Mental Health Services Diggory Division
Job Title: DBT Therapist Practitioner
Grade: Band 7
Location: Specialist Therapies Team
Responsible To: Team Manager (Managerially) and Clinical Lead (Clinically)
Accountable To: Community Service Line Manager
Senior Psychologist with lead responsibility for the Personality Disorder Pathway
All Team Members and Consultant Psychiatrist
All referring teams in Milton Keynes.
Local mental health service managers and professional leads.
Other statutory and non-statutory service providers and key stakeholders
To work autonomously, with support from the staff at the Specialist Therapies Team to contribute to the development of, to provide and evaluate Dialectical Behaviour Therapy (DBT) for people with presentations including personality disorder, complex trauma and complex mood and Non Psychosis in Milton Keynes
This post holder will be an experienced DBT therapist who will provide direct clinical work, and support to the mental health professionals in the team and administration staff, to ensure the smooth and efficient delivery of DBT to service users in the Specialist Therapies Team.
The post holder is a senior practitioner with well developed clinical and leadership skills and knowledge in the care of people diagnosed with personality disorder, who will lead and manage the allocated caseloads from the initial referral to the service.
To work with colleagues within the pathway to ensure systemic and high quality provision of assessment and both individual and group treatments.
To work as part of the team developing the DBT based ethos within the team and to facilitate training, supervision and development as required.
To work autonomously within professional and service guidelines and the overall framework of the services policies and procedures and exercise responsibility for the governance of clinical practice within the service/team.
To utilise research skills for audit, examination and research. To propose and implement policy changes within the area served by the team/service. To keep client records appropriately and submit activity and audit data and service evaluation reports as required.
This post will take on delegated tasks for the team manager where appropriate and as required.
MAIN DUTIES AND RESPONSIBILITIES
- To conduct psychologically informed assessments, specifically in relation to Complex Trauma, Complex Mood or Personality Disorder, of service-users referred to STT including appropriate use, interpretation and integration of complex data from a variety of sources.
- To formulate, implement and evaluate therapy programmes across a range of complex problems with which service users present. Specific to NICE Guidance for individuals and groups, adjusting and refining the formulations drawing upon different explanatory models and maintaining a number of provisional hypothesis.
- To engage in clinical work that will involve working with individuals in intimate and emotionally intense individual and group sessions, where behaviour and communication might be unpredictable and challenging
- To provide individual and group evidence based DBT interventions.
- To facilitate short term psycho-education groups based on evidence based practice
- To undertake risk assessment and risk management for all service-users in attendance within the service, including the protective and risk factors present in the network of significant relationships.
- To be able to provide crisis intervention to clients as and when indicated.
- To take a lead role in identifying safeguarding issues and be competent in demonstrating an understanding of safeguarding legislation & its implementation.
- To use highly developed communication skills and DBT competencies in working with people to understand their personal and often very sensitive difficulties and develop carefully tailored interventions.
- To exercise autonomous professional responsibility for the assessment and treatment of service users in line with the service.
- To act as a care coordinator/lead professional where appropriate taking responsibility for initiation, planning and reviewing care plans and risk assessments involving service users, carers and other professionals and agencies.
- To adhere to an agreed activity contract relating to the number of service users users contacts offered, and clinical sessions carried out per week in order to minimise waiting times and ensure treatment delivery remains accessible and convenient.
- To attend team meetings, review meetings, case conferences, CPAs and network meetings as appropriate and to oversee similar activity within the team.
- To complete all requirements relating to data collection within the service.
- To keep coherent contemporaneous records of all clinical activity in line with service protocols including current electronic systems and to ensure appropriate written communication is maintained with GP’s, and other referrers.
- Work closely with other members of the team ensuring appropriate step-up and step-down arrangements are in place to maintain a stepped care approach across a range of services and as clinically indicated
- Assess and integrate issues surrounding work and employment into the overall therapy process.
- Carry out clinical audits of service performance, including service user surveys and evaluations, and help to collate and disseminate the results for feedback.
- Participate in research projects on an occasional basis taking an active role in data collection and developing reports.
- Liaise with other health and social care staff from a range of agencies in the care provided clients.
