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Care Coordinator

South London & Maudsley NHS Foundation Trust
£29,553 to £36,265 a year per annum inclusive of London High Cost Allowances
Closing date
27 Sep 2022

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CBT Therapist / Other
Band 5
Contract Type
Full Time
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Job Purpose:
  • To provide care co-ordination and case management to a defined caseload of service users within the framework of the Care Programme Approach (CPA). The ongoing caseload will consist of service users who are experiencing their first episode of psychosis. The interventions that are provided will focus on engagement, recovery, rehabilitation and integration with the community.
  • Working with people between 18 and 65 years of age who are experiencing their first psychotic episode. COAST works assertively and intensively with service users and carers to promote engagement with the team and with treatment, and to facilitate social inclusion and recovery.
  • To carry out MDT activities, such as assessments and duty responsibilities

Main duties of the job

About the role

The Croydon Early Intrvention in Psychosis team are pleased to be looking for a highly enthusiastic and dedicated care coordinator, who share our passion for supporting people experiencing psychosis. These posts are newly created and are only open to mental health nurses, social workers, and occupational therapists.

This is a band 5 developmental posts designed for people beginning their careers in community mental health. We hope that the successful candidate will be able to use the varied and challenging experiences they obtain in the role to move forward with their career in whichever way they would like. We will provide you with guidance, robust and regular supervision, and training opportunities.

The main role of a COAST care co-ordinator is to support a caseload of around 15-17 service users who are experiencing first episode psychosis. Care coordinators use their skills and knowledge to support service users to achieve the goals that are important to them and move forward with recovery as they see it, working with clients to identify early warning signs in order to enable early detection and intervention.

This role includes:
  • Assessing service users who are newly referred to the team
  • Managing a complex caseload of allocated service users
  • Working with service user's families and other people in their networks
  • Working with the multi-disciplinary team to plan and implement care packages
  • Undertaking the role of duty worker

About us

About South London and Maudsley:

South London and Maudsley NHS Foundation Trust (SLaM) provide the widest range of NHS mental health services in the UK as well as substance misuse services for people who are addicted to drugs and alcohol. We work closely with the Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London and are part of King's Health Partners Academic Health Sciences Centre. There are very few organisations in the world that have such wide-ranging capabilities working with mental illness. Our scope is unique because it is built on three major foundations: care and treatment, science and research, and training.

SLaM employ around 5000 staff and serve a local population of 1.1 million people. We have more than 230 services including inpatient wards, outpatient and community services.

By coming to work at SLaM, you will gain experience of being part of an organisation with a rich history and international reputation in mental health care. You will have access to professional development and learning opportunities and have the chance to work alongside people who are world leaders in their field. SLaM delivered more than 14,000 training experiences in 2014; providing an extensive range of learning opportunities for staff at all levels. In addition, our working relationship with King's Health Partners allows those working at the Trust to get involved in academic research.

Job description Job responsibilities

Assessment: To be responsible for the assessment of newly referred adults who may be undergoing their first psychotic episode. To work with diagnostic uncertainty, providing ongoing comprehensive assessment and outcome monitoring of all caseload service users. To formulate integrated needs assessments for service users requiring commissioned services and to monitor care packages as directed. To undertake risk assessments regularly, in liaison with all other health professionals and agencies involved. To ensure that risk assessments are regularly updated, are meaningful and are reflected in care plans.

Engagement: To assertively outreach difficult to engage service users. To meet service users regularly, to respond flexibly when agreeing venue, such as home visit, team base, education, work or recreational establishment to assist with engagement & encourage participation in treatment delivery as well as facilitating independence.

Support: To provide on-going care co-ordination within the CPA framework of a designated caseload of service users who are experiencing their first episode of psychosis. To ensure that the Trust and Social Services CPA and Care Management protocols are followed and standards met. To provide support and advice in relation to service users regarding the issues concerning them. To work collaboratively with service users focussing on a recovery approach. Provide information to help service users make an informed choice about opportunities and services available to them and to then assist clients to obtain the required services, support and entitlement.

Interventions: To provide interventions relevant to a first episode client group. To ensure all interventions are age appropriate and that care is sensitive to the needs of black and minority ethnic service users. To adopt a client centred approach embodied with the principles of the recovery model. To provide low intensity CBT and Mindfulness interventions under supervision. To provide psychoeducation to services users. To co-facilitate, where agreed, therapeutic groups with a focus on service user rehabilitation reintegration and social inclusion.

Families and Carers: To involve families and carers in treatment plans where This may require direct Family Intervention work. Ensuring services are provided within guidance of the Children & Families' Act and Care Act. To ensure that the needs of carers are assessed, and the care services are offered as necessary. To provide families and carers with psychoeducation.

MDT Working: To work in co-operation with members of the multi-disciplinary team and all other relevant health and social care professionals to assess, develop, implement and evaluate high quality packages of client-centred care. To form productive relationships with in-patient services to facilitate safe and effective discharges. To facilitate the transfer of those service users who require transfer across teams and for those who fulfil the criteria for discharge back to Primary Care. To maintain and develop liaison with GPs and practice nurses. To participate in Mental Health Act Assessments of service users that you are responsible for as appropriate. To participate in all clinical meetings. To keep the Team Manager informed of any situation concerning service user or staff health and safety as necessary.

Teaching: To participate in teaching activities within the team and across community services. To be responsible for facilitating student training placements (in line with your own professional discipline). To provide supervision to other junior members of staff as appropriate.

Person Specification Qualification Essential
  • Relevant professional qualification with affiliated professional registration - RMN with NMC registration or Occupational Therapist or Social Worker with HCPC registration
Experience Essential
  • Post-registration experience of working in a mental health care setting
  • Experience of working with service users experiencing a crisis related to their mental health
  • Experience of working with people experiencing psychosis
  • Experience of providing care that is sensitive to the needs of minority groups (A/I)
  • Experience of care coordination / case management
  • Experience of undertaking a service improvement/evaluation project
  • Experience of using psycho-social interventions
Skills Essential
  • Skills in clinical assessment / baseline mental health assessment.
  • Skills in risk assessment and management.
  • Skills and experience in crisis management.
  • Skills in networking and liaison.
Knowledge Essential
  • oKnowledge of CPA, Community Care Act, Carers Act, Mental Health Act and other relevant legislation as application to practice
  • oKnowledge of the issues around social inclusion for mental health services users
  • oKnowledge of and interest in Early Intervention Service research and the impact psychosis can have on people's lives
  • oKnowledge of race and gender issues as they pertain to people with serious mental health problems

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