CAMHS Dialectical Behaviour Therapist

Job summary

hours per week Band 6 CAMHS DBT Mental HealthPractitioner .

18 month fixed term contract

Are you looking for a newchallenge and rewarding career in Children and Young peoples Mental HealthServices within an evolvingteam? CAMHSCrisis and Home Treatment Pathwayare looking for a CAMHS DBT Mental Health Practitioner who is a resilient,innovative, and motivated individual who ispassionate about improving the lives and mental health of our young people. Wewill provide DBT training to the successful candidate if they are not alreadytrained.

Our pathway provides crisis support and intensive home treatment to youngpeople who are experiencing mental health crisis and emotional distress. Theservice can be fast paced, and the ideal applicant will be extremely organisedand self-motivated to provide high quality care for the young people within theservice. We provide evidence-based assessments and interventions for youngpeople keeping with the principles of the iTHRIVE model. The team provide acreative,trauma informed and pro-active approachin engaging young people and their families. The individual will be able towork independently but also work well in a team.

This role may not be eligible for sponsorship under the Skilled Worker route, please refer to the Direct Gov website for more information with regards to eligibility.

Main duties of the job

DBT is a NICE guideline recommended evidence-based therapy.DBT has been shown to be effective with clients with suicidal behaviours andsymptoms associated with emerging BPD ( impulsive behaviours, emotionaldysregulation, difficulties with relationships etc.). The treatment targetsself-harm behaviours and other high-risk behaviours and helps people to managetheir emotions, develop mindfulness skills, improve their relationships withothers and to cope with difficult thoughts and feelings.

The pathway has five functions:

Crisis Liaison

To respond to CYP presenting in mental health crisis at thelocal general hospital using a psychiatric liaison model to facilitate safe andtimely discharge.

Crisis Community

To respond to CYP who present in crisis within thecommunity that have been referred in. Clinicians will complete a psychosocialassessment, risk management and signpost.

Home Treatment

The team offer CYP an intense community approach to avoidhospital admission and provides step down support when discharged from a mentalhealth inpatient unit.

ITASC

CYP who have experienced multiple and complex trauma whichis impacting on their mental health. Clinicians will further assess need withthe aim to get the CYP therapy ready as well as liaising with theirprofessional network.

About us

Livewell Southwest is an independent, award-winning social enterprise providing integrated health & social care services for people across Plymouth, South Hams & West Devon, as well as some specialist services for people living in parts of Devon & Cornwall. With teams in community hospitals, GP practices, sports centres, health & wellbeing hubs.

As an organisation with a strong social conscience, we always value being kind, respectful, inclusive, ambitious, responsible and collaborative. Transforming services to make them sustainable, ensuring that we value, support & empower each other.

We are committed to involving the people we care for, families & carers in everything that we do, working towards co-production where we can. Helping us to deliver the right care for people, in the right place & at the right time. By putting people at the centre of what we do, we ensure to support people to lead, healthy independent lives & be the very best at helping people to live well.

Valuing our employees making an investment in their development a priority. We offer:

Protected CPD time for registered staff

Various development pathways and ongoing regular training packages for all staff

Leadership & mentoring programmes

Access & funding for training including Care Certificate, Assistant Practitioners Course & Scholarship Into Nurse Training

A Robust Preceptorship

A bespoke induction programme

Existing members of the NHS Pension Scheme can continue their membership when they join the organisation.

Job description

Job responsibilities

1a

This post holder will predominately work within the CAMHS Crisis and Home Treatment pathway. The MHP will be able improve children and young peoples mental health through the delivery of an integrated and coordinated system of community based mental health care to children, young people, and their families, providing safe, culturally competent, effective, cost efficient, timely and accessible services that are in accordance with national and local priorities and are responsive to the needs and views of local children, young people, and their families.

2a

To work as an autonomous professional within BPS and Health and Care Professionals Council (HPCP) guidelines and the policies and procedures of the service, taking full responsibility for own work including treatment and discharge decision, caseload, and supervision responsibilities. The post holder will receive regular individual and team supervision and will be expected to seek advice whenever necessary.

3a

To administer and interpret psychological and risk assessments, and to have experience in the use of psychometric measures in the assessment of young people with symptoms of emerging BPD/EUPD, in particular suicidal behaviours and self-harm.

4a

Provide specialist Dialectical Behaviour Therapy (DBT) and have knowledge of Cognitive Behaviour Therapy (CBT) for the young people on your caseload in line with NICE guidance and recognised good practice.

5a

Provide good quality group work and take a role in facilitating groups to teach the young people new skills and to support parents/carers. The post holder may need to be flexible in the timing of the groups (, after school).

