We seek to appoint an enthusiastic and dynamic Nurse/ Occupational Therapist or Social worker to provide a highly specialist service for young people in the Borough of Greenwich.
You will need to have excellent therapeutic skills and be responsive and flexible in your approach to working with young people and the adolescent team.
The post holder must be a good team worker and be able to lead in areas of clinical practice and development and will be responsible for working independently and managing a caseload of clients, ensuring safe and effective clinical practices.
The post holder will work within the multi-disciplinary team developing a mentalisation-based approach to working with adolescent's with complex mental health presentations. The service operates from 8am - 7pm Monday to Friday.
Main duties of the job
The Adolescent team is a Tier 3.5 mental health service (working at the interface between Tier 3 and Tier 4) for young people and families between 12-18 years of age, experiencing a broad spectrum of severe, complex, pervasive and persistent mental health difficulties.
The service provides rapid assessment and treatment of young people presenting in crisis and aims to provide community-based care through the provision of assertive outreach, crisis intervention, group-based interventions and intensive support to young people's caring networks.
The CAMHS specialist role is responsible for supporting the Adolescent team in implementing Directorate and Trust initiatives at service level and for playing a key role in monitoring and evaluating the quality of care delivered locally.
The post holder will work together alongside the multi-disciplinary team to deliver a mentalisation-based approach to working with adolescents with complex mental health presentations. The service will be provided through flexible working hours and outreach work. You will also provide specialist advice and support to professional colleagues both internal and external to the Trust.
Oxleas offers a wide range of NHS healthcare services to people living in South East London and Kent and to people in prison. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,000 members of staff work in many different settings including hospitals, clinics, prisons, children's centres, schools and people's homes. We have over 125 sites in a variety of locations across the London Boroughs of Bexley, Bromley Greenwich and into Kent and manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital in Woolwich as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are one of the largest providers of prison health services providing healthcare to prisoners across Kent and South London. We are proud of the care we provide and our people
Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:
- We're Kind
- We're Fair
- We Listen
- We Care
Job description Job responsibilities KEY TASKS AND RESPONSIBILITIES:
- To be trained and confident in the use of CYP IAPT principles, evidence based interventions and routine outcome measures.
- To care co-ordinate and manage a defined caseload of children and young people presenting with emotional health and wellbeing difficulties in schools and the community
- To co-ordinate and deliver individualised care packages / programmes for children and young people and evaluate these programmes, ensuring high standards of practice in accordance with national guidelines and trust policy.
- To provide specialist mental health advice, consultation and signposted using an outcome based triage model, to school based and community staff e.g. Health Visitors, G.Ps.
- To provide training to school based and community staff e.g. Health Visitors, G.Ps.
- Within schools actively promote the whole school based approach to developing and maintaining emotional health and well-being.
- To contribute to the Early Help and prevention service within Bexley, focussing on parents with ill health, substance misuse or domestic violence
- To be aware of and take a role in the CYP Directorate participation programme
- Train and mentor students and less experienced members of the discipline.
- To engage therapeutically with clients and their carers in a variety of settings as appropriate to the needs of the client and to be able to assess the risk of working in particular areas.
- To be able to plan and facilitate appropriate therapeutic intervention including group work for the specialist client group and their families and carers
- To be able to assess and manage risk in children and young people and to do this on an on-going basis within the role as care co-ordinator
- To effectively and appropriately communicate risks often under difficult, highly charged and emotional circumstances to medical staff, other professionals and families involved in the care of the client.
- To act as an autonomous practitioner with an understanding of own limitations and recognition of when to seek support.
- To contribute to overall service delivery and development, with a particular focus on the CAMHS care pathway, as required
- To work closely with the school based and community health professionals, carrying out joint assessments when appropriate.
- To implement appropriate training and education packages for parents and carers in conjunction with colleagues.
- To ensure that own practice remains within legal, ethical and professional parameters and is open to scrutiny from relevant professionals.
- To possess IT skills in order to effectively communicate in writing with colleagues, other professionals and families in accordance with trust policies e.g. writing of comprehensive report.
- To store statistical data in accordance with trust policies..
- To ensure live registration with appropriate professional body, e.g. NMC.
