Job summary
We are looking for a Band 6 or Band 7 clinician to join the Southwark Mentalization Based Therapy (MBT) Service.
A suitable Band 6 clinician would be someone who wishes to develop their knowledge, experience and psychological therapy practice within the MBT Service. Upon completion of the MBT practitioner qualification, within 12-18 months, trained through Health Education England you will move onto a Band 7. See Band 6 job specification for essential criteria. Please make it clear in your supporting statement which post you would like to be considered for.
Or
A suitable Band 7 clinician would be someone with post graduate education, knowledge, experience and existing psychological therapy skills / qualifications to join us in the Southwark MBT Service. If you do not hold MBT Practitioner status you will be expected to gain this within 12-18 months of being in post. You will be provided MBT training through Health Education England. See Band 7 job specification for essential criteria. Please make it clear in your supporting statement which post you would like to be considered for.
The post holder will deliver MBT to individuals and groups. In addition, the role will involve developing relationships with Community Mental Health Team (CMHT) colleagues, offering in-reach and assisting CMHT colleagues with their psychological interventions as part of the developing stepped care model.
Main duties of the job
You will need to be able to work as part of a committed and coherent team who are consistent in their MBT approaches. You will need to be open to share the stress of working in this field.
You will take part in the screening of MBT referrals, conduct MBT assessments, develop MBT formulations, co-facilitate MBT introductory (MBTi) groups, offer 1:1 MBT to a designated caseload and co-facilitate MBT groups. You will offer follow up MBT sessions upon patients completing the up to 18-month intensive outpatient programme.
You will be part of the weekly MBT duty rota and chairing of daily MBT feedback meetings. You will take part in weekly MBT clinical meetings and 3-4 monthly MBT patient reviews. You will need to carry out and monitor clinical outcome measurements via a system called POD. You will be expected to join weekly MBT on model supervision, weekly dynamic based supervision and monthly management / individual supervision.
As one of the few Trusts in London we are proud to offer flexible working as part of our new ways of working, and we are happy to talk flexible working at the interview stage. In this role you will expected to work Monday to Friday in the time frames from 0900 to 1700, but there is some scope for home / remote working, giving you the very best of good work life balance.
About us
The Southwark MBT Service is based in the Maudsley Hospital (Trust Headquarters). The Maudsley is located at Denmark Hill less than 5 minutes from the train station (zone 2) and is within walking distance from the beautiful green spaces of Ruskin park and the vibrant high-street that offers great shopping opportunities and with a wide range restaurants.
The Southwark MBT Service is based in Middle House on the first floor. We have several individual / office spaces and larger rooms to conduct groups and meetings. There is a kitchen area to make refreshments and meal preparation.
We are small-medium sized team comprising of a variety of individuals who have an interest and expertise in working with personality disorder. Clinicians hold a core mental health qualification and additional psychotherapy / psychology training. All staff are expected to hold or be working towards MBT practitioner status. We have a dedicated Clinical Service Lead / Psychotherapist / MBT Practitioner and Consultant Psychiatrist / Medical Psychotherapist / MBT Practitioner who provides the team and patients with medical and psychotherapeutic expertise. We also have trainee Psychiatrists with us on rotation. The Team is supported by an MBT Administrator.
Job description
Job responsibilities
We are looking for...
An engaging individual who has an interest in personality disorder. You need to have a curious and not knowing stance. Monitoring you own understanding and correcting misunderstandings is key. You need to be able to challenge unwanted beliefs and be able to intervene when mentalizing collapses and acknowledge when mentalizing is going well. You need to have an awareness or willingness to learn about attachment and transference in relation to you as the therapist and be able to make use of countertransference.
Band 6 Key Responsibilities:
- To support the provision of Mentalization Based Therapy (MBT) treatment principles to people with a primary diagnosis of Emotionally Unstable Personality Disorder both in group and individual settings.
- To participate in the delivery of MBT to the basic mentalizing skill level.
- To demonstrate through case presentation and daily clinical meetings, the implementation of the MBT model to all clinical work and reflective practice groups.
- To demonstrate the quality of interventions through documentation of the care pathway steps into treatment, during treatment and away from treatment.
- In conjunction and with support of colleagues facilitate regular clinical reviews of the implementation of the treatment plan, involving the client, other professionals involved and their family / any other relevant person.
- To undertake, document and share with relevant professionals and carers a risk assessment and risk management plans for clients.