- Provide specialist advice and consultation to other professionals / individuals / groups / committees across the service and other voluntary agencies regarding service matters related to the practice and delivery of specific agreed therapeutic modalities and service provision
Teaching, Training and Supervision
- To receive regular supervision from a senior clinician and where appropriate other senior professional colleagues.
- To attend all mandatory training
- To actively participate in personal development and performance reviews.
- To develop skills in the area of professional teaching, training and supervision.
- To provide and ensure appropriate systems are in place for the clinical and professional supervision of trainee and students across the service.
- To provide post-graduate training placements to trainees and other professionals, if appropriate.
- To actively participate in personal development reviews/appraisals of supervised staff.
- To identify and assess the need for training to the wider directorate and to members of the wider cross agency network as appropriate.
- To contribute to developing expertise in the area of professional pre- and post- graduate training and clinical supervision.
Continuing Professional Development
- To maintain professional/HCPC registration.
- To participate in clinical supervision in accordance with Trust policies and the requirements of HCPC.
- To be accountable for own professional action and to seek advice and supervision from line manager/supervisor where needed.
- To maintain an up to date knowledge of legislation, policies and issues relating to mental health services in general.
- In consultation with the operational and clinical supervisor, to identify own training needs and seek to find ways to meet these.
- To actively participate in CPD activities including attending appropriate seminars, conferences, workshops, courses as well as reading.
- To maintain records of all CPD and mandatory training undertaken
- To share learning outcomes with colleagues in order to enhance CPD generally within the team.
- 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 research and provide research advice to staff undertaking research.
Communication & Working relationships
- To liaise and carry out joint working with colleagues, carers, and partnership agencies as appropriate.
- To establish effective communication networks with relevant community-based agencies.
- To communicate verbally and in writing, highly complex and sensitive information in a manner appropriate to a range of settings and audiences, including complex, highly emotive situations and those with impaired communication capabilities.
- To maintain and promote a high standard of recording of assessment and treatment interventions.
- To maintain effective communication links with Care Quality Forums as appropriate.
- To be able to contain and work with organisation stress and hold the stress of others.
- To be effective in communicating psychological principles to managers, staff groups and service users in a manner that facilitates growth development and consensus in situations where views can be divergent.
Management, Policy & Service Development
In conjunction with the service manager
- To participate in and contribute to the work of the team including attendance at team meetings, regular CPD forums and team development sessions.
- To contribute to the development, evaluation and monitoring of the teams operational policies and services, through the deployment of professional skills in research, service evaluation and audit.
- To be part of the Mental Health Managers’ on call rota for the mental health services
This is an outline of the post-holder’s duties and responsibilities. It is not intended as an exhaustive list and may change from time to time in order to meet the changing needs of the Trust and Division.
These sections should be included in all job descriptions
The post-holder will be required to work flexibly, providing assistance as and when necessary, which may involve them in a developing role.
The working relationship between all members of staff should be mutually supportive, with staff deputising and covering for each other when appropriate.
Health and Safety
Central and North West London Mental Health NHS Trust has a Health and Safety Policy applicable to all employees. Employees must be aware of the responsibility placed on them under the Employment Rights Act 1996, to ensure that agreed safety procedures are carried out, and to maintain a safe environment for employees, patients and visitors.
The prevention and control of infection is the responsibility of everyone who is employed by Central and North West London Mental Health NHS Trust. Employees must be aware of infection control policies, procedures and the importance of protecting themselves and their service-users in maintaining a clean and healthy environment.
Improving Working Lives
Central and North West London Mental Health NHS Trust is committed to the principles of Improving Working Lives and all managers are encouraged to follow Improving Working Lives practices. Consideration will be given to all requests for flexible working in line with Trust policy.
Central and North West London Mental Health NHS Trust is committed to involve staff at all levels in the development of the organisation.
Managers should ensure that staff are encouraged and involved in organisational and service developments including business planning and they are able to influence discussions, which affect them and their working conditions.
All managers should engender a culture of openness and inclusion so that staff feel free to contribute and voice concerns. They should develop and implement communication systems that ensure staff are well informed and have an opportunity to feedback their views.
Central and North West London Mental Health NHS Trust acknowledges its responsibility to provide a safe, smoke free environment to its employees, patients and visitors. In expressing its commitment to the prevention of smoking related diseases, the Trust has a ‘Non Smoking Policy’ and all Trust buildings and vehicles are designated as smoke free areas.
