This role is part of an exciting expansion of the Barnet CEN Pathway. The remit of the new DBT Service is to offer Barnet residents referred into the service a consistent evidence-based therapeutic approach, to reduce inpatient admissions and to support the quick transitions of those in an inpatient service back into the community.

The post holder will be joining a newly developed DBT pathway and will be working closely with the Barnet Adult Psychology Team and the Complex Emotional Needs pathway team.

Ideally you will have a strong enthusiasm to work in a psychological informed way and had experience of DBT, but this is not essential as training will be provided.

The post holder will provide formal DBT psychological interventions using a trauma -informed approach whilst undertaking necessary training to upskill for this role as required.

You will be joining a creative and dynamic multidisciplinary team with a track record of providing high quality psychological interventions with a strong ethos of trauma informed care.

Main duties of the job

Jointly assess patients for suitability for DBT. Where the problems appear to be too complex or severe to be appropriate for level of experience refer to manager/supervisor for advice on how to manage the case.

To formulate and implement DBT focused treatment plans, in particular identifying repeating patterns of crisis and advise ways of altering these, based upon an appropriate conceptual framework of the patient's problems.

To educate and involve family members and others in treatment as necessary, conveying DBT formulations with sensitivity in easily understood language.

To support the implementation of a range of DBT psychological interventions (group and individual) for prospective patients.

To undertake risk assessment and risk management for individual patients and to provide advice to other professions on psychological aspects of risk assessment and risk management.

To work closely with referrers, services and colleagues to collaborate around the delivery of DBT interventions.

To deal appropriately with the intense emotional atmosphere surrounding therapy contacts which may be highly distressing on a daily basis and to work with frequently intense concentration for the clinical sessions of assessment and therapy.

About us

The partnership betweenBarnet, Enfield and Haringey Mental Health NHS Trust (BEH)andCamden and Islington NHS Foundation Trust (C& I)is going from strength to strength since it was originally established in 2021 forming theNorth London Mental Health Partnership.

The postholder will need to be comfortable working in an environment of complex matrix management arrangements and will at all times behave and align with our Trusts' values and cultural pillars:

• We are kind

• We are respectful

• We work together

• We keep things simple

• We empower

• We are proudly diverse

In order to meet the needs of the new Partnership services you may be required from time to time to work at different locations to your normal place of work. This may mean that you are required to work at any location that fall under Barnet, Enfield and Harringay Trust and Camden and Islington Trust. The Trust reserves the right to require staff to work at such other places or locations as it considers reasonable and necessary on a temporary or permanent basis.

Job description

Job responsibilities

To provide a high-quality DBT treatment to patients with complex mental health problems, in particular people with complex emotional needs (CEN) associated with the diagnosis of Personality Disorder, such as attachment, interpersonal difficulties and emotional intensity. This will include specialist assessment to determine the most appropriate treatment

To formulate plans for the formal psychological treatment and/or management of clients mental health problems based upon an appropriate conceptual framework of the patients problems, and employing methods based upon evidence of efficacy, across the full range of care settings, in particular DBT and SCM models developed within the service for the treatment of personality disorder

To act as Key worker, where appropriate, taking responsibility for initiating planning and review of care plans under Dialog+ including patients, their carers, referring agents and others involved in the network of care in consultation with the MDT.

To utilise clinical and team supervision, to demonstrate autonomy for treatment and discharge of patients whose problems are managed with a psychologically-based standard care plan, ensuring appropriate assessment, formulation and interventions, communicating with the referral agent and others involved with the care on a regular basis.

To provide guidance and consultation to MDT teams and other professionals contributing directly to patients formulation, diagnosis and treatment plan.

To work safely and under guidance in relation to aggression and violence.

To undertake frequent risk assessment and risk management for individual patients and to provide both general and specialist advice for professionals on psychological aspects of risk assessment and risk management pertaining to patients with personality disorders.

Person Specification

Qualifications/Registration

Essential

• oCore health professional qualification (Nursing, Social work, Occupational Therapy Psychotherapist)
• oRegistration with the appropriate professional body (HCPC, NMC, Social Work England, UKCP, BACP)
• oWorking towards Accredited Practitioner Status in MBT or DBT

Desirable

• oBasic Training Certificate in Mentalisation-Based Therapy (MBT) or in Dialectical Behaviour Therapy (DBT) or a desire to engage in DBT training

Skills and Abilities

Essential

• oStrong interest and desire to work with patients with complex emotional needs and personality disorder in trauma informed way
• oExperience of working directly with patients with Personality Disorder
• oExperience of facilitating psychoeducational and groups for patients.
• oExperience of working with carers and family members
• oExperience of working in a multidisciplinary team and working within a multicultural framework
• oExperience in developing risk management plans and psychological treatment pathways
• oExperience of exercising full clinical responsibility for patients' psychological care and treatment, both as a named/key worker

Desirable

• oExperience of running and delivering DBT groups in a clinical setting

Experience/ Knowledge

Essential

• oKnowledge of the theory and practice of either DBT/SCM or mentalisation-based treatment
• oSkills in the use psychological assessments, intervention and management
• oWell-developed skills in the ability to communicate effectively, orally and in writing, complex, highly technical and/or clinically sensitive information to patients, their families, carers and other professional colleagues both within and outside the NHS.
• oAbility to contain, explore and formulate an understanding of high levels of distress both directly with patients and indirectly via supervision of other staff, both individually and in an organisational context.

Desirable

• oEnthusiasm about evidence-based practice and about using patient feedback as well as team performance data to develop service as best suited for the needs of our patient population.

Personal Qualities

Essential

• oAn enthusiasm and commitment to the psychological treatment in the field of Personality Disorder
• oAbility to work independently, reliably, and consistently with work agreed and managed at regular intervals.
• oAbility to maintain professional boundaries and form positive therapeutic relationship with service users and carers
• oAbility to contain and work with organisational stress and ability to hold the stress of others
• oAbility to demonstrate BEH Trust Values

Desirable

• oA commitment to the evaluation of services, enthusiasm for both multi-professional and uni-professional audit

Other Requirements

Essential

• oAbility to identify, provide and promote appropriate means of support to carers and staff exposed to highly distressing situation and severely challenging behaviours
• oAbility to develop and use complex multi-media materials for presentations in public, professional and academic settings.

Employer details

Employer name

Barnet, Enfield & Haringey Mental Health NHS Trust

Address

Barnet Hospital Springwell Centre

Barnet Cen Pathway, Springwell Centre, Barnet Hospital, Wellhouse Lane

Barnet

EN5 3DJ

Any attachments will be accessible after you click to apply.

306-BEH-2187-A