We have a new and exciting role within the Child and Adolescent Mental Health Service (CAMHS) to offer an enthusiastic and caring Clinical Fellow. The post holder will predominantly work in the Neurodevelopmental Pathway managing the treatment and monitoring of children and young people with a diagnosis of Attention Deficit Hyperactivity Disorder (ADHD) under the supervision of a senior CAMHS doctor. This will include prescribing medications for this condition using EPMA, evaluating response to treatment, monitoring of physical health and addressing any other mental health concerns that may present. The post holder will also have the opportunity to observe and then undertake diagnostic assessments of ADHD under supervision. There will also be opportunities to join the duty team and eating disorders pathway to expand experience of Child and Adolescent Psychiatry.We are not expecting any prior training in ADHD assessment, but this would be a great role for someone considering a career in Psychiatry.
The multi-disciplinary team is operationally managed through the Children, Young People and Educations Services Directorate. Medical staff are line managed through the Medical Director structure of Health and Community Services (this includes Appraisal and Revalidation, annual leave and study leave policies and approval).The post is based within the Womens and Childrens Care Group, HCS (Health & Community services).
CAMHS is staffed by a multi-disciplinary team with secretarial and administrative support. The service aims to provide a comprehensive assessment, treatment and therapeutic service for a range of developmental, behavioural, emotional and psychiatric difficulties in children and young people up to their 18th birthday. The service is restructuring, and the new posts are currently being recruited to.The CAMHS clinics are mainly based at Liberte House, La Motte Street, St Helier. There are also clinics at the Edith Quenault Centre and Gorey Youth Service. CAMHS is co-located with Childrens Social Care and the Children and Families Hub.
Job description
Job responsibilities
The CAMHS Team
CAMHS is staffed by a multi-disciplinary team with
secretarial and administrative support.
The service aims to provide a comprehensive assessment, treatment and
therapeutic service for a range of developmental, behavioural, emotional and
psychiatric difficulties in children and young people up to their 18th
birthday. The service is restructuring, and the new posts are currently being
recruited to, the team structure below represents existing posts and those
currently being recruited to.
Medical Staff
4
Consultant Child & Adolescent Psychiatrists (1.8 in post, 2 posts vacant
to be recruited to, currently locum cover in place)
1.6
Associate Specialists
Consultant
Community Paediatrician
Fixed
term Clinical Fellow
Duty & Assessment
Duty & Assessment Manager
1 Advanced Nurse Practitioner
3 Nurse Practitioners
9 CAMHS Practitioners
6 Health Care Assistants (currently vacant)
Duty & Assessment Administrator
Early Intervention
Service Manager Early Intervention
7 CAMHS Practitioners
2 Primary Mental Health Workers
Early Intervention administrator
1 Assistant Psychologist
1 Parent-Infant Psychotherapist
2 Support Workers
Specialist CAMHS
Service Manager Specialist CAMHS
Service Manager Looked After Children
1 Consultant Clinical Psychologist
4 Psychologists
2 Assistant Psychologists
1 Art Psychotherapist
1 Senior Social Worker
1 Family and Systemic Therapist
5 Nurses (3 Clinical Nurse Specialists, 2 Nurse
Practitioners)
1 CAMHS Practitioner
1 PBS Practitioner
1 Dietician (1 day per week)
2 Support workers
1 Health Care Assistant
Neurodevelopmental Pathway
Neurodevelopmental Pathway Service Manager
Consultant Clinical Psychologist
2 Clinical Psychologist
1 Assistant Psychologist
2 Clinical Nurse Prescribers
1 Specialist Nurse
1 Nurse Practitioner
Systemic and Family Therapist
Occupational Therapist
2 Speech and Language Therapists
Neurodevelopmental Pathway Administrators
Admin and Informatics
Team
Manager Quality & Assurance
Informatics
Officer
Office
and Administration Manager
3
Medical Secretaries
4
Receptionists
Place
of Work
The CAMHS clinics are mainly based at Liberte House,
La Motte Street, St Helier. There are
also clinics at the Edith Quenault Centre and Gorey Youth Service. CAMHS is
co-located with Childrens Social Care and the Children and Families Hub.
In-Patient Provision
There is no designated
inpatient provision but the team provide flexible intensive packages of care
for children and young people with severe or complex mental health
difficulties. The packages of care can be provided both for assessment
and treatment. The programmes are set up
jointly with other services including Paediatrics, Adult Mental Health and Childrens
Services (Social Care).
The Paediatric and
Adult Mental Health teams are supportive in providing in-patient facilities and
both the paediatric ward (Robin Ward) and acute adult mental health ward
(Orchard House) are used for young people who require admission. Robin
Ward will admit young people up to their 17th birthday.
All those under 16, and
most under 18 admitted to Orchard House are cared for separately to the other
in-patients if possible or are under continuous observation for safeguarding
reasons. There is a new provision currently being built which will
provide facilities for young people to be admitted to an area separate from the
main ward. It is anticipated that this may become available from June 2024.
When necessary young
people can be transferred to the UK for inpatient treatment.
This is a full-time post of 40 hours (10 PAs) per
week, based at CAMHS, Liberte House. The postholder will be managerially
responsible to their supervising consultant and through them to the Lead
Consultant for the service.
The timetable
will consist of 9 Clinical Programmed Activities (including administration) and
1 Supporting Professional Activity (SPA). The Clinical PAs will include: direct
clinical contact (in the ward), indirect clinical contact (in
multi-disciplinary meetings and reviews), and clinical administration. The SPA
will include: CPD, audit & quality improvement activity, appraisal,
revalidation and educational visits to other parts of the service.
The post holder will be
provided with a shared office space including a laptop computer.
Shortly after appointment a
weekly timetable will be agreed between the Lead Consultant and the ADHD
service. The timetable below is for
indicative purposes only.
Draft
Timetable (indicative, to be reviewed following appointment)
Monday
Tuesday
Wednesday
Thursday
Friday
Duty team meeting
Duty assessments (under
supervision) or new ADHD assessments with Dr Fitzgerald
ADHD Clinic with Dr Keep
10 ADHD MDT Meeting
12- Doctors meeting
SPA: teaching
programme, CPD, audit, quality & appraisal activity.
Duty
team meeting
ADHD
Clinic with Dr Fitzgerald
Clinical Supervision
Clinical Admin
Prescriptions
Prescriptions or Eating
Disorders clinic
Team supervision meeting -
monthly
Team business meeting
monthly
Clinical admin
ADHD Titration and follow up
clinic
Prescriptions
and Clinical Admin
It
is anticipated that there may be an introductory period of shadowing and
learning to be able to perform these assessments and training will be given.