- Actively identify personal training needs and participate in training programmes as required and identified in PDP
- To demonstrate the ability to make appropriate decisions with regard to the confidentiality of clients and their families taking into considerations the risks to clients, self and the wider public.
- To represent CAMHS on Directorate and Trust committees as required and to be able to effectively communicate information relevant to CAMHS.
- To liaise with other colleagues in CAMHS and participate in different clinical groups in order to share best practice and discuss current and future professional and clinical developments e.g. case review meetings and professional fora
- To liaise independently and effectively with external partner agencies, co-ordinating meetings and participating in case discussions between teams involved in the care of clients.
- To participate in the development and implementation of policies and procedures within own speciality and the generic service and to ensure that other professionals are aware of these
- To advise service and professional management on operational and professional issues with monthly reporting on service targets.
- To take responsibility as agreed with the line manager and the service manager for the training and personal development of junior staff
- To demonstrate the ability to work as an autonomous specialist practitioner in relation to the specialist area and in clinic which will include the reading and recording of the clinical observations of each child and the ongoing assessment of the effectiveness of treatment packages.
- To carry own caseload and take responsibility for the assessment, planning and evaluation of care for clients in the specialist area.
- To demonstrate the ability to develop specialist programmes of care for the specialist client group and their families in accordance with Trust and national standards, policies and guidelines and appropriate professional codes of conduct.
- To take case management responsibilities when appropriate in clinical meetings, giving clear clinical advice with regard to assessment, Risk Assessment, formulation and treatment of identified clients.
- To recognise responsibility and act according to Trust and national guidelines in safeguarding children and adults.
- To demonstrate the ability to teach in informal and formal settings, e.g. carers at home, students on specialist placement
- To respond to the needs of clients and their carers in an honest, non-judgemental and open manner, which respects the rights of individuals and groups.
- To demonstrate a commitment to equal opportunities for all people.
- To understand the impact of social & cultural diversity on patients and carers needs and on their experiences of mental illness and mental health services.
- To respond to the diverse needs of the specialist client group and their carers sensitively with regard for age, developmental stage, gender, ethnicity, religion, disability and the need for their privacy and dignity
- To understand the rights of clients and carers and to assist them in exercising those rights, where appropriate.
- To undertake Carers assessments and devise an appropriate care plans.
- To have knowledge of appropriate legislation and its relevance to the specialist area
- To take responsibility for the decision to discharge clients from care when agreed treatment programmes have been completed.
- To participate in individual and group supervision with colleagues in the specialist areas.
- To offer supervision to junior staff in agreement with the CAMHS service leads.
- To ensure that documentation is up to date, clear, concise, comprehensive and complies with Trust and national record keeping standards
- To take responsibility to record own supervision in case notes or in supervision records in order to be able to reflect on the supervision process.
- To demonstrate the ability to listen and engage in therapeutic practice.
- To demonstrate a high degree of competence in communicating complex information both verbally and in writing.
- The ability to speak in public and address formal and informal meetings with colleagues both internally and externally to the Trust as required.
- To demonstrate the ability to write analytical reports and present these to outside agencies.
- To demonstrate the ability to communicate therapeutically with families from a range of backgrounds.
- To effectively communicate acquired and existing knowledge in order to facilitate the client and carers understanding of complex issues in relation to their presenting current situation and future treatment.
- To participate in the PDR process according to Trust guidelines
Person Specification Qualification Essential
- RN Mental Health
- CQSW/CSS/DipSW or equivalent Social Work qualification/Dip or BSc OT
- Specialist training in a subject/skill relevant to Child & and Adolescent Mental Health (0-18 years) together with CYP IAPT Dip in CBT/SFP/IPT-A
- Registration with relevant Professional body
- At least 2 years post registration experience in a setting where mental health is the primary focus some of which should have been in a CAMHS setting.
Skills, Ability and Knowledge Essential
- Ability to maintain and manage own workload and work autonomously within the specialist area
Effort and Environment Essential
- Demonstrable ability to work under pressure and respond to emergency situations as appropriate
- The ability to engage and work with clients in differing environments in line with the needs of the service
- A flexible approach to client intervention and to be able to work independently and flexibly to meet client needs
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