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Child & Adolescent Psychotherapist

Oxleas NHS Foundation Trust
£46,836 to £52,849 a year pro rata inc
Closing date
4 Apr 2023

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Counsellor / Psychotherapist, CAMHS nurse
Band 7
Contract Type
Part Time
We seek an enthusiastic ACP registered psychotherapist to join our Adolescent Team. The position has a protected psychoanalytic psychotherapy caseload, in a team where psychotherapy is highly valued and respected, and is supported by 8a psychotherapists in the team. Child psychotherapy trainees due to qualify in summer 2023 are welcome to apply.

You will have excellent therapeutic skills, be flexible in working with young people and be skilled in assessing and managing risk. This is an opportunity to join a supportive team where psychotherapy is highly valued and respected. We have monthly reflective practice, a weekly psychotherapy workshop where team members regularly bring their cases and a number of specialist interest groups.

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, as well as offer consultation, advice and training to other professionals involved in the child's care. The post holder will manage a complex caseload, working as Care Coordinator in a multi-disciplinary team including psychiatry, family therapy, psychology, psychotherapy, nursing, social work and occupational therapy.

There is a strong psychotherapy group in the service and you would be part of a vibrant Oxleas borough-wide child psychotherapy group made up of psychotherapists from Bromley, Greenwich and Bexley CAMHS.

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 a young person in CAMHS e.g. to devise care plans, be the family's main point of contact, to offer regular reviews.
  • To take part on regular psychotherapy discipline meetings an reflective practice.
  • To attend regular supervision meetings and keep CPD and mandatory training up to date.

About us

Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. 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 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes.

We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, 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
  • 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 and consultation for multi-disciplinary staff within Bromley CAMHS and to staff of related agencies (health, education, social care, voluntary sector, and youth criminal justice system.)
  • 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 with severe, highly complex and persistent mental health problems, who are at risk of requiring Tier 4 in-patient care 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 provide, as required, highly specialist psychoanalytic psychotherapeutic assessment and treatment for adolescents and parents/carers who may be vulnerable and may have mental health problems.
  • 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 care coordinator working within a multi-disciplinary team which includes: psychiatry, psychology, child psychotherapy, nursing, family therapy, social work, 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, the Substance Misuse Nurse 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) or trainee due to qualify and register in 2023
  • Relevant honours degree or recognised equivalent
  • Doctorate Level ACP accredited training in Child and Adolescent Psychotherapy or trainee due to qualify and register in 2023
  • Other related professional qualifications
Experience Essential
  • Experience of relevant patient groups presenting high levels of complexity and difficulty
  • Experience of working in a multi-disciplinary, multi-agency, multicultural context
  • Experience of working with families, including foster and adoptive families, parents, carers and networks
  • Experience of consulting to other professionals in relation to the emotional needs of children and adolescents
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
  • Evidence of continuous professional development

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