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Highly Specialist Senior Child Psychotherapist - Band 8a

Central & North West London NHS Foundation Trust
South Harrow
£53,703 to £59,796 a year per annum (pro rata P/T) inc HCAS
Closing date
11 Feb 2023

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We are delighted to offer a new 8a Child & Adolescent Psychotherapist post based at Harrow CAMHS. This post is a great opportunity to build on your experience as a senior Child & Adolescent Psychotherapist or step up to this role.

Central & North West London NHS Foundation Trust is a prominent mental health trust offering high quality children's mental health services across 5 boroughs of London. The Trust supports staff wellbeing, reflective practice and monthly team reflective groups in CAMHS teams. The contribution of child & adolescent psychotherapy as part of the MDT is valued in the Trust.

A new Under 5s Service is now getting underway in Harrow CAMHS, so there are also opportunities for liaison with consultant child psychotherapy colleagues involved in this. All the Lead Child & Adolescent Psychotherapists across all CNWL boroughs meet monthly for supportive peer supervision.

We are looking for a committed Child & Adolescent Psychotherapist with a passion for working with children, young people and their families. You will work independently and autonomously with an agreed caseload, as well as working with other psychotherapists and wider team members and/or external agencies to facilitate the best possible outcomes for children and young people. This lead role will allow opportunity to contribute specialist knowledge to the multi-disciplinary team and regular supervision to Band 7 CAPTs and an ACP trainee when placed within the team.

Main duties of the job

The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.
  • To provide an efficient, effective, comprehensive and highly specialist child and adolescent psychoanalytical psychotherapy assessment and treatment service for children/adolescents with severe, highly complex and persistent mental health problems, their carers/parents and families, including opinion on diagnosis/formulation to clients of the Department of Child and Adolescent Services.
  • To provide the particular highly specialist areas of expertise gained in post qualifying specialist training to adolescent patients who present with complex and persistent mental health problems, particularly those who self harm.
  • To provide advice and consultation from a psychodynamic perspective on clients' psychological care to psychologist and non-psychologist colleagues and to other, non-professional carers, working autonomously within professional guidelines and within the overall framework of the service's policies and procedures.
  • To be informed by evidence-based practice and participate in audit, policy and service development and research within the area served by the Department of Child and Adolescent Services.

About us

We're passionate about delivering first-class patient-centred, safe and effective care in a community setting or in the patient's own home. Patients are at the heart of everything we do. Providing top quality care depends on our ability to employ the best people. We are always looking to recruit outstanding people who will go the extra mile to support our young persons, colleagues, teams and the Trust.

With every new employee we are hoping to find our future leaders and well support our staff by providing opportunities to develop your career. With a diverse culture and equally diverse range of opportunities across mental health, community services, emotional disorder, Neurodevelopmental Disorders, Enhancement Treatment, learning disabilities and more whatever stage of your career you're at, there's always a place for you at CNWL.

You will work 3 days per week from 9am to 5pm service for young people experiencing mental health problems in Harrow area. The post will be based within the Ash Tree Clinic, South Harrow and the post holder will be expected to maintain the close links with the Hospital.

Job description Job responsibilities


  • To provide highly specialist psychotherapeutic assessments of referred children and adolescents, parents or carers to assess:-
  • The most appropriate treatment for them in co-operation with other members of the multidisciplinary service.
  • Suitability of psychotherapy including the capacity of the family and network around the child to support psychotherapy and work in partnership.
  • The state of mind of the client to provide information and insight for use in a decision-making process (State of Mind Assessments) using psychoanalytic observational methods and techniques as appropriate.
  • To formulate and devise psychotherapeutic treatment and management plans for referred clients and to provide psychotherapeutic treatment, using a range of specialist psychoanalytic methods and techniques appropriate to the service.
  • To provide highly specialist intervention with adolescent patients, particularly those who self harm.
  • To develop a service offering brief psychoanalytic psychotherapy to children and adolescents.
  • To provide reports and communicate in a skilled and sensitive manner concerning the assessment, formulation and treatment plans of clients.
  • To carry out liaison with other health and social care staff, from a range of agencies, in the care of patients with complex and enduring mental health problems.
  • Undertake work with parents/carers of referred children and adolescents.

Teaching, training, and supervision
  • To receive regular supervision from a Consultant Child Psychotherapist.
  • To provide regular supervision to a band 7 child Psychotherapist.
  • To continue to develop skills in the area of specialism developed post qualification.
  • To continue to develop further specialist skills as identified in a personal development plan.

