The post holder will work with clients who present
with a range of complex anxiety disorders, post- traumatic stress disorder and
depression related problems at step 3 for which CBT is demonstrated to be
clinically effective. The post holder
will carry out telephone and face to face assessments as part of their case
load.
The clinical supervision (including duty
supervision) of Step 2 (as required) and step 3 clinicians within a TALKING
THERAPIES service. The post holder will ensure supervisees work safely and
professionally, adhering to guidelines and professional/service guidance. The
post holder will be responsible for their own caseload. This post will also
involve the assessment and appropriate treatment of people presenting with
mental health problems, working within NHS TALKING THERAPIES team. The post
holder will be expected to attend regular supervision of supervision and may
have additional areas of responsibility for clinical service development as
required.
1.
Accept referrals via agreed protocols within the
service.
2.
Conduct assessments and therapy over the telephone,
telemedicine and face to face.
4.
Make decisions on suitability of new referrals,
adhering to the departments referral protocols, and refer unsuitable clients
on to the relevant service or back to the referral agent as necessary.
5.
Formulate, implement and evaluate therapy programmes
for people attending the service.
6.
Educate and involve family members and others in
treatment as necessary, conveying formulations with sensitivity in easily
understood language.
We believe no one should have to face a mental
health problem alone. We work to reduce the stigma associated with mental
health, support people in their recovery and champion better services for all.
We believe that with the right support and resources everybody can create a
life that feels meaningful irrespective of the presence of symptoms. Mind in
Bexley is a local Mind mental health charity offering an extensive range of
support, advice, and information to communities in Bexley and East Kent. The
purpose and objects of the charity is 'to promote the preservation and the
safeguarding of mental health and the relief of persons suffering from mental
disorder'. We promote well-being and work to reduce poor mental health and the
stigma associated with it. We support people in their recovery and champion
better services for everyone. We seek to meet these purposes by undertaking a
wide range of therapeutic and non-clinical mental health activities within
Bexley and East Kent, including direct therapeutic support of individuals,
advice, advocacy, recovery and employment services, and campaigning to reduce
the stigma of mental health and to raise awareness of mental health issues.
Mind in Bexley are contracted by the Bexley Clinical Commissioning Group to
provide the NHS funded TALKING THERAPIES Service for Bexley.
Job description
Job responsibilities
Key responsibilities:
Clinical
1.
Accept referrals via agreed protocols within the
service.
2.
Conduct assessments and therapy over the telephone,
telemedicine and face to face.
3.
Offer High Intensity treatment in individual and group
settings (as agreed)
4.
Make decisions on suitability of new referrals,
adhering to the departments referral protocols, and refer unsuitable clients
on to the relevant service or back to the referral agent as necessary.
5.
Formulate, implement and evaluate therapy programmes
for people attending the service.
6.
Educate and involve family members and others in
treatment as necessary, conveying formulations with sensitivity in easily
understood language.
7.
Take responsibility for promoting access to the
services provided and the delivery of cognitive behavioural therapies in the
peripheral settings where the therapist works. For example, therapists working
within GP Surgeries will be expected to attend GP Practice meetings and develop
and maintain professional relationships with members of the primary care
team. They will be expected to promote
the service by ensuring that there are readily available promotional material
for both members of the public and members of the primary care team.
8.
Liaise with other psychological therapy services in
order to work jointly to improve provision of psychological services to local
residents.
9.
Plan appropriate packages of care for each service
user. Liaise as appropriate with other
professionals within the service and externally to effectively communicate your
assessment and facilitate transfer of care to an appropriate professional.
10.
Conduct risk assessments, prepare risk management plans
and initiate appropriate action where indicated (including referrals to
relevant secondary care services and child and adult safeguarding services)
11.
Elicit outcome data from people using services and
their carers. Use the TALKING THERAPIESus
system to record clinical contact details,
clinical records, outcome data, and passage though the care pathway.
12.
Ensure that people under your care are cared for
appropriately under the stepped care framework as currently in use within the
service.
13.
Adhere to the operations manual and other relevant
protocols and procedures as directed by your line manager.
14.
Take personal (unprompted) responsibility for achieving
agreed clinical activity relating to the number of therapy contact hours per
week.
15.
Actively contribute to and support the integration of
clinical governance in the service within your own area of work and contribute
to service clinical governance process in a specific area of work under the
direction and supervision of a Senior Therapist.
16.
Develop an area of enhanced (specialist) clinical work
(e.g. PTSD, OCD, Long Term Health Conditions, Perinatal, Eating Disorders,
Social phobia etc). It is expected that the areas of specialist work will shift
in focus over time to reflect service need and your need to continuing
professional development.
