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Highly Specialist Child and Adolescent Psychotherapist

Oxleas NHS Foundation Trust
£53,703 to £59,796 a year pro rata inc
Closing date
3 Oct 2022

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We seek an enthusiastic ACP registered psychotherapist to take on a senior role within our adolescent team. The position has a protected psychoanalytic psychotherapy caseload, in a team where psychotherapy is highly valued and respected and will work alongside another band 8 psychotherapist, as well as a band 7 psychotherapist.

You will have excellent therapeutic skills, be flexible in working with young people and be skilled in assessing and managing risk. You will also have an interest in offering supervision to band 7 psychotherapists as well as offering consultation, advice and training to other professionals involved in the child's care. We have monthly reflective practice, a weekly psychotherapy workshop where team members regularly bring their cases and a number of specialist interest groups such as transgender young people.

You will work with adolescents up to 18 years and their families with significant and acute mental health difficulties. You will provide highly specialist child and adolescent psychoanalytic psychotherapy assessments and treatment to adolescents. In addition to psychotherapy, the post holder will manage a caseload, working as care coordinator in a multi-disciplinary team including psychiatry, family therapy, psychology, psychotherapy, social work, nursing and occupational therapy.

Main duties of the job

The main duties of the role are:
  • To undertake psychoanalytic psychotherapy assessment, treatment and review.
  • To undertake generic mental health assessments.
  • To undertake risk assessment and management.
  • To work with parents and network.
  • To provide consultation to colleagues in the service.
  • To take part in case discussion and reflective practice with the MDT team.
  • To manage the overall care of young people in CAMHS e.g. to devise care plans, be the family's main point of contact, to offer regular reviews.
  • To take part in regular psychotherapy discipline meetings an reflective practice.
  • To attend regular supervision meetings and keep CPD and mandatory training up to date.

About us

Oxleas - About Us

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 Task and Responsibilities
  • To provide efficient, effective, comprehensive and highly specialist child and adolescent psychoanalytical psychotherapy assessment and treatment for adolescents with severe, highly complex and persistent mental health problems, their carers/parents and families.
  • To provide highly specialist supervision for band 7 psychotherapists and consultation for multi-disciplinary staff within Bromley CAMHS and to staff of related agencies (health, education, social care, voluntary sector, and youth justice service.)
  • To undertake clinical audit, research and evaluation and to contribute to the development of child psychotherapy as required.
  • To work autonomously within the overall framework of CAMHS and trust policies and procedures.
  • To participate in Directorate wide CPD programme for Child Psychotherapists and attend monthly Child Psychotherapy Directorate meetings.
  • To provide highly specialist psychoanalytic psychotherapy assessment for adolescents and to make decisions about treatment options taking into account relevant evidence-based research, theory, practice and highly complex factors concerning historical and development processes which have shaped the child/adolescent, their parents/carers and family.
  • To provide highly specialist brief, medium or long-term psychoanalytic psychotherapy for adolescents with severe, complex and persistent mental health problems. Often these are young people who have not responded to other forms of specialist treatment and who, it is recognised, need a more intensive and in-depth therapy to reach their deep-rooted mental health difficulties.
  • To provide in depth risk-assessments of young people who are a risk to themselves and/or others and to be able to formulate short-term crisis planning, (which may involve some outreach working), in order to provide support that will enable the young person to engage with on-going treatment at a later stage, supported by proactive team discussion and support as well as supervision.
  • To contribute, as required, to the process of care planning for young people referred to the Adolescent Team and to manage a complex caseload as a Care Coordinator working within a multi-disciplinary team which includes: psychiatry, psychology, child psychotherapy, nursing, social work, family therapy and occupational therapy.
  • To monitor clinical progress through regular reviews of psychotherapy treatment.
  • To deliver, as required, highly specialist psychotherapeutic assessment and psychoanalytic psychotherapeutic treatment for families who are hard to engage and who may be highly dysfunctional with complex and persistent problems.
  • To provide highly specialist assessment reports for Social Care and Court where appropriate.
  • To participate and collaborate with other team members to provide specialist clinical services as required e.g. Court assessments, parenting assessments, specialist emotional state and cognitive assessments, specialist group work and assessment of trauma and depression.
  • To participate in regular CPA reviews and on-going discussion of cases in treatment with other members of the multi-disciplinary team and where appropriate, co-ordinate and organise network meetings with professionals from other agencies.
  • To be able to engage and work with adolescents while drawing upon a range of theoretical and practical knowledge acquired over a significant period of time (.e.g. developments in psychoanalysis, child and adolescent development, attachment theory, neuro-biology, systems theory, adult psychopathology, mentalization-based theory and thinking.)
  • To exercise autonomous professional responsibility based on the Code of Professional Conduct and Ethics of the Association of Child Psychotherapists.
Monitoring and Evaluation of Risk
  • To be responsible for working within the appropriate Safeguarding, Deliberate Self Harm, Substance Misuse guidelines, for own cases and the provision of appropriate advice in supervision and consultation. This includes reporting to and liaising appropriately with the multi-disciplinary service and external agency staff (e.g. CAMHS colleagues, and those in education, adult mental health and primary health, hospital staff, the Consultant Child & Adolescent Psychiatrist, the named Safeguarding worker, Substance Misuse practitioners and Social Care staff).
  • To be responsible for continually monitoring and evaluating risk to/from children and young people in own caseload and during supervision/consultation discussions, which may be due to Safeguarding concerns, Deliberate Self Harm or other risky behaviour (e.g. running away, substance misuse, causing harm to others and disturbance in very young children where parenting issues may constitute a risk to the young person.)
  • To provide highly specialist advice, guidance and consultation to professional colleagues (within CAMHS and related external agencies, e.g. social workers, foster carers, educational staff, Youth Justice Service, the police, the courts and solicitors, and voluntary sector workers in the community) who work with adolescents with severe and complex mental health problems.
  • To provide, as required, highly specialist advice, guidance and consultation to adults involved with those young people who are within the Social Care system, e.g. adoptive parents, foster carers, social workers.
  • To contribute directly and indirectly to a specialist psychoanalytically informed understanding to the client group across all settings and including their parents/ carers and families.
  • To undertake audits as appropriate within the Specialist CAMHS Service in accordance with clinical governance.
  • To undertake research as appropriate within the service, Directorate and the discipline of Psychoanalytic Child and Adolescent Psychotherapy.
  • To utilise theory, literature and research to support evidence-based practice in individual work and work with other members of the service, Directorate and the Trust and the discipline of Child and Adolescent Psychotherapy.
To maintain effective communication with all partner agencies involved in a child/adolescents care, including, as required, Social Care.

Person Specification Qualifications Essential
  • Full member of Association of Child Psychotherapists (ACP).
  • Relevant honours degree or recognised equivalent
  • Doctorate Level ACP accredited training in Child and Adolescent Psychotherapy
  • Relevant post qualification training for specialist clinical, research, professional teaching/supervision or other equivalent specialism
  • Other related professional qualifications
Experience Essential
  • Substantial experience of working with children and adolescents presenting high levels of complexity and difficulty
  • Substantial experience of professional teaching and training
  • Pre-qualification professional experience with children, adolescents and families (e.g. clinical/educational psychology, teaching, social work)
  • Substantial experience of working in a multi-disciplinary, multi-agency, multicultural context
Skills, Abilities and Knowledge Essential
  • Good knowledge of relevant theories, practices and research in the field of child and adolescent development and psychotherapy
  • Working knowledge of adult mental health difficulties
  • Specialist areas of knowledge based on further training and experience, particularly concerning adolescents

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