- In conjunction and with support of colleagues, reviewing the assessment and planning of care when there are complex adult or child safeguarding issues and completing risk assessment and care planning where there is risk to others or to self, for instance where there may be severe and repeated self-injurious behaviour.
- To work as a collaborative member of the multidisciplinary MBT team actively supporting the maintenance of the mentalizing milieu, its therapeutic boundaries and the safety of all within the service. This will include from time to time being the duty contact person for patients requiring additional or crisis support on a day to day basis.
- To work with the team, making use of the team support and supervision and risk management structures to ensure safe and effective care for this patient group.
- To participate in stepped care regarding evidenced based treatments for this client group. This will also involve establishing and maintaining professional collaborative communication that is experienced by others in the CMHT as helpful, supportive and clear.
- To be involved in QI projects/audits/service improvement activities.
- To ensure own Continuing Professional Development in line with HCPC / NMC and Social Work England and Trust Personal Development Plan requirements.
- To maintain an up-to-date knowledge of current developments in professional and clinical practice and of relevant legislation and policies.
- To comply with HCPC / NMC and Social Work England Standards or Code of Conduct and ensure professional development is in line with these.
- To adhere to Trust policies and procedures.
Band 7 Key Responsibilities:
KR 1 Clinical and Client Care
- To provide specialist psychotherapeutic assessments, formulations and interventions for clients with personality disorder in the MBT service, within limits expected at Band 7.
- To provide culturally appropriate psychotherapeutic interventions with carers or families of referred clients when required.
- To assess and monitor risk and draw up appropriate risk management plans.
- To take responsibility for initiating planning and reviewing care plans, which may include CPA co-ordination and meetings.
KR 2 Contributing to team or service clinical functioning
- To contribute to the effective working of the MBT service and to a psychotherapeutically informed framework for the service.
- To contribute to a stepped care programme in order to reach out more widely to those struggling with emotional regulation. This will involve working closely with MDT colleagues in CMHTs.
- To contribute to the team or services delivery of accessible and acceptable services to diverse local communities.
- To be proactive in challenging discrimination and support the development of culturally competent services.
KR 3 Policy and service development
- To implement policies and procedures in own area of work, and to propose improvements or changes.
- To contribute to the consultation and engagement of service users in planning and delivering services which meet the needs of local communities.
- To contribute to service development through undertaking and participating in appropriate projects
KR 4 Care or management of resources
- To take care of, and use carefully, the Trusts equipment and physical resources.
- To ensure that the post-holder has enough resources by estimating future needs and requesting or ordering supplies as needed.
KR 5 Management and supervision
- To supervise trainee psychotherapists within own area of specialism and / or community mental health practitioner in the MBT service after completion of the relevant supervision training.
KR 6 Teaching and Training
- To provide occasional specialist training in psychotherapeutic approaches to care to other professions as appropriate.
- To disseminate research and service evaluation findings through presentations and reports.
KR 7 Record-keeping and Information Governance
- To ensure that all information generated by own work is recorded as required by Trust policies and local procedures.
- To maintain the highest standards of clinical record keeping and report writing, according to professional and Trust guidelines, including electronic data entry.
KR 8 Research and Development
- To undertake regular complex service evaluation, audits or research relevant to service needs.
KR 9 Maintaining professional standards and continuing professional development
- To receive regular clinical and professional supervision from a more senior psychotherapist according to (professional body) and Trust guidelines.
- To ensure own Continuing Professional Development in line with APC/HCPC/BPC/UKCP/BACP/NMC and Social Work England and Trust Personal Development Plan requirements.
- To maintain an up-to-date knowledge of current developments in professional and clinical practice and of relevant legislation and policies.
- To comply with APC/HCPC/BPC/UKCP/BACP/NMC and Social Work England Standards or Code of Conduct and ensure professional development in line with these.
- To adhere to Trust policies and procedures.
KR10 General
- To travel to conduct home visits, community placements, team meetings as appropriate and across the Trust when required.
- To be aware of risk relating to aggressive and challenging behaviour amongst the client group and follow trust policies relating to its management.
- To respond appropriately and professionally to emotionally distressing situations (put in appropriate for service, such as challenging behaviour, abuse etc) and to support others involved in such situations.
Job description
Job responsibilities
We are looking for...
