CBT - P (Psychosis) Practitioner

Job responsibilities

MAIN DUTIES/RESPONSIBILITIES

5.1 Provide a specialist CBT-P assessment and treatment service for individuals, couples, families, carers and groups, city wide.

5.2 To provide services, advice and support to other areas of Livewell Southwest as required.

5.3 To contribute to the delivery and the development of clinical services through collaboration with professional staff and other disciplines.

5.4 Maintain appropriate clinical records in line with Livewell Southwest policy.

5.5 To encourage consultation by users, LSW staff, GP, Social Services, the Inpatient Units and others working within local services.

5.6 To contribute to a programme of continual professional development for Insight and CBT providers across Livewell Southwest.

5.7 To teach, as required, on professional courses within the Mental Health Service and at the University of Plymouth.

5.8 To prepare and deliver CBT-P training across the SW Peninsula in partnership with Plymouth University.

5.9 To supervise trainees on placement as appropriate.

5.10 To contribute to a programme of continuing professional development for CBT provision across the organisation.

5.11 To keep up to date with current evidenced based treatments and be involved in research as agreed with your line manager.

5.12 To conduct research and evaluation relevant to the provision of CBT services and more widely as required.

5.13 To participate in the regular use of outcome measure most suited to patients experiencing Psychosis.

5.14 To keep up to date with relevant research literature on evidence based practice.

5.15 To liaise and work in partnership with other mental health providers and with relevant and statutory agencies in the community.

5.16 To liaise with other specialists both regionally and nationally as appropriate.

5.17 To encourage consultation by users, LSW staff, GPs Social Services, Inpatient units and others working within local services.

5.18 Contribute to delivery and development of clinical services through collaboration with professional staff and other disciplines.

5.19 To contribute to the maintenance and development of office system and procedures within the service.

5.20 To maintain appropriate service statistics and electronic records of work within the requirement of polices covering Care Management and Care Programme Approach.

5.21 To provide regular information on services.

5.22 To attend Insight service meetings, and other meetings relevant to the post holder.

5.23 To participate in annual appraisal with the Service Manager.

5.24 Whilst maintaining clinical autonomy, to receive regular clinical supervision from an appropriately qualified and experienced supervisor and maintain the highest professional standards.

5.25 To be aware of current developments within the profession and to continue to maintain and further develop professional knowledge and skills.

5.26 To work with appropriate professional agencies.

5.27 Keep abreast, through study and attendance at National and Local conferences, of developments in CBT and pursue CPD as advised.

5.28 To adhere to LSW Policies and Procedures.

5.29 To maintain own professional registration to governing bodies as appropriate.

5.30 To carry out such other clinical and administrative duties. .

5.31 To act as a clinical expert in the field of CBT providing consultation and education to the staff within LSW and Insight as required.

5.32 To work as an autonomous clinician providing specialist CBT assessment, planning, implementation, evaluation and development of CBT treatment to adults with Psychosis presentation.

5.33 Monitors and ensures maintenance of standards of treatment/care/confidentiality as set down by policies, procedures, and legislation & professional bodies (HCPC/NMC and BABCP).

5.34 Provide clinical information through written and electronic assessment, progress, discharge and follow up reports and letters to referrers.

5.35 To provide specialist CBT supervision for the staff within LSW as required.

5.36 Administer clinical measures to review efficacy/efficiency of treatment.

5.37 To use research to develop and improve outcomes.

5.38 Contribute to the development of policies which relate to the delivery of CBT.

5.39 Adhere to HCPC/NMC and BABCP professional codes of conduct.

COMMUNICATIONS AND RELATIONSHIPS

6.1 To demonstrate excellent communication skills with clients, staff, family members/carers

and wider health network.

6.2 To ensure information about clients assessment/treatment is accurately recorded using

the clinical record system.

6.3 Is able to impart complex and sensitive information to patients and families/carers and

related health care professionals.

6.4 To ensure good working relationships with all other health professionals across the health

network.

7. PHYSICAL DEMANDS OF THE JOB

The role will involve a lot of sitting with clients in therapy rooms. It may require some standing for 2 hours at a time whilst delivering groups. There will also be frequent use of computer.

