CAMHS Crisis Lead Clinician
1 week ago
Job summary
The crisis service provides integrated, high quality assessment, support and interventions in and out of hours. We work closely with the Adolescent teams and borough based clinical teams across the three boroughs, as well as with tier 4 (inpatient services) which are provided by the South London Partnership. The crisis team is multidisciplinary, and is supported by a team manager, consultant nurse, operational manager,practice development practitioners and a full time Consultant Psychiatrist.
All clinicians within the pathway will provide both crisis assessment, follow up and interventions and will be supported via bespoke training opportunities, supervision and CPD events.
Main duties of the job
To provide specialist mental health advice, consultation and signposted using an outcome based triage model, to the multi-agency network. To carry out effective bio psychosocial assessments of individuals in crisis referred to the team from community mental health teams, GPs and other sources. To gate keep all referrals to inpatient services to test their suitability for home treatment as an alternative to admission To carry out effective risk assessment and management, seeking advice from multi- disciplinary colleagues and other teams where needed To provide a range of agreed brief crisis clinical interventions to service users and their relatives in any setting, aimed at increasing the individual's psychological stability To develop effective crisis plans with individuals which will improve their future resilience To assess the welfare of people discharged from inpatient wards in a timely manner To carry out assessments of mental capacity as required to do so. To liaise collaboratively with hospital and community based mental health services, both within Oxleas and elsewhere, also with emergency services and non-statutory bodies
About us
Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes.
We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.
Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:
We're Kind We're We Listen We Care Job description
Job responsibilities
You will work closely with colleagues within the crisis team, borough CAMHS services and wider colleagues across the South London Partnership. In addition, there will be opportunity to work closely with acute trust and social care colleagues.
Robust personalised induction plan, which identifies your transferrable skills and where development to adjust to your new role may be helpful.
Buddy allocated to support you through your first few months within the service
All applicants are able to access in house and external CAMHS specific training
This role allows colleagues to develop their skills in autonomous and multi-disciplinary/agency working. Colleagues that have worked in this role have successfully been promoted to senior practitioner roles within the team, other colleagues have successful secured training to become therapists as well as some colleagues successfully moving into managerial roles.
21% (174,611) of the Bromley, Bexley and Greenwich combined population is under 18 years of age
Bromley, Bexley and Greenwich combined
ethnicity breakdown
count
%
White
260,870
Mixed/multiple ethnic groups
10,897
Asian/Asian British
16,067
Black/African/Caribbean/Black British
18,686
Other ethnic group
2,872
The Liaison and Crisis team will receive approximately 1029 crisis referrals per annum via A&E (based on all hours 2019/2020 data) across the three boroughs. 5% of these presentations took place out of hours (20:00-08:00). Around 50% of young people presenting in crisis to A&E are currently receiving treatment from Community CAMHS. At any one time there are around 390 young people on the caseload of the three adolescent teams (tier , which work with young people who present with acute mental health needs and crises and the most significant, high risk mental health conditions. The Liaison and crisis team work collaboratively with borough adolescent and crisis pathways to support those young people known to the service who present in crisis via A&E, as well as support the most vulnerable young people through a telephone support system during the evenings and weekend.
The crisis team works with young people for the duration of their crisis, and for existing patients, this will be done in conjunction with their existing care coordinator in the Community CAMHs team.
The liaison and crisis team works closely with the three Oxleas community CAMHS services, to ensure a coordinated approach to care and careful transition. The team undertakes assessments for young people who present in crisis out of hours and link with the existing day crisis service for these services.
Assessment in the team consists of individual and family assessment. The outcome from the assessment might be admission to a CAMHS in-patient unit, an individual piece of work around an episode of mental ill-health, joint work alongside the Community CAMHS Care Coordinator, or working with partner organisations to facilitate appropriate multi-agency support and intervention for the young person.
The nature of the work of the consultant psychiatrist in the team is to provide crisis assessments and interventions, supervision and consultancy to non-medical colleagues and clinical leadership including taking a lead role in managing the interface with CAMHS and hospital departments.
All clinicians within the pathway will provide both crisis assessment, follow up and interventions and will be supported via bespoke training opportunities, supervision and CPD events.
Person Specification
Experience
Essential
At least 4 years post registration experience in a setting where mental health is the primary focus.
Person Specification
Essential
Professional Qualification from relevant professional body ( Occupational Therapy, Social Work, Nursing) o Specialist training in a subject/skill relevant to Child and Adolescent Mental Health. (0-18 years)
Skills
Essential
Ability to assess, plan, implement and evaluate risk/care plans to meet the needs of clients. o Ability to work to standards for quality within the Service. o Ability to work as a member of a multi-disciplinary team and demonstrate awareness of MDT functioning. o Ability to maintain and manage own caseload and work autonomously within the specialist area o Willingness and ability to develop specialist knowledge of clinical aspects of child & adolescent mental health o Ability to recognise own limits & seek support re supervision as appropriate. o To have developed computer skills to enable input of relevant data and typing of summaries and reports etc o The ability to supervise, teach and develop the skills of student nurses and junior staff as appropriate o Excellent written & verbal communication skills. o Good interpersonal skills & demonstrable ability to work with others. Ability to analyse risk and respond appropriately, seeking support as necessary-
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