychological Society and Trust policies and procedures. To maintain up to date knowledge of legislation, national and local policies and issues in relation to both the specific client group and mental health.
Person Specification EXPERIENCE Essential
- Experience of working with a wide variety of client groups, including Adult mental health and across the whole life course - with presenting problems that reflect the full range of clinical severity including maintaining a high degree of professionalism in the face of highly emotive and distressing problems, verbal abuse and the threat of physical abuse
- Experience of working in the NHS or equivalent.
TRAINING & QUALIFICATIONS Essential
- Dual qualification as recommended by The Association of Family Therapy (clinical/counselling psychology, Counselling - 3 years minimum-, Social Work, Nursing, Teaching, Psychiatry and other medical specialities, Arts Therapists, Occupational Therapy and Speech and Language Therapy - qualified and registered with HPC) Doctoral or Master Systemic qualification by Association of Family Therapy Registration with UKCP as Systemic Psychotherapist or equivalent
KNOWLEDGE AND SKILLS Essential
- Skills in the use of complex methods of systemic and family therapy/psychological assessment, intervention and management frequently requiring sustained and intense concentration.
- Well developed skills in the ability to communicate effectively, orally and in writing, complex, highly technical and/or clinically sensitive information to clients, their families, carers and other professional colleagues both within and outside the NHS
- Ability to teach and train others, using a variety of complex multi-media materials suitable for presentations to other professional.
- Ability to identify and employ mechanisms of clinical governance as appropriate, to support and maintain clinical practice in the face of regular exposure to highly emotive material and challenging behaviour
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