17.
Carry out clinical audits of aspects of the CBT service
as directed, including feedback from people who have used the service, analyse
and feedback to the service verbally and in writing.
Training and Supervision
18.
Attend clinical supervision in group or individual
format within service.
19.
Participate in peer supervision with professional
colleagues.
20.
Develop and engage in your own CPD, including active
engagement in and use of clinical supervision of your own therapy.
21.
Attend and fulfil all the requirements of the TALKING
THERAPIES approved training/ workshops in line with identified professional
objectives.
22.
Support peer learning through attending and
contributing to journal clubs and other in-house service CPD events
23.
Once suitable supervision training and experience has
been gained, supervise other staff as
directed
Professional
24.
Ensure that client confidentiality is protected at all
times.
25.
Co-ordinate and liaise between different staff groups
within Mind in Bexley.
26.
Support the CBT Service Public & Professional
Educational functions by contributing to professional education program under
the supervision of senior members of the department.
27.
Support the CBT Service Public & Professional
Educational functions by delivering interactive psycho-education within a CBT
framework to large groups of Service Users under the supervision of senior
members of the department.
28.
Exercise personal responsibility for the systematic
clinical governance of your own professional practice.
29.
Proactively take responsibility for attending
supervision, case management and line management regularly, participate in
objective setting, performance reviews and respond to agreed objectives.
30.
Be aware of and comply with company policies, procedures and standards of
service
31.
Promote and contribute to the development and
maintenance of a healthy therapeutic culture within the team and amongst
colleagues across the service and Service Users.
Management
32.
Manage an aspect of the service at the level of direct
service delivery. This might include one or more (depending on available time)
of: co-ordinating educational material, keeping a central resource file of
clinical resources for general use, ensuring questionnaire accuracy, quality
and accessibility, acting as the key liaison with an identified group of
professionals.
33.
Once suitable managerial experience has been gained,
line manage other staff as directed.
33. Contribute to policy or service developments in line with
clinical governance and service objectives.
Communication and
Relationship Skills:
Provide and receive highly complex information
(related to mental health and CBT) to individual, groups of service users,
relatives, carers, members of the public and professionals.
Develop and maintain close professional therapeutic
relationships with Service Users using advanced psychotherapy skills to bring
about lasting psychological change.
Provide consultation to and communicate as appropriate
with external agencies (including housing, police, local authority, employers,
employment support workers etc).
Proactively develop robust professional
relationships with the Primary Care team (e.g. General Practice staff)
supporting the active integration of CBT provision into primary care.
Develop and maintain good professional relationships
with mental health workers in primary and secondary care.
Knowledge, Training and
Experience:
Have specialist theoretical and practical clinical
knowledge of Cognitive Behavioural Therapy.
Have knowledge, training and experience in disorders
common in primary and secondary mental health care sufficient to identify,
provide preliminary education to the Service User and direct the Service User
to clinical resources where CBT is not the optimum intervention.
Analytical and Judgemental
Skills:
Gather a range of facts and contexts, relevant to
the Service User(s) clinical care. Analyse and weigh the relative importance of
the factors to form an understanding of the Service User(s) difficulties and
relate these to the range of psychological and other treatment options available.
Form a judgement between the relative utilities of the treatment options and
the Service Users preferences.
To collate and analyse clinical data from your own
Service Users within the overall framework of the required data output of the
service, to analyse this data with the intention of: (a) identifying and
minimising risk, (b) optimising clinical effectiveness, (c) optimising service
efficiency. To then, in conjunction with your Clinical Supervisor, devise a
plan that addresses these components within the immediate context of where you
deliver your service (e.g. the realities and culture of the local GP practices
where you operate) and the broader operational framework of the service and
have the skill to implement the agreed plan in an iterative manner.
Contribute to the monitoring, review and audit of
the work in this new service.
Contribute to the clinical governance framework of
the Service by identifying and acting on areas of concern and supporting senior
clinicians who are taking the lead in designated areas of responsibility.
Planning and Organisational
Skills:
Co-ordinate the activities of yourself to balance
the conflicting: needs of Service Users, demands of the different areas of
service provision (e.g. the different GP surgeries), your own continuing
professional development, and central service provision of the organisation.
This will involve sudden changes in plans to respond to clinical emergencies on
a frequent but not regular basis.
Responsibility for
Patient/Client Care:
Assess Service User(s), prepare a psychotherapy care
plan and deliver specialist CBT to individuals and to groups of service users.
Support other clinicians in the delivery of individual and group CBT. Hold your
own caseload and respond to Service User crises as appropriate. Maintain
appropriate confidentiality.