An engaging individual who has an interest in personality disorder. You need to have a curious and not knowing stance. Monitoring you own understanding and correcting misunderstandings is key. You need to be able to challenge unwanted beliefs and be able to intervene when mentalizing collapses and acknowledge when mentalizing is going well. You need to have an awareness or willingness to learn about attachment and transference in relation to you as the therapist and be able to make use of countertransference.
Band 6 Key Responsibilities:
- To support the provision of Mentalization Based Therapy (MBT) treatment principles to people with a primary diagnosis of Emotionally Unstable Personality Disorder both in group and individual settings.
- To participate in the delivery of MBT to the basic mentalizing skill level.
- To demonstrate through case presentation and daily clinical meetings, the implementation of the MBT model to all clinical work and reflective practice groups.
- To demonstrate the quality of interventions through documentation of the care pathway steps into treatment, during treatment and away from treatment.
- In conjunction and with support of colleagues facilitate regular clinical reviews of the implementation of the treatment plan, involving the client, other professionals involved and their family / any other relevant person.
- To undertake, document and share with relevant professionals and carers a risk assessment and risk management plans for clients.
- In conjunction and with support of colleagues, reviewing the assessment and planning of care when there are complex adult or child safeguarding issues and completing risk assessment and care planning where there is risk to others or to self, for instance where there may be severe and repeated self-injurious behaviour.
- To work as a collaborative member of the multidisciplinary MBT team actively supporting the maintenance of the mentalizing milieu, its therapeutic boundaries and the safety of all within the service. This will include from time to time being the duty contact person for patients requiring additional or crisis support on a day to day basis.
- To work with the team, making use of the team support and supervision and risk management structures to ensure safe and effective care for this patient group.
- To participate in stepped care regarding evidenced based treatments for this client group. This will also involve establishing and maintaining professional collaborative communication that is experienced by others in the CMHT as helpful, supportive and clear.
- To be involved in QI projects/audits/service improvement activities.
- To ensure own Continuing Professional Development in line with HCPC / NMC and Social Work England and Trust Personal Development Plan requirements.
- To maintain an up-to-date knowledge of current developments in professional and clinical practice and of relevant legislation and policies.
- To comply with HCPC / NMC and Social Work England Standards or Code of Conduct and ensure professional development is in line with these.
- To adhere to Trust policies and procedures.
Band 7 Key Responsibilities:
KR 1 Clinical and Client Care
- To provide specialist psychotherapeutic assessments, formulations and interventions for clients with personality disorder in the MBT service, within limits expected at Band 7.
- To provide culturally appropriate psychotherapeutic interventions with carers or families of referred clients when required.
- To assess and monitor risk and draw up appropriate risk management plans.
- To take responsibility for initiating planning and reviewing care plans, which may include CPA co-ordination and meetings.
KR 2 Contributing to team or service clinical functioning
- To contribute to the effective working of the MBT service and to a psychotherapeutically informed framework for the service.
- To contribute to a stepped care programme in order to reach out more widely to those struggling with emotional regulation. This will involve working closely with MDT colleagues in CMHTs.
- To contribute to the team or services delivery of accessible and acceptable services to diverse local communities.
- To be proactive in challenging discrimination and support the development of culturally competent services.
KR 3 Policy and service development
- To implement policies and procedures in own area of work, and to propose improvements or changes.
- To contribute to the consultation and engagement of service users in planning and delivering services which meet the needs of local communities.
- To contribute to service development through undertaking and participating in appropriate projects
KR 4 Care or management of resources
- To take care of, and use carefully, the Trusts equipment and physical resources.
- To ensure that the post-holder has enough resources by estimating future needs and requesting or ordering supplies as needed.
KR 5 Management and supervision
- To supervise trainee psychotherapists within own area of specialism and / or community mental health practitioner in the MBT service after completion of the relevant supervision training.
KR 6 Teaching and Training
- To provide occasional specialist training in psychotherapeutic approaches to care to other professions as appropriate.
- To disseminate research and service evaluation findings through presentations and reports.
KR 7 Record-keeping and Information Governance
- To ensure that all information generated by own work is recorded as required by Trust policies and local procedures.
- To maintain the highest standards of clinical record keeping and report writing, according to professional and Trust guidelines, including electronic data entry.
KR 8 Research and Development
- To undertake regular complex service evaluation, audits or research relevant to service needs.