Employees are expected to be aware of and understand that Central and North West London Mental Health NHS Trust has a policy on alcohol and the consumption of alcohol. Alcohol is not permitted whilst on duty.
Employees should be aware that the Trust produces confidential information relating to patients, staff and commercial information. All employees have a responsibility for ensuring the security of information and to comply with the Data Protection Acts, Access to Health Records and Computer Misuse Act. Disclosure of personal, medical, commercial information, systems passwords or other confidential information to any unauthorised person or persons will be considered as gross misconduct and may lead to disciplinary action which may include dismissal.
All employees of Central and North West London Mental Health NHS Trust are expected to be aware of, and adhere to, the provision of the Trust’s Equal Opportunities Policy, and to carry out their associated duties and responsibilities under this policy. As users of the disability symbol, the Trust guarantees to interview all disabled applicants who meet the minimum essential criteria for a vacant post.
Grievances, Disputes, Disciplinary and Other Industrial Relations Procedures
Central and North West London Mental Health NHS Trust has grievance, disputes, disciplinary and other industrial relations procedures. Employees are required to make themselves aware of these procedures, copies of which are available on the Trustnet, from your manager and the Human Resource Directorate.
The post holder is expected to co-operate in activities which line management believes will contribute to personal and/or to team growth. This includes attending supervisory sessions and training modules, both at their work base and other selected venues of instruction.
Conflict of Interest
Employees are expected to declare any private ‘interest or practice’, which might conflict with their NHS employment, and be perceived to result in actual or potential financial or personal gain.
Working Time Regulations
The Working Time Regulations 1998 require that you should not work more than an average of 48 hours each week i.e. no more that 816 hours in a 17-week period. To work more than 48 hours you must have management authorisation and you will be required to sign an opt out agreement.
The Trust policy has a limit of 60 hours per week and all staff must ensure a 24 hour rest period is taken in every 7 days.
Conditions of Employment
The Trust will screen all staff who will be working with children and police checks will be carried out on all staff appointed to posts which have access to children.
This will also apply if role develops to include access to children.
Terms and Conditions
The terms and conditions of service associated with this position are those agreed by the Trust.
CENTRAL AND NORTH WEST LONDON FOUNDATION NHS TRUST
PERSON SPECIFICATION FOR DBT Therapist Practitioner Band 7 (Specialist Therapies Team)
FACTORS ESSENTIAL *
EDUCATION AND QUALIFICATIONS
Core Mental Health Professional Profession and current valid HCPC registration
Further substantial postgraduate training and/or qualifications to at least Certificate Level (1 Years Training) relevant to DBT the care of clients with complex non-psychosis presentations including personality disorder, complex trauma and complex mood
DBT for Personality Disorder
Degree or Diploma relevant to the field of Personality Disorder, Complex Trauma or Complex Mood
Mentor/Supervisor qualification relevant to the professional qualification
A / I
Paid/unpaid relevant to job
Demonstrable post qualifying experience in the NHS (with relevant experience at band 6 or equivalent).
Experience of working therapeutically with people with Personality Disorder or challenging behaviour
Experience of using DBT interventions with people with Personality disorder
Experience of teaching / training others and supervision
Experience of working as part of a multi disciplinary team
Experience of supervising staff and students
Experience of working as part of a multi disciplinary team
Active participation in service planning and delivery
Knowledge of Psycho-education and Problem Solving
A / I
SKILLS, KNOWLEDGE, ABILITIES
Knowledge of, and ability to operate within, professional and ethical guidelines
Knowledge of, and ability to work with, issues of confidentiality and consent
Knowledge of, and ability to assess, capacity
Demonstrate clear verbal and written communication skills
Demonstrate skills in conducting, evaluating, audit, research and/or clinical governance project
ATTITUDES, APTITUDES, PERSONAL CHARACTERISTICS
To show an advance understanding of risk management practice involved with clients who have Personality Disorder.
Ability to deliver group-based interventions
Ability to assess, plan, implement and evaluate care-pathways
Good IT skills
Sickness (or attendance) record that is acceptable to the Trust: to be checked at interview. Declared medically fit by the Occupational Health Department to perform the duties of the post.
*Key: Measured by A = Application Form, I = Interview
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