8. ADDITIONAL INFORMATION FOR ALL POSTS

The post holder is required to comply with all relevant policies and procedures pertinent to their post. Current versions can be found on the intranet or via your manager. The areas listed below are those Livewell Southwest currently places particular emphasis on. Failure to follow correct policies and procedures may result in disciplinary action.

8.1 Risk Management

In accordance with the Risk Management Strategy, employees will participate, whenever required, with the risk management process. They will support line managers by attending mandatory and statutory training, completing incident/accident forms for every adverse event or near miss that occurs, report all defects and complaints, and communicate any dangerous situation to individuals potentially at risk.

Health and Safety at Work

You must co-operate with those in authority and others in meeting the statutory requirements and in following policies and procedures. A copy of the Health and Safety Policy is available from the intranet or from the Risk Management Department.

You are reminded that in accordance with the Health and Safety at Work Act 1974 you have a duty to take reasonable care to avoid injury to yourself and to others affected by your work activities.

You will be notified where your post carries a requirement for immunisation.

You may be required to be able to undertake physical intervention training and participate in physical intervention as part of a physical intervention team and Basic Life Support (BLS).

8.3 Infection Control

Livewell Southwest is determined to eradicate healthcare-acquired infection and puts a great deal of emphasis on the responsibility of all staff to ensure their own personal and others compliance with Infection Control (including Hand Washing) Policies. All staff must comply with infection control policies and guidance, attend relevant updates and report issues of concern to their immediate line manager (if no action or explanation received, then it is the individuals responsibility to escalate their concerns to the Director of Operations or Chief Executives Office).

8.4 Safeguarding Children and Adults

All employees have a duty to safeguard and promote the welfare of children and adults and are required to act in such a way that at all times safeguards their health and wellbeing. Familiarisation with and adherence to national and local safeguarding adults and children policies is an essential requirement upon all employees. Livewell Southwest has specific safeguarding policies and in addition, employees also have a responsibility to practice and work within the multi-agency policy developed by the Safeguarding Adults Board and the Safeguarding Children Board. Staff are also required to participate in related mandatory/statutory training.

8.5 Research

For clinical posts at bands 5 and 6, there is an expectation that engagement in research will be part of this role. Therefore, an awareness of the value and relevance of research is expected and the post holder should either support existing research within their specialty area as appropriate or identify opportunities to raise awareness of research possibilities. For clinical posts at band 7 and above, the post holder will be required to actively participate in complex audits using research methodology, or participate as required in clinical trials or equipment testing, and will demonstrate high level involvement in local ongoing research projects.

8.6 Sustainability and climate change

All staff are expected to take responsibility for the reduction of carbon emissions within their area of the organisation. In particular this may relate to reducing energy consumption, making low carbon travel choices, consideration of goods and services being purchased, and waste reduction.

This Job Description is not exhaustive and may change as the post develops, but such change will not take place without consultation between the post holder and their manager. Job descriptions should be reviewed at least annually at the appraisal meeting.

The Working Time Regulations apply to all employees of Livewell Southwest. In particular, Livewell Southwest will not permit staff in all employments to work in excess of 48 hours in any one week except where there are exceptional service needs where an absolute limit of averaging over a reference period of 17 weeks would apply.

Experience

Essential

• Experience of specialist psychological assessment, formulation and treatment of clients across a range of mental health care settings
• Experience of working with a wide variety of client groups, across the whole life course presenting problems that reflect the full range of clinical severity and complexity
• Ability to maintain a high degree of professionalism in the face of highly emotive and distressing problems, verbal abuse and the threat of physical abuse
• Experience of working within a multicultural framework
• Experience of working in mental health services where multi- disciplinary working is embraced as part of service delivery
• Ability to meet agreed/specified service targets
• Proven ability to communicate clearly in difficult and complex situations

Desirable

• Experience of working with secondary care clients in the therapeutic capacity as CBT therapist
• Experience of working in a range of mental health settings
• Worked in a service where agreed targets in place demonstrating clinical outcomes
• Experience of teaching, training and/or supervision.
• Experience of implementing new ways of working (NWW) principles
• Experience of implementing service policies and procedures
• Involvement in research programmes