Management, policy and service development
  • To exercise delegated authority for ensuring the provision of a range of high quality psychotherapeutically based interventions appropriate for the service area.
  • To contribute to the development, evaluation and monitoring of the Department of Child and Adolescent Services, operational policies and services, through the deployment of Child Psychotherapy professional skills in outcome monitoring, research from a psychodynamic perspective, service evaluation and audit

Research and service evaluation
  • To utilise theory, evidence-based literature and research to support evidence-based practice in individual work and work with other team members.
  • To undertake appropriate outcome research.
  • To undertake in consultation with the Consultant Child Psychotherapist project management, including audit and service evaluation, with colleagues within the Department of Child and Adolescent Services to help develop and evaluate serviceprovision.

Monitoring and Evaluation of Risk
  • To be responsible for working within the appropriate Child Protection, Deliberate Self Harm, Substance Misuse guidelines, in relation to own cases and the provision of appropriate advicein supervision and consultation. This includes reporting to and liasing appropriately with the multi-disciplinary service and external agency staff (e.g. Social Services staff, CAMHS colleagues, adult mental health staff, and hospital staff, education staff, Consultant Child &Adolescent Psychiatrist, named Child Protection Worker, Substance Misuse Worker).
  • To be responsible for continually monitoring and evaluating risk to/from children and young people in own caseload and during supervision/consultation discussions. This may be due toChild Protection concerns, Deliberate Self Harm or other risky behaviour (e.g. running away, substance misuse, causing harm to others).

Skills and Knowledge
  • To ensure the development and maintenance of the highest personal standards of practice, through active participation in internal and external CPD training and development programmes, in consultation with the postholders professional and service manager(s) and in line with the CPD requirements of the professional body, The Association of Child Psychotherapists.
  • To contribute to the development and articulation of best practice in psychology within the service area, by exercising the skills of a reflexive and reflective practitioner, taking part in regular professional supervision and appraisal and maintaining anactive engagement with current developments in the field of Child Psychotherapy and related disciplines.
  • To maintain the highest standards of clinical record keeping including electronic dataentry and recording, report writing and the responsible exercise of professional self-governance in accordance with professional codes of practice of the Association of Child Psychotherapists and Trust policies and procedures
  • To maintain up to date knowledge of legislation, national and local NHS, Social Care and Education policies and issues of relevance to the service and client group particularly child protection procedures and practices and National Service Frameworks and NICE guidelines
  • To attend team meetings as appropriate, case conferences and professional network meetings and ensure, as a part of the child psychotherapy team, that a psychodynamic understanding is articulated and acted on as appropriate.
  • To undertake such other duties and responsibilities, appropriate to the grade of the post.

Person Specification Qualifications Essential
  • Masters level preclinical training at an Association of Child psychotherapists recognised training school; post graduate training at doctoral level in clinical child psychotherapy at a training school accredited by the Association of Child Psychotherapy.
Skills and Knowledge Essential
  • Experience of specialist psychotherapeutic assessment and treatment of children, adolescents and their parents as a full member of a multidisciplinary team located in a hospital outpatient setting or a CAMHS setting.
  • Experience of working with a wide variety of children, adolescents and their parents across the whole age range and presenting problems that reflect the full range of clinical severity.
  • An ability to engage hard to reach adolescents in psychodynamic psychotherapy both brief and long term.
  • An ability to supervise clinical work within the multidisciplinary team.
  • Experience of the application of child psychotherapy in different cultural contexts.
  • Experience of working in different CAMHS Tiers.
  • Experience of teaching, training on preregistration course and case consultation to other child psychotherapists
  • Knowledge and skills in the use of complex methods of psychotherapeutic assessment, intervention and management
  • High level of knowledge of the theory and practice of short-term psychotherapy and its application to a specialist area. Knowledge of legislation in relation to children and adolescents including child protection procedures and policies.
  • Knowledge of NHS, Social Care and Education Structures, National policies and frameworks.
  • Well-developed knowledge or CAMHS setting working with complex cases both on an outpatient and inpatient basis.
  • Well-developed skills in the ability to communicate effectively, orally and in writing complex, highly technical and/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 and nonprofessional groups.
  • Ability to tolerate anxiety without recourse to premature action whilst appreciating the role of supervisor
  • Aware of the implication of working within a managed system.
  • Evidence of continuing professional development as required by the Association of Child Psychotherapists of the application of child psychotherapy skills in hospital
  • Knowledge of research methodology and outcome research design and ability to critically interpret research findings
OTHER Desirable
  • Ability to teach and

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