Job summary
The North London Forensic Service is a NHS tertiary forensic mental health service based at Chase Farm Hospital in the London Borough of Enfield.
We provide care and treatment to people aged over 18 who have a primary diagnosis of mental illness or learning disability and who are liable to be detained under the Mental Health Act (1983). The service supports those whose risk of harm to others or escape from hospital cannot be safely managed in other mental health settings and therefore require care and treatment within a secure mental health service. The post holder will provide specialist substance misuse assessment and will deliver evidenced based psychosocial interventions to service users in the in-patient services. The post holder will help design and deliver training sessions related to substance misuse for other healthcare staff as well as working with MDT staff within the service to promote awareness and understanding of substance misuse issues through offering advice and consultation on service users' care to colleagues, and to other non-professional carers.
The post holder will promote an agenda of recovery from the dependence on drugs and/or alcohol within the client group and which supports the goals of reducing re-offending, increasing re-integration into meaningful and sustained occupation and improving social and family relationships.
Main duties of the job
The post holder will work alongside the other members of the Substance Misuse team to offer evidenced based interventions to service users in the in-patient services. The post holder will assist the Substance Misuse Lead to develop and maintain high quality standards of care.
The post-holder will be responsible for the assessment, planning and implementation of motivational & relapse prevention based interventions for a small caseload, the post holder will work very closely with their supervisor, the team lead.
The job involves delivering 1:1 and group interventions to service users.
The key skill and requirement for this post is the ability to be able to develop and sustain therapeutic relationships with those with complex presentations such as comorbid mental health and substance misuse issues.
About us
North London NHS Foundation Trust (NLFT) is committed to improving mental health care across North London to deliver excellent services to our local people.
Our Five-Year Strategy:
- We will provide consistently high-quality care closer to home.
- With our partners in North London and each borough we will ensure equity of outcome for all
- We will offer great places to work, providing staff with supportive environment to deliver outstanding care
Why NLFT?
- 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 and NHS pension scheme
- Excellent internal staff network
In order to meet the needs of the Trust 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, Camden, Enfield, Haringey or Islington. 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
1.1. To carry out initial screening and triage, and develop and implement treatment within the field of dual diagnosis (mental health and substance use/misuse) for service users identified as potentially having a dual diagnosis within NLFS.1.2. To carry out substance misuse assessments, as appropriate1.3. To provide one to one sessions with service users, ensuring that care and recovery planning in relation to Substance misuse is conducted on an individual basis according to the specific needs of the service user. 1.4. To communicate highly sensitive information requiring the development of persuasive or re-assurance skills to service users and colleagues.1.5. To establish, sustain and disengage from therapeutic relationships with individuals.1.6. To interact and co-operate with service users, relatives, and other professionals within NLFS and any community services as appropriate.1.7. To have professional responsibility for promoting equality, diversity, and rights.1.8. To work closely with ward-based nursing teams and multidisciplinary teams to support the implementation of substance misuse care plans1.9. To design, implement and monitor treatment plans with service users that address their needs in relation to mental health and substance misuse problems.1.10. To assess and act upon immediate risk of danger to service users and/or others.1.11. To educate and give information to service users and others in the care of the client on issues related to mental health problems and substance misuse.1.12. To support service users to engage in interventions aimed at addressing their substance misuse difficulties.1.13. Able to deliver structured psychosocial interventions including harm reduction/minimization strategies, motivational interviewing, CBT programmes, problem solving, behavioural interventions and counselling techniques as negotiated with individual service users.1.14. To co-facilitate and support the delivery of group programmes throughout NLFS in-patient services and within the community.1.15. To understand the rationale for UDS (urine drug screening), Ion tracker screening and breath alcohol testing and support such testing as necessary.1.16. To actively participate in CPA meetings, professionals meeting, case review meetings and also advising others regarding management of cases.1.17. When required to advocate for service users.1.18. Where appropriate, to engage friends and family of the service user in their treatment, where explicit consent has been given.
To assist in induction programmes for new personnel employed by Barnet, Enfield and Haringey Mental Health Trust.
4.1. To mentor and supervise students and staff on secondment in the service as required.
4.2. To facilitate learning and information exchange through presentations and activities in formal and informal settings internally and externally to the Trust.
4.3. To assist in development of training programmes related to dual diagnosis, with the development of/or resourcing the appropriate supportive literature.
4.4. Provide formal and informal training in dual diagnosis and related issues to other health care professionals and general public as requested by Substance Misuse Lead.
Job description
Job responsibilities
1.1. To carry out initial screening and triage, and develop and implement treatment within the field of dual diagnosis (mental health and substance use/misuse) for service users identified as potentially having a dual diagnosis within NLFS.1.2. To carry out substance misuse assessments, as appropriate1.3. To provide one to one sessions with service users, ensuring that care and recovery planning in relation to Substance misuse is conducted on an individual basis according to the specific needs of the service user. 1.4. To communicate highly sensitive information requiring the development of persuasive or re-assurance skills to service users and colleagues.1.5. To establish, sustain and disengage from therapeutic relationships with individuals.1.6. To interact and co-operate with service users, relatives, and other professionals within NLFS and any community services as appropriate.1.7. To have professional responsibility for promoting equality, diversity, and rights.1.8. To work closely with ward-based nursing teams and multidisciplinary teams to support the implementation of substance misuse care plans1.9. To design, implement and monitor treatment plans with service users that address their needs in relation to mental health and substance misuse problems.1.10. To assess and act upon immediate risk of danger to service users and/or others.1.11. To educate and give information to service users and others in the care of the client on issues related to mental health problems and substance misuse.1.12. To support service users to engage in interventions aimed at addressing their substance misuse difficulties.1.13. Able to deliver structured psychosocial interventions including harm reduction/minimization strategies, motivational interviewing, CBT programmes, problem solving, behavioural interventions and counselling techniques as negotiated with individual service users.1.14. To co-facilitate and support the delivery of group programmes throughout NLFS in-patient services and within the community.1.15. To understand the rationale for UDS (urine drug screening), Ion tracker screening and breath alcohol testing and support such testing as necessary.1.16. To actively participate in CPA meetings, professionals meeting, case review meetings and also advising others regarding management of cases.1.17. When required to advocate for service users.1.18. Where appropriate, to engage friends and family of the service user in their treatment, where explicit consent has been given.
