Job summary
This role is part of an exciting expansion of the Barnet CEN Pathway. The remit of the new DBT Service is to offer Barnet residents referred into the service a consistent evidence-based therapeutic approach, to reduce inpatient admissions and to support the quick transitions of those in an inpatient service back into the community.
The post holder will be joining a newly developed DBT pathway and will be working closely with the Barnet Adult Psychology Team and the Complex Emotional Needs pathway team.
Ideally you will have a strong enthusiasm to work in a psychological informed way and had experience of DBT, but this is not essential as training will be provided.
The post holder will provide formal DBT psychological interventions using a trauma -informed approach whilst undertaking necessary training to upskill for this role as required.
You will be joining a creative and dynamic multidisciplinary team with a track record of providing high quality psychological interventions with a strong ethos of trauma informed care.
Main duties of the job
Jointly assess patients for suitability for DBT. Where the problems appear to be too complex or severe to be appropriate for level of experience refer to manager/supervisor for advice on how to manage the case.
To formulate and implement DBT focused treatment plans, in particular identifying repeating patterns of crisis and advise ways of altering these, based upon an appropriate conceptual framework of the patient's problems.
To educate and involve family members and others in treatment as necessary, conveying DBT formulations with sensitivity in easily understood language.
To support the implementation of a range of DBT psychological interventions (group and individual) for prospective patients.
To undertake risk assessment and risk management for individual patients and to provide advice to other professions on psychological aspects of risk assessment and risk management.
To work closely with referrers, services and colleagues to collaborate around the delivery of DBT interventions.
To deal appropriately with the intense emotional atmosphere surrounding therapy contacts which may be highly distressing on a daily basis and to work with frequently intense concentration for the clinical sessions of assessment and therapy.
About us
Why choose to join the North London NHS Foundation Trust?
We believe that by working together, our Trust can achieve more for the residents of North Central London and our patients than we can by working apart.
Our Five-Year Strategy:
1. We will provide consistently high-quality care closer to home.
2. With our partners in North London and each borough we will ensure equity of outcome for all
3. We will offer great places to work, providing staff with supportive environment to deliver outstanding care.
4. We will be more effective as an organisation by pioneering research, quality improvement and technology.
Why NLFT?
Transforming and creating a positive environment for our service users, staff and visitors.
- We develop and retain our staff through leadership behaviours and managers programme and many more opportunities.
- We promote flexible working and support staff with a range of health and wellbeing initiatives.
- NHS Discounts, generous annual leave allowance and NHS pension scheme
- We have excellent internal staff network support groups.
Job description
Job responsibilities
To provide a high-quality DBT treatment to patients with complex mental health problems, in particular people with complex emotional needs (CEN) associated with the diagnosis of Personality Disorder, such as attachment, interpersonal difficulties and emotional intensity. This will include specialist assessment to determine the most appropriate treatment
To formulate plans for the formal psychological treatment and/or management of clients mental health problems based upon an appropriate conceptual framework of the patients problems, and employing methods based upon evidence of efficacy, across the full range of care settings, in particular DBT and SCM models developed within the service for the treatment of personality disorder
To act as Key worker, where appropriate, taking responsibility for initiating planning and review of care plans under Dialog+ including patients, their carers, referring agents and others involved in the network of care in consultation with the MDT.
To utilise clinical and team supervision, to demonstrate autonomy for treatment and discharge of patients whose problems are managed with a psychologically-based standard care plan, ensuring appropriate assessment, formulation and interventions, communicating with the referral agent and others involved with the care on a regular basis.
To provide guidance and consultation to MDT teams and other professionals contributing directly to patients formulation, diagnosis and treatment plan.
To work safely and under guidance in relation to aggression and violence.
To undertake frequent risk assessment and risk management for individual patients and to provide both general and specialist advice for professionals on psychological aspects of risk assessment and risk management pertaining to patients with personality disorders.
Job description
Job responsibilities
To provide a high-quality DBT treatment to patients with complex mental health problems, in particular people with complex emotional needs (CEN) associated with the diagnosis of Personality Disorder, such as attachment, interpersonal difficulties and emotional intensity. This will include specialist assessment to determine the most appropriate treatment
To formulate plans for the formal psychological treatment and/or management of clients mental health problems based upon an appropriate conceptual framework of the patients problems, and employing methods based upon evidence of efficacy, across the full range of care settings, in particular DBT and SCM models developed within the service for the treatment of personality disorder
To act as Key worker, where appropriate, taking responsibility for initiating planning and review of care plans under Dialog+ including patients, their carers, referring agents and others involved in the network of care in consultation with the MDT.
To utilise clinical and team supervision, to demonstrate autonomy for treatment and discharge of patients whose problems are managed with a psychologically-based standard care plan, ensuring appropriate assessment, formulation and interventions, communicating with the referral agent and others involved with the care on a regular basis.
To provide guidance and consultation to MDT teams and other professionals contributing directly to patients formulation, diagnosis and treatment plan.
To work safely and under guidance in relation to aggression and violence.
