DBT Practitioner

Posted 7 days 20 hours ago by Oxleas NHS Foundation Trust

Permanent

Full Time

Other

London, United Kingdom

Job Description

Main area: Children & Young People

Grade: Band 7

Contract: Permanent

Hours: Full time - 37.5 hours per week (Monday to Friday)

Job ref: 042-CYP

Site: Highpoint House

Town: London

Salary: £51,883 - £58,544 pa inc

Salary period: Yearly

Closing: 16/03/:59

Job overview Training: DBT Foundation Level training will be provided for anyone successful who does not have DBT training.

The Oxleas CAMHS Dialectical Behaviour Therapy Service provides assessment, treatment, training and consultation in relation to young people aged 12 to 18 who present with persistent self-harm and suicidal behaviour and difficulties suggestive of an emerging Borderline Personality Disorder or emerging Emotionally Unstable Personality Disorder. Many of the young people seen will present with complex needs including high risk behaviours. The treatment length is up to a year long. Each team member will have a small caseload, but the team will support each other via DBT consultation meetings, morning case run throughs and supervision. Within the DBT service each clinician will play an active role in all aspects of the service and treatment, including assessment, treatment, delivery of skills group, phone coaching 9-5pm, teaching, training, research and service development.

The post holder will be responsible for supporting staff within the team to achieve positive clinical outcomes for young people and their families. These outcomes will be evidenced by research and performance indicators such as activity data, targets, and quality measures.

Main duties of the job

To be trained and confident in providing specialist Dialectical Behaviour Therapy (DBT) to young people with suicidal thoughts, behaviours and self-harm who may have a diagnosis of emerging BPD/EUPD.
To be trained and confident in the use of CYP IAPT principles, evidence based interventions and routine outcome measures.
To co-ordinate and deliver individualised care packages / programmes for children and young people and evaluate these programmes, ensuring high standards of practice in accordance with national guidelines and trust policy.
Train and mentor students and less experienced members of the discipline within the DBT team.
To be able to plan and facilitate appropriate therapeutic intervention including group work for the specialist client group and their families and carers.
To communicate risks often effectively and appropriately under difficult, highly charged, and emotional circumstances to medical staff, other professionals and families involved in the care of the client.
To liaise with other colleagues in CAMHS and participate in different clinical groups in order to share best practice and discuss current and future professional and clinical developments e.g., case review meetings and professional forums.
To liaise independently and effectively with external partner agencies, co-ordinating meetings and participating in case discussions between teams involved in the care of clients.

Working for our organisation 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 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 Listen
We Care

Detailed job description and main responsibilities Management responsibilities

To participate in the development and implementation of policies and procedures within own speciality and the generic service and to ensure that other professionals are aware of these.
To advise service and professional management on operational and professional issues with monthly reporting on service targets.

Leadership

To take responsibility as agreed with the line manager, operational manager and the service manager for the training and personal development of junior staff.
To be responsible for the security and the property of the Trust, avoiding loss or damage and being economical and efficient in the use of resources according to local DBT and CYP directorate budgets.

Clinical

To demonstrate the ability to work as an autonomous specialist practitioner in relation to the specialist area and in clinic which will include the reading and recording of the clinical observations of each child and the on-going assessment of the effectiveness of treatment packages.
To carry own caseload and take responsibility for the assessment, planning and evaluation of care for clients in the specialist area of DBT.
To demonstrate the ability to develop specialist programmes of care for the specialist client group and their families in accordance with Trust and national standards, policies and guidelines and appropriate professional codes of conduct.
To take case management responsibilities when appropriate in clinical meetings, giving clear clinical advice with regard to assessment, Risk Assessment, formulation, and treatment of identified clients.
To recognise responsibility and act according to Trust and national guidelines in safeguarding children and adults.
To demonstrate the ability to teach in informal and formal settings, e.g., carers at home, students on specialist placement.
To respond to the needs of clients and their carers in an honest, non-judgemental, and open manner, which respects the rights of individuals and groups.
To demonstrate a commitment to equal opportunities for all people.
To understand the impact of social & cultural diversity on patients' and carers' needs and on their experiences of mental illness and mental health services.
To respond to the diverse needs of the specialist client group and their carers sensitively with regard for age, developmental stage, gender, ethnicity, religion, disability and the need for their privacy and dignity.
To understand the rights of clients and carers and to assist them in exercising those rights, where appropriate.
To undertake Carers assessments and devise an appropriate care plans.
To have knowledge of appropriate legislation and its relevance to the specialist area.
To take responsibility for the decision to discharge clients from care when agreed treatment programmes have been completed.
To participate in individual and group supervision with colleagues in the specialist areas.
To offer supervision to junior staff in agreement with the CAMHS service leads.
To ensure that documentation is up to date, clear, concise, comprehensive and complies with Trust and national record keeping standards.
To take responsibility to record own supervision in case notes or in supervision records in order to be able to reflect on the supervision process.

Research

To contribute to service evaluation, policy development, audit, evaluation, and research in the area of self-harm and Borderline Personality Disorder (BPD).

Effort

To demonstrate the ability to listen and engage in therapeutic practice.
To demonstrate a high degree of competence in communicating complex information both verbally and in writing.
The ability to speak in public and address formal and informal meetings with colleagues both internally and externally to the Trust as required.
To demonstrate the ability to write analytical reports and present these to outside agencies.
To demonstrate the ability to communicate therapeutically with families from a range of backgrounds.
To effectively communicate acquired and existing knowledge in order to facilitate the client and carers' understanding of complex issues in relation to their presenting current situation and future treatment.
To participate in the PDR process according to Trust guidelines.

Person specification Education/Qualifications

RN Mental Health or CQSW/CSS/DipSW or equivalent Social Work qualification/Dip or BSc OT
Specialist training in a subject/skill relevant to Child & Adolescent Mental Health (0-18 years) together with CYP IAPT Dip in CBT/SFP/IPT-A
British Isles DBT Foundation Level or Intensive Training
CAMHS experience

Experience

At least 4 years post registration experience in a setting where mental health is the primary focus some of which should have been in a CAMHS setting

Skills

Ability to work within a structured treatment where developing model fidelity is essential.
Ability to assess, plan, implement and evaluate risk/care plans to meet the needs of clients.
Interest in working intensively with young people presenting with persistent self-harm and suicidal behaviour.
To have developed computer skills to enable input of relevant data and typing of summaries and reports etc.
The ability to supervise, teach and develop the skills of student nurses/social workers/OT's/psychologists and junior staff as appropriate.
Ability to analyse risk and respond appropriately, seeking support as necessary.

Effort