KR 9 Maintaining professional standards and continuing professional development
- To receive regular clinical and professional supervision from a more senior psychotherapist according to (professional body) and Trust guidelines.
- To ensure own Continuing Professional Development in line with APC/HCPC/BPC/UKCP/BACP/NMC and Social Work England and Trust Personal Development Plan requirements.
- To maintain an up-to-date knowledge of current developments in professional and clinical practice and of relevant legislation and policies.
- To comply with APC/HCPC/BPC/UKCP/BACP/NMC and Social Work England Standards or Code of Conduct and ensure professional development in line with these.
- To adhere to Trust policies and procedures.
KR10 General
- To travel to conduct home visits, community placements, team meetings as appropriate and across the Trust when required.
- To be aware of risk relating to aggressive and challenging behaviour amongst the client group and follow trust policies relating to its management.
- To respond appropriately and professionally to emotionally distressing situations (put in appropriate for service, such as challenging behaviour, abuse etc) and to support others involved in such situations.
Person Specification
Qualifications
Essential
- Core mental health qualification - e.g. Mental Health Nurse, OT, Social Worker
- Psychotherapy or Psychology qualification
- Specialist post grad training in a psychotherapeutic modality which could include Basic MBT
Desirable
- Working towards a specialist post graduate training in a psychotherapeutic modality which will lead to valid registration with HCPC/BPC/UKCP/BACP.
- Basic Level Mentalization Based Therapy (MBT) accredited by the Anna Freud Centre
- Working towards completion of MBT Practitioner status accredited by the Anna Freud Centre and the BPS
Experience
Essential
- Substantial mental health service work with people with a range of mental health. problems
- Experience of facilitating groups in a mental health setting.
- Experience of assessment and treatment. Identifying, communicating and managing patient risk issues.
- Experience of psychotherapeutic assessment and treatment of clients with a range of psychological needs of a complex nature in personality disorder, including MBT.
- Experience of receiving professional supervision across a range of client needs.
- Experience that supports working with, and addressing issues of, diversity within local communities. This may have been gained through work, research, volunteering and / or lived experience.
- Experience of developing and carrying out research projects.
Desirable
- Experience of supervision and or mentoring students or junior colleagues.
- Simulation training in working with challenging situations.
- Experience of providing professional supervision across a range of client needs.
- A personal therapy experience of enough intensity, depth and duration to be able to work psychotherapeutically with difficult and demanding cases.
- The Trust encourages and welcomes applications from people with lived experience of mental health challenges. We see this as valuable and recognise the positive impact this experience can have on the work we do.
Person Specification
Qualifications
Essential
- Core mental health qualification - e.g. Mental Health Nurse, OT, Social Worker
- Psychotherapy or Psychology qualification
- Specialist post grad training in a psychotherapeutic modality which could include Basic MBT
Desirable
- Working towards a specialist post graduate training in a psychotherapeutic modality which will lead to valid registration with HCPC/BPC/UKCP/BACP.
- Basic Level Mentalization Based Therapy (MBT) accredited by the Anna Freud Centre
- Working towards completion of MBT Practitioner status accredited by the Anna Freud Centre and the BPS
Experience
Essential
- Substantial mental health service work with people with a range of mental health. problems
- Experience of facilitating groups in a mental health setting.
- Experience of assessment and treatment. Identifying, communicating and managing patient risk issues.
- Experience of psychotherapeutic assessment and treatment of clients with a range of psychological needs of a complex nature in personality disorder, including MBT.
- Experience of receiving professional supervision across a range of client needs.
- Experience that supports working with, and addressing issues of, diversity within local communities. This may have been gained through work, research, volunteering and / or lived experience.
- Experience of developing and carrying out research projects.
Desirable
- Experience of supervision and or mentoring students or junior colleagues.
- Simulation training in working with challenging situations.
- Experience of providing professional supervision across a range of client needs.
- A personal therapy experience of enough intensity, depth and duration to be able to work psychotherapeutically with difficult and demanding cases.
- The Trust encourages and welcomes applications from people with lived experience of mental health challenges. We see this as valuable and recognise the positive impact this experience can have on the work we do.
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).
Employer details
Employer name
South London and Maudsley NHS Foundation Trust
Address
South London and Maudsley NHS Trust, Maudsley Hospital
Denmark Hill
London
SE5 8AZ
Employer's website
https://www.slam.nhs.uk/ (Opens in a new tab)