6a

Participate and lead in joint complex assessments and care plans with DBT staff, other disciplines, and other agencies and provide reports for referrers, families, and other agencies as required.

7a

Participate in the evaluation of the effectiveness of the pathway to ensure the needs of the children and young people it serves are being met.

8a

Liaise with other services within LSW and other external agencies.

9a

To provide specialist assessment and consultation across community CAMHS and Multi Agency / professional forums.

10a

To ensure that you are up to date with Safeguarding and Child Protection Policys within LSW. Regularly assess safeguarding issues and risk for each case and refer concerns to Child Protection teams (etc) where appropriate.

11a

Contribute to the single point of access process to ensure referrals into the service are addressed in a timely manner, this may include electronic triage.

12a

To provide autonomous specialist clinical practice within the CAMHS

a. Clinical assessment and formulation

b. Making an autonomous judgment about whether the Child or young person requires further DBT CAMHS assessment or intervention

c. Assess and manage risk.

d. Care planning

e. Intervention using a range of therapeutic modalities

f. Hold a case load as identified in the post holders job plan

g. Determining the point of discharge and agreeing this with the child, young person, and family.

h. Communicating appropriately the clinical information to the General Practitioner, relevant professionals, and parent/carers where appropriate.

i. All documentation must be compliant with LSW policys including CPA

13a

To participate in multi-disciplinary team meetings.

14a

Be available for and make use of clinical supervision, child protection supervision and operational line management supervision.

15a

Ensure the agreed outcome measures are adhered to within the post holders area of work.

16a

Ensure participation with children and young people to improve service provision is included within CAMHS and undertaken at every opportunity.

17a

The MHP will develop skills and knowledge enabling them to make an autonomous decision about the time of discharge, and agree with the child, young person, and family/carers as well as multi-agency key partners. Communicate a summary of the work undertaken and how to sustain improvements made and include correspondence to General Practitioner.

18a

The MHP is required to maintain high effective standards in the recording of clinical observations and actions, risk and risk management including child protection in health records.

19a

The MHP will strongly adhere to culturally competent and anti-discriminatory practice, promote equity of opportunity, and use their professional position to empower others and challenge power imbalances where they are found to exist.

20a

Contribute to the development of team protocols and clinical practice, proposing changes for discussion. Maintain good activity records and input them onto the electronic recording system in a timely manner.

21a

To participate in audit and quality and patient safety activity in line with service objectives.

22a

To be aware of and familiar with LWSW policy and procedure and operate within that , lone working policy.

23a

To maintain high standards of infection prevention and control in day-to-day delivery of practice.

24a

To measure and make available clinical outcome measures within an agreed system. This is most likely to be the CAMHS Outcomes Research Consortium.

Person Specification

Experience

Essential

Experience of at least 3-years working in CAMHS which includes all of the following - Clinical mental health assessment and formulation. Assessment and management of risk. A range of therapeutic interventions relating to mental health and behaviour. Culturally competent practice with people from a range of diverse backgrounds. Consultation to professionals and non-professionals. Working with individuals who have experienced trauma and abuse. Experience of working with clients across the whole age range in a wide variety of settings and circumstances Experience of maintaining a high degree of professionalism in the face of emotive and distressing circumstances. Experience in working with families Experience of assessment and treatment of clients with a range of psychological needs of a complex nature. Experience of consulting with other staff and multi-agency collaboration. Experience of running and facilitating groups.

Desirable

Experience of delivering a full DBT programme in a clinical setting. Experience of being part of a full DBT consultation team.

Qualifications

Essential

Professional qualification at degree level relevant to CAMHS mental health nursing, social work, psychology. Registration with appropriate professional body.

Desirable

Post-graduate training in a specific treatment modality. Has completed a formal ( based) DBT training, DBT foundation training through British Isles or equivalent.

Knowledge and Skills

Essential

Demonstrate cultural competence in practice Demonstrate a good understanding about the policy and practice of safeguarding children and young people. Capacity to be reflective and adapt therapeutic practice accordingly. Competent and confident in managing distressing situations or the care of young people who are at risk of harm. Enthusiastic, empathic and curious. Demonstrate excellent communication skills including being able to write clear, comprehensive reports. Good interpersonal skills, being able to work effectively as a member of a multi-disciplinary team Resilient and able to manage a degree of stress and uncertainty. Maintains continuous professional development Demonstrates an ability to manage own time and work independently. An understanding of relevant policy and legislation.

Desirable

Apply approaches using innovation or creativity. Skills in conflict resolution Car owner/driver Ability to travel across Plymouth Adjustments can be considered in accordance with the Disability Discrimination Act Skills in delivering training / presentations

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