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 supporting the DBT Lead in setting up this new pathway and you will be working closely with the Barnet Younger Adult Psychological Service and Complex Emotional Needs pathway team.
The role will include supporting the service development, reporting on implementation and agreed outcomes, as well as to supervise and support the screening, referrals, assessments and group or individual therapy provided by other clinical members of the DBT team.
Main duties of the job
To provide specialist psychological assessments of clients based upon the appropriate use, interpretation and integration of complex data from a variety of sources including psychological tests, self-report measures, rating scales, direct and indirect structured observations and semi-structured interviews with clients, family members and others involved in the client's care.
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 client's problems
To be responsible for implementing a range of DBT psychological interventions (group and individual)
To work closely with referrers, services and colleagues to collaborate around the delivery of DBT interventions.
To communicate in a skilled and sensitive manner information concerning the assessment, formulation and treatment plans of clients under their care and to monitor progress during the course of both uni- and multi-disciplinary care.
To provide DBT supervision and line management for staff within the DBT pathway.
About us
The partnership betweenBarnet, Enfield and Haringey Mental Health NHS Trust (BEH)andCamden and Islington NHS Foundation Trust (C&I)is going from strength to strength since it was originally established in 2021 forming theNorth London Mental Health Partnership.
In order to meet the needs of the new Partnership services you may be required from time to time to work at different locations to your normal place of work. This may mean that you are required to work at any location that fall under Barnet, Enfield and Harringay Trust and Camden and Islington Trust. The Trust reserves the right to require staff to work at such other places or locations as it considers reasonable and necessary on a temporary or permanent basis.
Job description
Job responsibilities
The provide a high-quality DBT treatment to clients 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 fortreatment and discharge of clients 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 provide formal and informal DBT supervision to facilitate the effective and appropriate provision of psychological care by all members of the team within a high-risk therapeutic setting.
To work safely and under guidance in relation to aggression and violence. To maintain breakaway skills for the prevention and management of aggression, as taught by the Trust. To ensure that risks of physical violence are minimised using appropriate planning and taking precautionary measures.
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
The provide a high-quality DBT treatment to clients 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 fortreatment and discharge of clients 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 provide formal and informal DBT supervision to facilitate the effective and appropriate provision of psychological care by all members of the team within a high-risk therapeutic setting.
To work safely and under guidance in relation to aggression and violence. To maintain breakaway skills for the prevention and management of aggression, as taught by the Trust. To ensure that risks of physical violence are minimised using appropriate planning and taking precautionary measures.
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/ Registrations
Essential
- oCore health professional qualification (Psychology, Nursing, Social work, Occupational Therapy Psychotherapist) 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)
Skills and Abilities
Essential
- oStrong interest and desire to work with clients with complex emotional needs and personality disorder in trauma informed way
- oExperience of running and delivering DBT groups in a clinical setting
- oMinimum of two years' experience of working directly with patients with Personality Disorder
- oExperience of facilitating psychoeducational and groups for service users.
- oExperience of working with carers and family members
- oExperience of working in a multidisciplinary team and working within a multicultural framework
- oExperience of exercising full clinical responsibility for patients' psychological care and treatment, both as a named/key worker
- oExperience in developing risk management plans and psychological treatment pathways
Desirable
- oExperience of teaching, training and/or supervision
- oExperience of service development or of a leadership role.
Experience and Knowledge
Essential
- oExperience of service development or of a leadership role.
- 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.
- oSkills in providing consultation to other professional and non-professional groups
- 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.
- oEvidence of continuing professional development as recommended by the post-holder's professional body
- oKnowledge of legislation and its implications for both clinical practice and professional management in relation to the patient group and mental health
Desirable
- oA commitment to the evaluation of services, enthusiasm for both multi-professional and uni-professional audit
- oDesire to take up leadership in service development of psychological treatment services
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
- oAbility to demonstrate BEH Trust Values
Desirable
- oA commitment to the evaluation of services, enthusiasm for both multi-professional and uni-professional audit
- oDesire to take up leadership in service development of psychological treatment services
Other
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 identify, and employ, as appropriate, clinical governance mechanisms for the support and maintenance of clinical practice in the face of regular exposure to highly emotive material and challenging behaviour
- oAbility to develop and use complex multi-media materials for presentations in public, professional and academic settings
Person Specification
Qualifications/ Registrations
Essential
- oCore health professional qualification (Psychology, Nursing, Social work, Occupational Therapy Psychotherapist) 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)
Skills and Abilities
Essential
- oStrong interest and desire to work with clients with complex emotional needs and personality disorder in trauma informed way
- oExperience of running and delivering DBT groups in a clinical setting
- oMinimum of two years' experience of working directly with patients with Personality Disorder
- oExperience of facilitating psychoeducational and groups for service users.
- oExperience of working with carers and family members
- oExperience of working in a multidisciplinary team and working within a multicultural framework
- oExperience of exercising full clinical responsibility for patients' psychological care and treatment, both as a named/key worker
- oExperience in developing risk management plans and psychological treatment pathways
Desirable
- oExperience of teaching, training and/or supervision
- oExperience of service development or of a leadership role.
Experience and Knowledge
Essential
- oExperience of service development or of a leadership role.
- 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.
- oSkills in providing consultation to other professional and non-professional groups
- 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.
- oEvidence of continuing professional development as recommended by the post-holder's professional body
- oKnowledge of legislation and its implications for both clinical practice and professional management in relation to the patient group and mental health
Desirable
- oA commitment to the evaluation of services, enthusiasm for both multi-professional and uni-professional audit
- oDesire to take up leadership in service development of psychological treatment services
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
- oAbility to demonstrate BEH Trust Values
Desirable
- oA commitment to the evaluation of services, enthusiasm for both multi-professional and uni-professional audit
- oDesire to take up leadership in service development of psychological treatment services
Other
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 identify, and employ, as appropriate, clinical governance mechanisms for the support and maintenance of clinical practice in the face of regular exposure to highly emotive material and challenging behaviour
- 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).
