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Detailed job description and main responsibilities

Key Responsibilities

Haringey Complex Emotional Needs (CEN) serves a client group with severe and complex, non-psychotic illness. Presenting issues range from a single diagnosis such as depression requiring a single psychological therapy intervention, through to those requiring intensive treatment packages and/or with co-morbid difficulties requiring multi-disciplinary packages of care.

The Complex Post Traumatic Stress Disorder (PTSD) treatment pathway provides a phased treatment programme for service users presenting with complex and comorbid PTSD symptoms.

Treatment modules include; values based behavioural activation, group psycho-education work and trauma focused therapies including Narrative Exposure Therapy, EMDR and Trauma Focused CBT.

The service users worked with may have experienced extreme and on-going trauma, are often refugees or have a history of childhood neglect and/or abuse.

The complex-PTSD treatment Pathway is a small, supportive and contained team of staff, including Psychologists, Psychiatrists, an Associate Mental Health Worker and an Assistant Psychologist. We believe in the importance of multidisciplinary working that is collaborative, respectful, and integrative, with a particular focus on therapeutic interventions.

This is an exciting opportunity for a Mental Health Practitioner to join a supportive, reflective and creative Multidisciplinary Team that works with people with Complex Post Traumatic Stress Disorder (cPTSD).

The primary focus of this role is split between being a specialist Mental Health Practitioner, co-facilitating treatment groups, conducting initial assessment, and holding the responsibilities of care coordination for some patients within the pathway. The post holder will be allocated a caseload of service-users with complex PTSD, and work as part of a close-knit Multidisciplinary Team. The MDT offers a variety of interventions, such as therapy groups and individual interventions, and we work together as a team to think about what service-users would most benefit from.

You may hold some service-users under the Care Programme Approach (CPA), although the majority of service-users will not be on CPA. Being a Care Coordinator will involve duties such as developing treatment/care plans, joint working, developing risk assessments, completing KPIs, responding to crisis’s from service-users under the care of the team and providing support for carers and family members.

To assist in the effective delivery of the team’s core functions and contribute to the development of protocols, procedures and systems as required. 

To work cohesively with MDT colleagues and colleagues across the Trust to provide a responsive and innovative service, delivering a high-quality mental health service to the people under the care of the team. Ensure service users are involved with all aspects of planning and delivery of their own care plans and in the delivery of the service.

To supervise and support junior staff members and students as required.

Working Environment  

Complex Emotional Needs (CEN) provides a multi-professional and specialist secondary mental health service to adults who experience complex mental health difficulties and who live within the London Borough of Haringey.

CEN is a multidisciplinary team compromising Care Coordinators (nursing, OT and social work professionals), Associate Mental Health Workers, Psychiatrists, Psychologists and various trainee and students.

cPTSD psychologists provide psychological therapies where there is evidence that these will be effective (e.g. CBT, Narrative Exposure Therapy and EMDR).

In addition, all patients within Haringey Core Community Teams can access the following:

MDT Treatment Pathway for complex anxiety and depression

MDT Treatment Pathway for Complex PTSD

MDT Treatment Pathway for Borderline Personality Disorder and Anti-Social Personality Disorder.

Psychological Treatment Pathway for Psychosis

CEN take referrals directly from GPs and from the Acute Care Service.

CEN is based at the Halliwick Centre, St Ann’s Hospital where the post holder will be based.

Joint working, consultation and liaison with other professionals, services and agencies are a regular feature of the work carried out.  Teaching, training and supervision are available to professional colleagues across the Borough.

 Overview of Operational Responsibilities

To work as a part of a team - in collaboration with other professionals to deliver a coordinated and integrated approach to care.

To provide care coordination and care management to a caseload of highly vulnerable service users.

To carry out assessments and assign patients to care clusters within the framework of the Health of the Nation Outcome Scales Payment by Results (HoNOS PbR) at first assessment, at CPA review, at times of significant change in presentation and at the end of treatment.    

To be flexible, modifying interventions according to the changing or evolving needs and requirements of services users or of the service.

To involve service-users in the assessment and planning of their care.

To recognise and assess the contribution and needs of carers, and to provide advice and support when required.

To provide joint assessments and short-term work and review with colleagues in the team where there is health and social care needs or a costed care package component to the patient’s presenting situation which does not necessitate care under CPA.

To provide a statutory service to service users– working within, being mindful of, and keeping up to date with legal frameworks and local and national policies that impact upon the role.

To ensure that the needs of dependent children are fully assessed and that referrals to Children & Families services are made in a timely way.

To ensure that the caseload work of the team is managed in accordance the CPA policy and that reviews are undertaken regularly and within agreed timescales. This will include robust crisis and contingency plans.

To work within Child Protection and Safeguarding Vulnerable Adults Policies at all times, promoting the wellbeing of children and vulnerable adults and initiating and contributing to professional meetings and data collection as required.

To keep up to date regarding services and resources available in the community that are relevant to the service user group; to utilise this information accordingly to support individual or group work.

To support the development of a learning culture and provide supervision to more junior members of staff and trainees as requested by the Team Manager.

To participate within business meetings, clinical meetings, supervision forums and service user forums within the team.

To undertake required / mandatory training.

To record all activity on Trust patient database in a timely manner including keeping up to date with Commissioner’s requirements for data collection.

To ensure clinical and operational data is effectively managed as required by the Trust.

Overview of Professional Responsibilities

To pursue own continuous professional development.

To be aware of the limitations of own clinical knowledge and to seek advice as necessary, particularly making proactive use of clinical supervision.

To maintain State Registration with the Health Professions Council or Nursing and Midwifery Council. 

Educational Responsibilities

Undertake teaching of qualified and unqualified staff, including students.

Undertake surveys or audits as necessary to own work and participate in clinical trials/R&D activity as required.

Initiate and/or collaborate in service/clinical developments based on appropriate research evidence. Set, monitor and ensure maintenance of standards of care and clinical outcomes.

Promote health and provide specialist advice/education regarding mental health to professionals, service users and the public in general.

Receive regular, on-going clinical and case management supervision; attend staff development training as required. The post holder will be subject to annual appraisal of their work performance and objectives will be set on an annual basis between the post holder and their manager.

Communication

To demonstrate excellent communication skills and to be able to develop a positive therapeutic relationship with patients and carers who may at times be in crisis or in emotional distress.

To liaise closely with colleagues in other mental health teams, primary care, criminal justice agencies, families and carers, always maintaining high professional standards.

To ensure that patient information of a confidential nature is used, stored and transported according to Caldicott principles and Trust Confidentiality policy.

To ensure that all written reports and communication is to a high standard and in accordance with professional and Trust guidelines.

Other Duties

The post holder is required to undertake the duties and responsibilities of the post with due regard to confidentiality and the Trust policies on Data Protection, Equal Opportunities, Health and Safety and Smoking.

The post holder may be required to work at alternative locations within the Mental Health Services of this Trust.

There may also be opportunities for learning and development in other parts of the team.

The post holder will work effectively under Service Integration with Social Care colleagues employed by the Local Authority, who will be employed under different terms and conditions of employment.

This Job Description is intended as a general guide to the duties and not as an inflexible specification. This Job Description may, in consultation with the post holder, be amended from time to time.