Skills & Knowledge

Essential

• Knowledge
• Demonstrates an understanding of psychotherapy services and how they link to governmental objectives
• Demonstrates an understanding for the need to use evidence based psychological therapies and how it relates to this post
• Knowledge of a range of psychotherapeutic theoretical models used in mental health services
• Knowledge of legislation in relation to the client group and mental health
• Specific skills
• Full range of skills and competencies as laid out in the competence framework for CBT (Roth and Pilling 2007)
• Commitment to own CPD and willingness to undertake any training necessary for role, e.g. top-up CBT training, supervisor training
• Skills in the use of complex methods of psychological assessment, psychological formulation, intervention and management frequently requiring sustained and intense concentration; this requires the use of highly developed analytical and judgement skills
• Skills in individual, couple and group work and in programme planning
• Planning and organising skills for caseload management
• Skills in self-management, including time-management
• High standard of report writing for communication with professionals from NHS, Local Authority and other agencies, parents/carers and clients
• Skills in self-management, including time-management
• Well developed skills in the ability to communicate effectively, orally and in writing, complex, highly technical and/or clinically sensitive information, including contentious and highly distressing information, to clients, their families, carers and other professional colleagues both within and outside the NHS
• Excellent interpersonal and communication skills, enabling formation of networks with professionals within the organization and from other agencies, to promote effective team working with clients
• Ability to identify and employ mechanisms of clinical governance, including regular supervision, to support and maintain clinical practice in the face of regular exposure to highly emotive material and challenging behaviour
• Skills in providing consultation to other professional and non-professional groups
• Ability to identify, provide and promote appropriate means of support to carers and staff exposed to highly distressing situations and severely challenging behaviours
• Ability to teach and train others, using a variety of complex multi-media materials suitable for presentations within public, professional and academic settings
• Evidence of continuing professional development as recommended by the regulating and professional/accrediting bodies
• Capable of being individually accountable for own clinical interventions
• Willingness to be flexible and adaptable
• Advanced keyboard and computer skills
• Able to contain and work with high levels of distress from clients
• Able to contain and work with organisational stress
• Interpersonally calm and able to defuse difficult, volatile situations
• Able to tolerate ambiguity and to take decisions in situations of incomplete information
• Ability to work within a team fostering good working relationships
• Ability to exercise appropriate levels of self-care and to monitor own state, recognising when it is necessary to take active steps to maintain fitness to practice
• Good organisational skills
• Motivated towards personal and professional development with a strong CPD record
• An ability to interact effectively with staff from all disciplines
• Regard for others and respect for individual rights of autonomy and confidentiality
• The ability and skills to act as an advocate for services, to engage and foster good professional relationships with all health professionals in promoting the good integration of this service with the wider health care system

Desirable

• Knowledge
• High-level knowledge of the theory and practice of at least two specialised psychological therapies
• Formal training in supervision of CBT
• High-level knowledge and skills in working with carers
• Post-graduate level knowledge of research methodology, research design and data analysis
• Specific skills
• Experience of leading and carrying out research projects and interpreting data using statistical analyses
• Proven ability in carrying our clinical audits
• Practical Implementation of New Ways of Working
• Record of having published in either peer-reviewed or academic or professional journals and/or books
• Fluent in languages other than English
• Ability to promote psychological models with clients, carers and staff in an understandable and person centred way, clearly outlining goals and potential outcomes
• Ability and willingness to travel to locations throughout the organisation

Qualifications

Essential

• Doctorate level training in clinical or applied psychology, accredited by the BPS, or a BPS Statement of Equivalence
• OR
• A registered qualification in health care at graduate level in nursing, social work, allied health professional
• AND Post-qualification training in CBTp to PG diploma level or equivalent at Intermediate level or above
• AND
• BABCP accreditation

Desirable

• Registered membership of professional body
• Undertaken post-qualification further training in an additional specialist area of CBT practice e.g. EMDR,
• Undertaken training in the supervision of trainees and other therapists

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).