Job summary
The Southwark Mentalization Based Treatment (MBT) Service is looking to recruit a Band 7 staff member. The Service is part of Southwark's personality pathway and stepped care model.
A suitable candidate might be an experienced community mental health clinician wishing to move into a psychological therapy post. Equally, this post might be suitable for a Psychologist or Psychotherapist who wishes to enhance their psychological training / experience, specifically in the field of MBT.
Post holders will be expected to work towards gaining MBT practitioner status with a year of appointment. Funded training is likely to be available through NHS England Workforce, Training and Education.
The post holder will provide individual and group MBT, take part in the MBT duty system, will screen MBT referrals, assess the suitability of patients referred to MBT, will complete MBT formulations / relational passports, co-facilitate psychoeducational groups called MBTi, will organise and participate in regular MBT clinical reviews and offer a bank of MBT follow-up sessions. The post holder will also be expected to take part in daily feedback sessions and attend MBT clinical and supervision meetings.
There is also an expectation to work alongside / support community clinicians with patients with personality disorder or with complex emotional difficulties. This might include supporting the implementation of structured clinical management (SCM) in the community mental health teams.
Main duties of the job
To provide a specialist Mentalization Based Treatment (MBT) service toindividuals and groups of people with Personality Disorder and complex emotional difficulties. This includes specialist assessment, treatment, planning, implementation and monitoring of outcomes.
To contribute to enabling other staff, service users and carers from diverse backgrounds to flourish by working to create a psychologically safe environment.
To provide clinical supervision and consultation as appropriate.
To promote service evaluation, audit, and research.
To work as an autonomous professional within registration body guidelines and codes of conduct and guided by the policies and procedures of the service, taking responsibility for own work including treatment and discharge decisions with support of clinical supervisor.
To be active in the provision of staff support within area, including but not limited to Critical Incident Staff Support and Reflect-Support-Resolve. To participate, as a recipient, in staff support work.
About us
The MBT Team is made up with a number of individuals whose backgrounds are from medical, psychiatric nursing, occupational therapy and social work, these individuals have then gone onto specialise in psychology or psychotherapy and or MBT practitioner status. The MBT Team has an MBT Administrator.
The Southwark MBT Service is led by a Clinical Service Lead and Consultant Psychiatrist / Medical Psychotherapist.
The Southwark MBT Service is guided by the work of the Trust on PCREF and the Team annually audits referrals to the service, acceptance rates and completion of therapy in terms of ethnicity, diversity and protected characteristics to form a picture of accessibility and to explore and remove barriers to treatment.
At times, the demand and pace of the work can be stressful and requires individuals and Team members to work flexibility, consistently and coherently as a whole. This involves reflecting on ones self and with others, whilst trying to not get into certain positions. Therefore, trying to remain curious, open minded and looking at given situations from multiple perspectives, to then arrive at the most suitable way forward.
The MBT Team has regular internal individual and group supervision and also external supervision from the Trust Lead in MBT, who supports the delivery of adherent MBT interventions.
The MBT Team is supportive of research, development, quality improvement projects and carries out regular treatment outcome measures.
Job description
Job responsibilities
Key Responsibilities:
KR 1 Clinical and Patient Care
To provide specialist psychotherapeutic assessments, formulations, and interventions for clients with personality disorder in the Southwark 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 provide reports, including relevant formulation, opinion, and interventions, to inform referrers and, where appropriate, service users and their families.
To select and deliver evidence-based, specialist MBT therapeutic interventions, monitoring outcome and modifying and adapting interventions as necessary, based on the highly complex factors concerning historical and developmental processes that have shaped the individual, couple, family, or group.
To promote psychological support for carers or families as appropriate of referred patients.
KR 2 Contributing to team or service clinical functioning
To contribute to the effective working of the Southwark MBT Service and to a psychologically/psychotherapeutically informed framework for the service.
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.
To liaise with referrers, GPs and other professionals concerned with patients to develop and review care plans
To liaise with the service/s MDT and other professionals.
KR 3 Policy and service development
To implement policies and procedures in own area of work, and to propose improvements or beneficial 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 sufficient resources by estimating future needs and requesting or ordering supplies as needed.
