Crisis Alternative Practitioner

2 weeks ago

London, United Kingdom Hammersmith, Fulham, Ealing and Hounslow Mind Full time

**Job Purpose**

This role is within our crisis alternative emergency department (ED) service, which is an out of hours service providing a safe and welcoming space for people who present at A&E, feeling distressed and experiencing crisis. The service will work collaboratively with hospital Psychiatric Liaison Team (LPS) to ensure those in crisis are supported by the appropriate team. The service will operate 365 days a year from **5pm-1am** across three ED’s in West London.

Staff within the service will triage, assess and provide face-to-face support to anyone who is experiencing mental health crisis. This will be person-centred and will be in various forms of de-escalation support; practical, emotional support, grounding techniques, safety planning, care/action planning etc. Staff within the service will work alongside LPS and escalate if clinical intervention is required. Staff will also actively participate in MDT discussions for frequent attenders and take a key role in initiating and promoting alternative crisis support in the aim of preventing A&E use. **Staff in our Safe Space ED service are required to have experience in a mental health clinical setting (such as inpatient, A&E, or other clinical setting) however, they do not need to hold a clinical qualification for this role.**

The objectives of the service include:

- To improve the mental wellbeing of people experiencing mental health crisis presenting at ED
- To prevent the use of A&E and EDs where alternative crisis support is appropriate
- To effectively de-escalate mental health crisis in various forms of support
- Collaborative working with LPS and A&E stakeholders to promote preventative measures around early intervention; to identify any unmet social needs that are exacerbating wellbeing and prevent escalation
- Proactively work, and affect change with, a rolling cohort of people, using a truly personalised approach
- Act as a conduit to negotiate and de-escalate issues before a crisis occurs; a situation which has historically led to a destabilisation of their condition and resulting in an attendance or admission
- Empower service users to self-manage, to enable discharge from the project and encourage (where appropriate) unplanned to planned clinical activity
- Form robust networks of services around individual service users to ensure they can access the care and support they need, when they need it, including our community crisis alternative service - Safe Space
- Improve communication and partnership working between those involved in peoples’ care 24/7
- Personalise a plan of support, focusing on strengths and goals, whilst also developing personal crisis plans with the service user
- Advocate for the individual in the creation of any statutory service crisis plans that may be developed, ensuring they are person cantered and reflect the person’s needs
- De-escalate any negative or harmful patterns of behaviour as early as possible to reduce the likelihood of admission/readmission
- Manage relapse
- To reduce the use of police, ambulance and statutory mental health services whilst experiencing crisis
- To reduce the use of statutory crisis services by people experiencing mental ill health without positive outcomes for the individual
- To work hand in hand with our community Safe Space service; ensuring follow ups are arranged with our community Safe Space, creating a wrap around crisis service

**The Role**

The role of the crisis practitioner will be to work collaboratively with LPS and service users to de-escalate crises in ED. The role will also involve triaging and assessing all clients accessing the service, alongside LPS. The crisis practitioner’s duty will be to de-escalate low/moderate mental health and social needs and deliver collaborative self-management plans with service users to improve mental wellbeing and reduction in A&E attendance. The crisis practitioner will also be responsible for linking in and signposting follow up support with our community Safe Space team. This role does not include clinical intervention. The crisis practitioner will be required to raise and follow up on safeguarding concerns, with support by the Team Manager.

**One part-time and two full-time vacancies are available. You can download a PDF of the job description for this role at the bottom of the page.**

**Person Specification**
- Minimum of 2 years working in clinical mental health services or settings
- Minimum of 2 years supporting clients experiencing severe mental health distress and crisis
- Minimum of 2 years supporting clients with moderate/severe mental health
- Extensive experience of managing challenging behaviour and dealing with clients with complex needs

**About Us**

We’re Hammersmith, Fulham, Ealing and Hounslow Mind, part of Mind the mental health charity. We won’t give up until everyone experiencing a mental health problem gets support and respect. We provide advice and support to empower anybody experiencing

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