To assist in induction programmes for new personnel employed by Barnet, Enfield and Haringey Mental Health Trust.
4.1. To mentor and supervise students and staff on secondment in the service as required.
4.2. To facilitate learning and information exchange through presentations and activities in formal and informal settings internally and externally to the Trust.
4.3. To assist in development of training programmes related to dual diagnosis, with the development of/or resourcing the appropriate supportive literature.
4.4. Provide formal and informal training in dual diagnosis and related issues to other health care professionals and general public as requested by Substance Misuse Lead.
Person Specification
Professional
Essential
- Registered Nurse RGN/RMN/RNLD with evidence of continuing professional development in relevant area e.g. substance misuse
- Recent and relevant experience of working with clients experiencing issues with substance misuse
- Experience of assessment of people with substance misuse and related problems
- Ability to work independently if necessary and as part of a team, coupled with the ability to share skills
- An understanding of the principles and practice of harm minimisation. A commitment to working within the harm reduction model of practice
- The ability to conduct a strengths based assessment eliciting a client's recovery capital
Desirable
- Experience or further training in a relevant subject, e.g. Addictions, Dual Diagnosis or Motivational Interviewing
- Experience of working in forensic settings
- Experience of working in dual diagnosis service
- Evidence of working with complex mental health and substance misuse service users within in-patient and/or community settings
- Able to apply advanced understanding of physical, psychological and social needs of complex mental health and substance misusers - dual diagnosis
Skilss and Abilities
Essential
- An awareness of the physical, psychological and social needs of substance misusers.
- A commitment to obtain an understanding of the theories and practices of safeguarding procedures for children and vulnerable adults.
- Ability to establish working therapeutic relationships and maintain professional boundaries.
- Ability to work in sometimes highly distressing and emotional circumstances.
- Good communication skills, both verbal and written. To be able to communicate in English, both verbally and in writing.
- Experience of using word processing and database, as well as a willingness to improve existing skills
- Understanding of Care Programme Approach
- A non-judgemental approach to drug use and drug users
Desirable
- Evidence of knowledge of good practice guidelines on Dual Diagnosis and implications on service delivery
- Able to develop and maintain professional and service user relationships across multiple Hospital and Community settings
- An understanding of Public Health directives and their impact on service delivery
- Experience of using electronic case management systems
- Awareness of the Recovery Model
- Evidence of applying working knowledge of complex interactions in mental health and substance misuse
- Able to formulate assessment, risk and care management of dual diagnosis service users
- Evidence of ability to develop, sustain and provide support to individuals with drug, alcohol and mental health needs
- Evidence of knowledge and application of Mental Health Act, Community Programme Approaches
Skills and Abilities
Essential
- Ability to manage challenging behaviour/ crisis intervention.
- Good communication skills, both verbal and written. To be able to communicate in English, both verbally and in writing.
Person Specification
Professional
Essential
- Registered Nurse RGN/RMN/RNLD with evidence of continuing professional development in relevant area e.g. substance misuse
- Recent and relevant experience of working with clients experiencing issues with substance misuse
- Experience of assessment of people with substance misuse and related problems
- Ability to work independently if necessary and as part of a team, coupled with the ability to share skills
- An understanding of the principles and practice of harm minimisation. A commitment to working within the harm reduction model of practice
- The ability to conduct a strengths based assessment eliciting a client's recovery capital
Desirable
- Experience or further training in a relevant subject, e.g. Addictions, Dual Diagnosis or Motivational Interviewing
- Experience of working in forensic settings
- Experience of working in dual diagnosis service
- Evidence of working with complex mental health and substance misuse service users within in-patient and/or community settings
- Able to apply advanced understanding of physical, psychological and social needs of complex mental health and substance misusers - dual diagnosis
Skilss and Abilities
Essential
- An awareness of the physical, psychological and social needs of substance misusers.
- A commitment to obtain an understanding of the theories and practices of safeguarding procedures for children and vulnerable adults.
- Ability to establish working therapeutic relationships and maintain professional boundaries.
- Ability to work in sometimes highly distressing and emotional circumstances.
- Good communication skills, both verbal and written. To be able to communicate in English, both verbally and in writing.
- Experience of using word processing and database, as well as a willingness to improve existing skills
- Understanding of Care Programme Approach
- A non-judgemental approach to drug use and drug users
Desirable
- Evidence of knowledge of good practice guidelines on Dual Diagnosis and implications on service delivery
- Able to develop and maintain professional and service user relationships across multiple Hospital and Community settings
- An understanding of Public Health directives and their impact on service delivery
- Experience of using electronic case management systems
- Awareness of the Recovery Model
- Evidence of applying working knowledge of complex interactions in mental health and substance misuse
- Able to formulate assessment, risk and care management of dual diagnosis service users
- Evidence of ability to develop, sustain and provide support to individuals with drug, alcohol and mental health needs
- Evidence of knowledge and application of Mental Health Act, Community Programme Approaches
Skills and Abilities
Essential
- Ability to manage challenging behaviour/ crisis intervention.
- Good communication skills, both verbal and written. To be able to communicate in English, both verbally and in writing.
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).