To ensure the cleanliness and safe functioning and use of equipment that will be used by patients or other persons.
To monitor and advise patients on the safe use of materials and processes.
To ensure adequate confidential and safe storage for artefacts produced during the therapy process in line with professional guidelines.
To be responsible for obtaining, storing and maintaining all materials and equipment for the provision of therapy in work setting within budgetary constraints.
To authorise patient travel expenses, if required.
KR 5 Management and supervision
To be responsible for the allocation and/or clinical supervision of the work of a paid assistant if required,under supervision from a more senior therapist.
To supervise trainees within own area of specialism after completion of the relevant Supervision Training.
KR 6 Teaching and Training
To provide occasional specialist training in psychological/psychotherapeutic approaches to care to other professions as appropriate.
To disseminate research/service evaluation findings through presentations and published articles.
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 therapist according to discipline, professional body and Trust guidelines.
To maintain own Continuing Professional Development in line with professional body and Trust Personal Development Plan requirements and professional Standards for Continuing Professional Development.
To maintain an up-to-date knowledge of current developments in professional and clinical practice and of relevant legislation and policies
To comply with professional body Standards of Conduct, Performance and Ethics/Standards of Proficiency.
KR10 General
To travel to community settings for meetings as appropriate and across the Trust when required.
To be aware of risk relating to aggressive and challenging behaviour amongst the patient group and follow trust policies relating to its management.
To work flexibly, which may include offering early, to late clinics or Saturday working, within the overall Job Plan.
To respond appropriately and professionally to emotionally distressing situations (such as challenging behaviour, abuse etc) and to support others involved in such situations through Trust-wide approaches including Critical Incident Staff Support and Reflect-Support-Resolve.
Job description
Job responsibilities
Key Responsibilities:
KR 1 Clinical and Patient Care
To provide specialist psychotherapeutic assessments, formulations, and interventions for clients with personality disorder in the Southwark 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 provide reports, including relevant formulation, opinion, and interventions, to inform referrers and, where appropriate, service users and their families.
To select and deliver evidence-based, specialist MBT therapeutic interventions, monitoring outcome and modifying and adapting interventions as necessary, based on the highly complex factors concerning historical and developmental processes that have shaped the individual, couple, family, or group.
To promote psychological support for carers or families as appropriate of referred patients.
KR 2 Contributing to team or service clinical functioning
To contribute to the effective working of the Southwark MBT Service and to a psychologically/psychotherapeutically informed framework for the service.
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.
To liaise with referrers, GPs and other professionals concerned with patients to develop and review care plans
To liaise with the service/s MDT and other professionals.
KR 3 Policy and service development
To implement policies and procedures in own area of work, and to propose improvements or beneficial 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 sufficient resources by estimating future needs and requesting or ordering supplies as needed.
To ensure the cleanliness and safe functioning and use of equipment that will be used by patients or other persons.
To monitor and advise patients on the safe use of materials and processes.
To ensure adequate confidential and safe storage for artefacts produced during the therapy process in line with professional guidelines.
To be responsible for obtaining, storing and maintaining all materials and equipment for the provision of therapy in work setting within budgetary constraints.
To authorise patient travel expenses, if required.
KR 5 Management and supervision
To be responsible for the allocation and/or clinical supervision of the work of a paid assistant if required,under supervision from a more senior therapist.
To supervise trainees within own area of specialism after completion of the relevant Supervision Training.
KR 6 Teaching and Training
To provide occasional specialist training in psychological/psychotherapeutic approaches to care to other professions as appropriate.
To disseminate research/service evaluation findings through presentations and published articles.
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 therapist according to discipline, professional body and Trust guidelines.
To maintain own Continuing Professional Development in line with professional body and Trust Personal Development Plan requirements and professional Standards for Continuing Professional Development.
To maintain an up-to-date knowledge of current developments in professional and clinical practice and of relevant legislation and policies
To comply with professional body Standards of Conduct, Performance and Ethics/Standards of Proficiency.
KR10 General
To travel to community settings for meetings as appropriate and across the Trust when required.
To be aware of risk relating to aggressive and challenging behaviour amongst the patient group and follow trust policies relating to its management.