To undertake frequent risk assessment and risk management for individual patients and to provide both general and specialist advice for professionals on psychological aspects of risk assessment and risk management pertaining to patients with personality disorders.
Person Specification
Qualifications/Registration
Essential
- oCore health professional qualification (Nursing, Social work, Occupational Therapy Psychotherapist, Clinical Associate Psychologist CAP
- oRegistration with the appropriate professional body (HCPC, NMC, Social Work England, UKCP, BACP)
- oWorking towards Accredited Practitioner Status in MBT or DBT
Desirable
- oBasic Training Certificate in Mentalisation-Based Therapy (MBT) or in Dialectical Behaviour Therapy (DBT) or a desire to engage in DBT training
Skills and Abilities
Essential
- oStrong interest and desire to work with patients with complex emotional needs and personality disorder in trauma informed way
- oExperience of working directly with patients with Personality Disorder
- oExperience of facilitating psychoeducational and groups for patients.
- oExperience of working with carers and family members
- oExperience of working in a multidisciplinary team and working within a multicultural framework
- oExperience in developing risk management plans and psychological treatment pathways
- oExperience of exercising full clinical responsibility for patients' psychological care and treatment, both as a named/key worker
Desirable
- oExperience of running and delivering DBT groups in a clinical setting
Experience/ Knowledge
Essential
- oKnowledge of the theory and practice of either DBT/SCM or mentalisation-based treatment
- oSkills in the use psychological assessments, intervention and management
- oWell-developed skills in the ability to communicate effectively, orally and in writing, complex, highly technical and/or clinically sensitive information to patients, their families, carers and other professional colleagues both within and outside the NHS.
- oAbility to contain, explore and formulate an understanding of high levels of distress both directly with patients and indirectly via supervision of other staff, both individually and in an organisational context.
Desirable
- oEnthusiasm about evidence-based practice and about using patient feedback as well as team performance data to develop service as best suited for the needs of our patient population.
Personal Qualities
Essential
- oAn enthusiasm and commitment to the psychological treatment in the field of Personality Disorder
- oAbility to work independently, reliably, and consistently with work agreed and managed at regular intervals.
- oAbility to maintain professional boundaries and form positive therapeutic relationship with service users and carers
- oAbility to contain and work with organisational stress and ability to "hold" the stress of others
Desirable
- oA commitment to the evaluation of services, enthusiasm for both multi-professional and uni-professional audit
Other Requirements
Essential
- oAbility to identify, provide and promote appropriate means of support to carers and staff exposed to highly distressing situation and severely challenging behaviours
- oAbility to develop and use complex multi-media materials for presentations in public, professional and academic settings.
Person Specification
Qualifications/Registration
Essential
- oCore health professional qualification (Nursing, Social work, Occupational Therapy Psychotherapist, Clinical Associate Psychologist CAP
- oRegistration with the appropriate professional body (HCPC, NMC, Social Work England, UKCP, BACP)
- oWorking towards Accredited Practitioner Status in MBT or DBT
Desirable
- oBasic Training Certificate in Mentalisation-Based Therapy (MBT) or in Dialectical Behaviour Therapy (DBT) or a desire to engage in DBT training
Skills and Abilities
Essential
- oStrong interest and desire to work with patients with complex emotional needs and personality disorder in trauma informed way
- oExperience of working directly with patients with Personality Disorder
- oExperience of facilitating psychoeducational and groups for patients.
- oExperience of working with carers and family members
- oExperience of working in a multidisciplinary team and working within a multicultural framework
- oExperience in developing risk management plans and psychological treatment pathways
- oExperience of exercising full clinical responsibility for patients' psychological care and treatment, both as a named/key worker
Desirable
- oExperience of running and delivering DBT groups in a clinical setting
Experience/ Knowledge
Essential
- oKnowledge of the theory and practice of either DBT/SCM or mentalisation-based treatment
- oSkills in the use psychological assessments, intervention and management
- oWell-developed skills in the ability to communicate effectively, orally and in writing, complex, highly technical and/or clinically sensitive information to patients, their families, carers and other professional colleagues both within and outside the NHS.
- oAbility to contain, explore and formulate an understanding of high levels of distress both directly with patients and indirectly via supervision of other staff, both individually and in an organisational context.
Desirable
- oEnthusiasm about evidence-based practice and about using patient feedback as well as team performance data to develop service as best suited for the needs of our patient population.
Personal Qualities
Essential
- oAn enthusiasm and commitment to the psychological treatment in the field of Personality Disorder
- oAbility to work independently, reliably, and consistently with work agreed and managed at regular intervals.
- oAbility to maintain professional boundaries and form positive therapeutic relationship with service users and carers
- oAbility to contain and work with organisational stress and ability to "hold" the stress of others
Desirable
- oA commitment to the evaluation of services, enthusiasm for both multi-professional and uni-professional audit
Other Requirements
Essential
- oAbility to identify, provide and promote appropriate means of support to carers and staff exposed to highly distressing situation and severely challenging behaviours
- oAbility to develop and use complex multi-media materials for presentations in public, professional and academic settings.
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.
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).
Additional information
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.
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).
