An exciting vacancy has arisen for a qualified CBT Therapist to work in the specialty of adult mental health. We are looking for someone with the clinical skills to enable them to work with severe, enduring and complex mental health problems, providing assessments, formulations and therapeutic interventions.

The Psychological Therapies Step 4 Service, is a team comprised of clinical psychologists, CBT therapists and nurses, the latter working on the Personality Disorder Pathway.

This post is subject to an enhanced check with adults barred list Disclosure and Barring Service (DBS) Check.

Main duties of the job

To be responsible for the provision of highly specialist cognitive behaviour therapies for the mental health care of people suffering significant and/or severe psychological difficulties. In particular, to establish services that meet the agreed service priorities within the team, consonant with practitioner experience and expertise. Such services to include the implementation of highly specialist cognitive behaviour therapy assessment and intervention strategies including clinical casework, and where appropriate, supervision of other team members in the use of cognitive behavioural methods generally for the assurance of quality in the use of cognitive behaviour therapy by other team members. This job description recognises the need to ensure appropriate supervision and professional development as a core theme.

About us

Mersey Care is one of the largest trusts providing physical health and mental health services in the North West, serving more than 11 million people.

We offer specialist inpatient and community services that support physical and mental health and specialist inpatient mental health, learning disability, addiction and brain injury services. Mersey Care is one of only three trusts in the UK that offer high secure mental health facilities.

At the heart of all we do is our commitment to 'perfect care' - care that is safe, effective, positively experienced, timely, equitable and efficient. We support our staff to do the best job they can and work alongside service users, their families, and carers to design and develop future services together. We're currently delivering a programme of organisational and service transformation to significantly improve the quality of the services we provide and safely reduce cost as we do so.

Job description Job responsibilities

CLINICAL:

To be a member of the service team and to contribute to, participate in and adhere to the routines and policies of that service.

To be responsible for the systematic provision of cognitive behaviour therapy at a highly specialist level to people experiencing significant and/or severe psychological problems

To provide a highly specialised cognitive behaviour therapy service. Services will be based upon the appropriate use, interpretation and integration of complex data. Services will include the following:-

• Highly specialist one-to-one clinical consultations
• Highly specialist assessment for cognitive behaviour therapy, including issues of risk
• Cognitive behaviour therapy interventions for individuals, families and groups
• Decision making for and evaluating treatment options, taking into account both theoretical and therapeutic models and complex factors concerning historical and developmental processes that have shaped the individual, family or group
• Exercising autonomous professional responsibility for the assessment, treatment and discharge of clients whose problems are managed by cognitive behaviour therapy care plans
• Staff consultation contributing directly to clients formulation, diagnosis and intervention plan
• Staff consultation on the use of cognitive behaviour therapy techniques
• Staff training in the use of cognitive behaviour therapy techniques
• Staff supervision in the use of cognitive behaviour therapy techniques

To prioritise workload to ensure that skills are used to address the more severe and complex psychological presentations within this area of work.

To supply services within the context of existing multi professional teamwork. To negotiate appropriate professional relationships within the teams and across both statutory and voluntary agencies to both ensure the referral of appropriate casework and the communication of highly complex clinical information.

To maintain the records of service in line with the information needs of the Trust.

To provide input to health, social care and community-based services to enable best practice and service user choice in line with local service accessibility. This may include inpatient environments, specialist departments, general practices, health centres, local day centres, and residential and nursing homes.

To manage frequent exposure to highly distressing and emotional circumstances, and maintain substantial mental effort through frequent and intense levels of concentration and attention.

MANAGERIAL:

To support the formulation and implementation of clinical and operational practices and procedures as appropriate.

Support the implementation, monitoring and updating of an operational policy and philosophy for the clinical area.

Ensure the principles of clinical governance are incorporated in service delivery by maintaining a high quality service based on agreed clinical standards.

Participate in managerial supervision.

EDUCATION AND DEVELOPMENT:

To assist the supervision of multidisciplinary team staff in the use of Cognitive Behavioural techniques in accordance with delegated responsibility for such from the Consultant Psychologist.

To receive appropriate clinical supervision to ensure quality of professional practice.

Through the personal appraisal process, to engage in professional development that ensures that Continuing Professional Development requirements are met and that eligibility for Accreditation is maintained.

Provide evidence to support development around the Trust Appraisal system which may include the KSF or other competency profiles.

Participate in regular supervision, engage in reflective practice and be committed to continued development.

Develop own skills and knowledge and contribute to the development of others.

RESEARCH AND AUDIT:

To undertake appropriate service audits and assist the research and development agenda in the application of cognitive behavioural interventions.

To undertake regular audit and evaluation of the teams activity by the derivation, collection and analysis of appropriate data.

Person Specification QUALIFICATIONS Essential

• Vocational training to at least degree level or its equivalent.
• Substantial post-qualification training in Cognitive Behaviour Therapy to at least Diploma level or its equivalent
• Up to date Professional Registration (to be maintained)

KNOWLEDGE/EXPERIENCE Essential

• Post qualification supervised experience in Cognitive Behaviour Therapy practice
• Experience of specialist cognitive behaviour therapy interventions with clients across the full range of care settings, including outpatient, community, primary care and inpatient settings.
• Experience of working with a wide variety of client groups, across the whole life course, 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.
• Post-graduate level knowledge (or its equivalent) in theories of cognitive behavioural methods.

SKILLS Essential

• Skills in the use of complex methods of cognitive behavioural 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 &/or clinically sensitive information to clients, their families, carers and other professional colleagues both within and outside the NHS.
• Skills in providing consultation to other professional groups.
• Post-graduate level knowledge (or its equivalent) in theories of cognitive behavioural methods.
• Ability to assess and manage risk.
• Ability to recognise and challenge age discrimination.
• Ability to identify and employ methods of clinical governance as appropriate, to support and maintain clinical practice in the face of regular exposure to highly emotive material and challenging behaviour.

VALUES Essential

• Continuous Improvement
• Accountability
• Respectfulness
• Enthusiasm
• Support
• High professional standards
• Responsive to service users
• Engaging leadership style
• Strong customer service belief
• Transparency and honesty
• Discreet
• Change oriented

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