To work flexibly, which may include offering early, to late clinics or Saturday working, within the overall Job Plan.
To respond appropriately and professionally to emotionally distressing situations (such as challenging behaviour, abuse etc) and to support others involved in such situations through Trust-wide approaches including Critical Incident Staff Support and Reflect-Support-Resolve.
Person Specification
Qualifications
Essential
- To have undertaken a recognised qualification in one of the core mental health professions, e.g., psychiatric nursing, clinical psychology, medicine, social work, and occupational therapy.
- Entry-level qualification in applied psychological therapy/mental health/social welfare profession or equivalent and demonstrable practice in this field (professional Doctorate, or combination of MSc plus PG Diploma level/supervised practice/additional training) that has been accepted for the purposes of professional registration.
- Formal post-qualification training / and or experience in psychological approaches related to personality disorder, which could include MBT Basic Level training.
- Registered with professional body as appropriate to discipline HCPC/APC/BPC/UKCP/BACP/BABCP/ADMP-UK, NMC and Social Work England.
Desirable
- Formal post-qualification training / and or experience in psychological approaches related to personality disorder. This could include MBT practitioner training, evidenced by a portfolio of supervised practice-based learning and assessed by an experienced clinical supervisor to be of equal level to a Postgraduate Diploma.
Experience
Essential
- Experience of assessment and treatment of patients with a range of psychological needs of a complex nature, particularly those personality disorder and associated difficulties.
- Significant post-qualification/ graduation experience including experience of individual and group therapy with people with complex mental health 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.
Desirable
- 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.
Knowledge
Essential
- Theoretical knowledge of psychopathology and the evidence base for the relevant treatments for personality disorder, such as mentalization based treatment.
- Knowledge of legislation in relation to the patient group and mental health issues, child and adult protection, and equalities.
Desirable
- Doctoral/MSc level knowledge of psychological research methodology and complex statistical analysis.
Skills
Essential
- To communicate skilfully and sensitively complex and sensitive information with patients, carers and colleagues overcoming barriers to communication including sensory, and emotional difficulties, cultural differences, and hostility to or rejection of information.
Desirable
- The administration of psychometric and neuropsychological tests, including those that require complex manipulation of test materials.
Person Specification
Qualifications
Essential
- To have undertaken a recognised qualification in one of the core mental health professions, e.g., psychiatric nursing, clinical psychology, medicine, social work, and occupational therapy.
- Entry-level qualification in applied psychological therapy/mental health/social welfare profession or equivalent and demonstrable practice in this field (professional Doctorate, or combination of MSc plus PG Diploma level/supervised practice/additional training) that has been accepted for the purposes of professional registration.
- Formal post-qualification training / and or experience in psychological approaches related to personality disorder, which could include MBT Basic Level training.
- Registered with professional body as appropriate to discipline HCPC/APC/BPC/UKCP/BACP/BABCP/ADMP-UK, NMC and Social Work England.
Desirable
- Formal post-qualification training / and or experience in psychological approaches related to personality disorder. This could include MBT practitioner training, evidenced by a portfolio of supervised practice-based learning and assessed by an experienced clinical supervisor to be of equal level to a Postgraduate Diploma.
Experience
Essential
- Experience of assessment and treatment of patients with a range of psychological needs of a complex nature, particularly those personality disorder and associated difficulties.
- Significant post-qualification/ graduation experience including experience of individual and group therapy with people with complex mental health 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.
Desirable
- 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.
Knowledge
Essential
- Theoretical knowledge of psychopathology and the evidence base for the relevant treatments for personality disorder, such as mentalization based treatment.
- Knowledge of legislation in relation to the patient group and mental health issues, child and adult protection, and equalities.
Desirable
- Doctoral/MSc level knowledge of psychological research methodology and complex statistical analysis.
Skills
Essential
- To communicate skilfully and sensitively complex and sensitive information with patients, carers and colleagues overcoming barriers to communication including sensory, and emotional difficulties, cultural differences, and hostility to or rejection of information.
Desirable
- The administration of psychometric and neuropsychological tests, including those that require complex manipulation of test materials.
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).
