Senior MBT practitioner

Job description

Job responsibilities

PATIENTS ' CARE

To provide skilled assessments of patients emotional and psychological needs based upon the understanding, interpretation and integration of complex data given by the patient and obtained from other sources.

To evaluate and make decisions about treatment plans taking into account both theoretical and therapeutic models and highly complex factors concerning historical and developmental process that have shaped the individual, in conjunction with the team.

To formulate and implement plans for the formal psychological treatment and management of the patients mental health problems, based upon the clinical management and brief treatment and mentalisation based therapy model within the service.

To communicate in a skilled and sensitive manner, information concerning assessment formulation and treatment plans of patients under their care and to monitor progress together with team.

CLINICAL

To be responsible for implementing sound clinical skills in mental health practice, including coordinating patient care, group work, risk assessment and management and crisis intervention.

To be responsible for implementing psychological interventions for individuals, their families or carers, within the team, adjusting and refining psychological formulations drawing on the clinical management and mentalisation- based therapy models as well as other models, and maintaining an open mind to the nature of the difficulties encountered in the work, in consultation with other MDT and under supervision.

To provide group psychotherapy and individual psychotherapeutic interventions, under supervision, according to the structured clinical management and the mentalisation-based therapy model.

To demonstrate clear knowledge of the 1983 Mental Health Act and its amendments

To undertake frequent risk assessment and risk management for individual clients within the formal therapy setting as well as on the telephone or in domiciliary visits, and to provide advice to other professions on aspects of risk assessment and risk management, including both the immediate physical risk to the safety of clients, as well as psychological aspects.

To provide a liaison service to other services in the trust e.g in patient wards, crisis service, psychiatric liaison service and CAMHS.

ADMINISTRATIVE

To maintain the highest standards of clinical record keeping including: electronic data entry and outcome recording of sessions, report writing in accordance with professional codes of practice, PDS, Trust policies and procedures and provide statistical returns in accordance with service requirements.

To participate in the investigation of accidents, incidents or complaints in accordance with Trust policy.

To be involved in developing new areas of work and initiatives within the service

MANAGEMENT

Support the clinical pathway lead and the SMT to ensure the efficient use of human resources ensuring safe levels of staffing, which reflect the necessary and appropriate skill mix across the team as identified by senior managers

Contribute towards the development of effective training plans and lead on team building, when requested, as part of the change management process, to promote an open, honest, supportive forward and outward looking working environment, facilitating new ideas, suggestions or debate in relation to the service requirements.

Participate in the formulation and implementation of protocols and procedures for the delivery of the Complex Emotional Needs (CEN)

Carry out a range of clinical audits within the service and necessary reporting back to the SMT.

Facilitate service user and carer involvement in the ongoing development and evaluation of the service

HUMAN RESOURCES/ TRAINING/ TEACHING

Support the clinical pathway lead and the SMT to ensure the efficient use of human resources ensuring safe levels of staffing, which reflect the necessary and appropriate skill mix across the team as identified by senior managers

Contribute towards the development of effective training plans and lead on team building, when requested, as part of the change management process, to promote an open, honest, supportive forward and outward looking working environment, facilitating new ideas, suggestions or debate in relation to the service requirements.

Participate in the formulation and implementation of protocols and procedures for the delivery of the Complex Emotional Needs (CEN)

Carry out a range of clinical audits within the service and necessary reporting back to the SMT.

Facilitate service user and carer involvement in the ongoing development and evaluation of the service

PERFORMANCE & QUALITY

To evaluate and make decisions autonomously on therapeutic interventions taking into account the complexity of the individual patients and the patient groups communication, ensuring the safety of the therapeutic environment and within the protocol of research

To ensure professional registration is maintained at all times.

To comply with professional requirements at all times.

To contribute to the development and maintenance of the highest professional standards of practice, through active participation in internal and external CPD training and development programmes, in consultation with the PDS manger

To contribute to the development and articulation of best practice across the service, by continuing to develop the skills of a reflexive and reflective practitioner, taking part in regular professional supervision and appraisal and maintain an active engagement with current developments in the field of Complex Emotional Needs, psychological therapy and related disciplines.

To actively participate in the formulation, direction and development of policies and procedures relating to theCEN.

FINANCIAL AND PHYSICAL RESOURCES

To be able to commute to and from home to the office as required

To be able to have face to face and online sessions with service users and colleagues

Person Specification

Essential

Essential

• MBT training
• Core mental health profession e.g. RMN, Occupational Therapist, Social Work, Psychology, Art/ Drama psychotherapy & current registration.
• MBT Practitioner Course -
• Substantial academic/clinical post qualification to at least diploma level relevant to the clinical field and model of practice- for example: working with mental health populations, presenting with adults who present with complex mental health difficulities, psychotherapy, psychodynamic counselling or equivalent
• Willingness to undertake further training when possible or when required.

Desirable

• Structured clinical management
• Supervision practice
• Assessment of new patients with CEN

Experience

Essential

• Substantial experience of working in mental health settings with patients with severe and complex mental health problems
• Demonstrable experience of working directly with patients with Complex Emotional Needs, including maintaining a high degree of professionalism in the face of highly emotive and distressing problems, verbal abuse and the threat of physical abuse
• Demonstrable experience at band 6 or equivalent.
• Experience of exercising full clinical responsibility for patients' psychological care and treatment

Desirable

• Experience of teaching, training and mentoring

Knowledge

Essential

• To be able to assess the mental state and risk for a wide range of patients with mental health problems and specifically for patients with Complex Emotional Needs. Including the ongoing monitoring and recording of risk during treatment and waiting for treatment.
• Skills in the use of complex methods of psychological assessment, intervention and management frequently requiring sustained and intense concentration.
• Capacity to work calmly and thoughtfully when addressing traumatic psychological issues, demonstrating an awareness of the sensitivity and unpredictability of Complex Emotional Need patients, and a capacity to tolerate the strong emotions evoked by such work.
• Skills in providing consultation to other professional and non professional groups.
• Knowledge and understanding of some theories relevant to the Specialist Psychotherapy Service including, but not limited to CBT, Family Therapy, Psychodynamic, Psychoanalytic and working with trauma

Desirable

• Experience of supervising junior staff within the Complex Emotional Needs Team

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).

Employer details

Employer name

East London NHS Foundation Trust

Address

Donald Winnicott Centre

Coate Street

London

E2 9AG

Employer's website

https://www.elft.nhs.uk/ (Opens in a new tab)