Specialist Substance Use Worker

5 months ago

London, United Kingdom West London NHS Trust Full time

We are looking to recruit 1 (one) full-time B6 Substance Use Practitioner within our Ealing Community Rehabilitation Team. We are looking for someone who is innovative, motivated and interested in a new challenge. You will be joining an enthusiastic and hardworking multi-disciplinary team, passionate about the care we deliver.

The Ealing Adult Community Rehabilitation Team provides support for people with complex care needs related to psychosis and (where relevant) co-existing substance use and physical health problems. The service provides a less restrictive alternative to inpatient rehabilitation by providing intensive support for service users so that rehabilitation occurs in the community. With a multidisciplinary and whole-team approach, the emphasis is on delivering individualised and recovery-focussed care.

The post holder will work as a member of the MDT as a dual diagnosis specialist. They will offer assessment, consultation and support for patients under the care of the team and where needed hold a small and defined caseload.

MAIN DUTIES and RESPONSIBILITIES
- To support the development of the service aimed at meeting the needs of patients under the care of our Community Rehabilitation team who have complex conditions relating to serious mental health difficulties and co-existing substance use issues.
- To support the development of evidence based practice in all aspects of clinical care, ensuring an ongoing awareness of significant health research relevant to the care and treatment of patients with substance use and dual diagnosis.
- To engage with individuals referred to the service utilising the principles of motivational interviewing to establish a therapeutic relationship.
- To deliver training to staff within the Trust and CCG in relation to substance use and dual diagnosis.
- To utilise highly developed communication skills to develop therapeutic relationships with patients who find it challenging to engage in care planning and have complex substance use issues.
- To be aware of the importance of therapeutic boundaries and boundary setting when working with patients referred to the team.
- To conduct comprehensive biopsychosocial assessments of patients referred to the service.
- To carry out effective clinical risk assessments of patients referred to the service with the formulation of risk management plans that promote the safety of the patient and others, with the involvement of family, embedding the Triangle of care and providing person centered care that meets individual needs.

Community Rehabilitation Services within West London NHS Trust was established in early 2021. Three teams were formed across 3 different boroughs: Ealing, Hounslow and Hammersmith and Fulham (H&F). The service is suitable for those who are aged 18+ years (no upper limit).

The service is multidisciplinary and each team consists of a Consultant Psychiatrist, Team Lead, care co-ordinators, OT’s, Psychologists, support workers and an administrator.

The service was designed to provide a less restrictive alternative to inpatient rehabilitation by providing intensive support for service users with complex psychosis so that rehabilitation can occur in the community.

A key function of the rehabilitation teams is to support individuals who have been placed outside of the borough to move back to their local area.

For service users in or in need of 24 hour supported accommodation, or those who have frequent or lengthy inpatient stays, the service provides intensive MDT support and close partnership working with housing and community providers to stabilise mental health, maximise independence and functioning and support people to flourish in least restrictive community settings in accordance with their goals and preferences.

The post holder will work as a member of the multi-disciplinary community rehabilitation team as a dual diagnosis specialist. They will offer assessment, consultation and support for patients under the care of the team.

The post holder will work in close collaboration with patients, families and other professionals and services involved the person’s care, including acute trust colleagues, mental health trust teams, primary care, social services, housing and homelessness services, substance use services, schools and colleges, ambulance services, the police and other criminal justice agencies.

The post holder will use an integrated motivational interviewing approach that is person-centred and holistic which considers the needs of others in the service User social system.

They will be required to conduct a comprehensive biopsychosocial assessment which considers the relationship between the person’s mental and physical health, their social situation and their harmful use of drugs and alcohol in formulating person-centred and needs-based care plans.

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