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The post-holder will be a member of the Dialectical Behavioural Therapy (DBT) Outpatient Service within CAMHS. This is part of an exciting expansion of CAMHS specialist services within HPFT. The remit of the DBT Outpatient Service is to offer young people referred into the service a consistent evidence-based therapeutic approach, to reduce inpatient admissions and to support the quick transitions of those in an inpatient service back to the DBT Outpatient Service. The Mental Health Practitioner will work within a multi-disciplinary team to deliver specialist DBT assessments and interventions to young people and their families who are referred by other CAMHS services. The post holder will also be involved in liaising with other CAMHS services to ensure clear transitions for young people entering or leaving the DBT Outpatient Service and where appropriate supporting the transition to Adult Services. The post-holder will work within professional guidelines and under the clinical/professional supervision of senior clinicians of own core profession.  The post-holder will provide clinical/professional supervision to trainees on placement, more junior staff of the same discipline and multi-disciplinary colleagues for purposes of training and continuing professional development as required. The post-holder will contribute to research, audit and evaluation for service development.

All staff should comply with the Trust’s Anti-Discriminatory Statement, Employee Charter, Trust Policies and Procedures, Code of Conduct and Equality and Diversity.
All staff should comply with the Trust’s Anti-Discriminatory Statement, Employee Charter, Trust Policies and Procedures, Code of Conduct and Equality and Diversity.
 

Key Relationships:

•    Multidisciplinary colleagues within the DBT Service, including other DBT Practitioners (Band 6 and Band 7); Clinical/Counselling Psychologist; and Consultant Psychiatrist
•    Colleagues from across CAMHS Tier 3 and Tier 4 Services, including the Home Treatment Team
•    Clients, their families, carers and other external agencies
•    Professional Lead for Psychological Services (CAMHS)/Professional Lead for Social Work (CAMHS)/Modern Matron/Lead for AHPs
•    Consultant leads in CAMHS

Duties and Responsibilities:

•    To be responsible for a caseload of complex assessment, treatment and consultation work with children, adolescents and their families, with problems of behavioural, emotional, psychological or mental health issues, using the highly specialist Dialectical Behavioural Therapy approach.

•    To operate as a member of the multi-disciplinary Outpatient DBT Service to provide a high standard of service to children, adolescents and their families who have been referred to the DBT Outpatient Service and to professionals from other organisations. They will be responsible for assessing and treating children, young people and their families in relation to a range of highly complex emotional, psychological or behavioural problems with particular regard to DBT.

•    To work in ways which are sensitive to and appropriate for the needs of families from a wide range of racial, cultural and religious backgrounds. This includes abilities to understand and offer therapeutic interventions to a variety of family forms including single parents, same sex couples and their families, extended families and people with mental health difficulties.

Clinical Responsibility

•    To assess, plan and implement psychologically based programmes of care for individual children and young people, carers and families with complex behavioural, emotional, psychological or mental health issues.
•    To undertake risk assessment and risk management for all children and adolescents, including the protective and risk factors in the network of significant relationships.
•    To be responsible for a defined caseload and to employ methods of proven efficacy with particular regard to the provision of DBT to meet care plan objectives 
•    To develop, implement and manage evidenced-based psychological interventions for individuals, carers, families and groups, employed individually and in synthesis, co-working with other team members/disciplines as appropriate
•    To evaluate and adjust practices based on feedback. 
•    To act as care coordinator, where appropriate, ensuring provision of a care plan, taking responsibility for initiating, planning and review of the client’s care, ensuring the work of others involved and communicating effectively with the child/ the carer/ professional as appropriate, monitoring the progress of multi-disciplinary interventions.
•    To carry out assessments and interventions jointly with co-workers from the multi-disciplinary team as appropriate.
•    To contribute and develop skills in Clinical Governance.
•    To maintain up to date knowledge of legislation, national and local policies and issues in relation to both the specific client group and mental health

Leadership and Staff Management Responsibility

•    To clinically and/or professionally supervise trainees within the DBT Team as appropriate and as agreed with professional leads and operational managers.
•    To contribute to reading and clinical seminars, participate in the training/education of both clinic team members and trainees placed at the clinic.
•    To act as a positive role model for other colleagues and seek advice from Senior Clinicians/Managers as appropriate.
•    To take part in clinical and managerial supervision, managing own caseload within agreed parameters and levels.
•    To ensure regular supervision of own casework by clinical supervisor.
•    To be responsible for identifying one’s own needs for professional development, discussing and planning this with the supervisor.
•    To take an active part in own Individual Performance Review.

Financial Responsibility 

•    To ensure appropriate use of trust resources e.g. clinical tools, office equipment and stationeries.

Service Development and Improvement 

•    To participate in activity and audit data as required and contribute and participate in research and clinical audit as appropriate.
•    To contribute and participate within in service training within the clinic e.g. Clinic meetings/ Audit Meetings/ Research Projects, etc.
•    To contribute to the development, evaluation and monitoring of the service provided by the multi-disciplinary team; including the collection and use of service user feedback and clinical outcomes information.
•    To contribute to the development of Clinical Governance agenda within the service.
•    To be responsible for highlighting service need to team leader..
•    To liaise with the team managers and professional supervisors regarding Clinical objectives and directives.

Communications 

•    To communicate in a skilled and sensitive manner to the parents, carers and professionals involved, and when appropriate, to the children and young people themselves concerning the assessment, formulation and treatment plans and to monitor and evaluate progress during the course of multi- disciplinary care.
•    To interpret and evaluate highly complex, sensitive and sometimes contentious information to children and families, carers who may be hostile and aggressive; taking into account historical, environmental and developmental processes that have shaped the individual, family or group. 
•    To contribute highly skilled and sensitive advice, guidance to other clinicians within the clinic, professionals from other agencies, patient’s and/or their families.
•    To take into account issues of parental responsibility when undertaking assessment, consultation and intervention with children and young people.
•    To liaise and maintain good communication with referrers and other professionals from other agencies involved with children and adolescents on matters of mutual concern regarding individual service users.
•    To actively participate in MDT DBT team meetings and maintain links with colleagues both in the DBT Team and in own professional group within wider CAMHS and Trust. 
•    To work with other team members in implementing priorities and initiatives as agreed by the DBT CAMHS Community Therapy Lead and Professional leads