Job overview An exciting opportunity has arisen to join the North Central London CAMHS Home Treatment Team (NCL HTT) as a Senior Mental Health Practitioner. This is role is suitable for someone who is passionate about providing high quality mental health care to support young people and their families in times of crisis, who has established and accredited skills, post -registration, and who is able to adapt to crisis situations as and when they arise. The successful candidate will be expected to work as part of a multi-disciplinary team and will also need to be skilled at multi-agency working. The NCL Home Treatment Team is a new service delivering high quality co-ordinated care to young people aged 13 up to 18th birthday and their families in mental health crisis across the London Boroughs of Barnet, Camden, Enfield, Haringey and Islington. The service provides 12 weeks of intensive evidence-based support to prevent admission or facilitate safe early discharge from Tier 4 inpatient units. The team works in close collaboration with CAMHS Assertive Outreach Teams, Tier 4 inpatient units, local authorities, and emergency services. The post holder will work shifts to cover the service hours – 09:00-20:00 weekdays and 12pm-8pm weekends. The role primarily entails providing therapeutic assessments and brief interventions to children, young people and their families referred to the service. Main duties of the job • The post-holder will be expected to deliver flexible, high-frequency, evidence based crisis interventions such as ongoing mental health assessments, risk assessments, safety planning and problem solving in a collaborative fashion.
• Provide a clear, evidence based clinical perspective within the multi-disciplinary team and to referring agencies and external professionals.
• Be able to provide clinical consultation and liaison when appropriate and establish working clinical formulation through regular Multi-Disciplinary Team discussions.
• Help to deliver a service specialising in the care and treatment of children and young people with a range of complex mental health problems and disorders, requiring a crisis response and a period of safe stabilisation out in the community.
• Assess, plan, deliver and evaluate the provision of specialist child mental health interventions across a range of care provision to meet the needs of individuals, groups of individuals and families requiring intensive Home Treatment support.
• To focus on providing evidence based psychological interventions to young people who are suffering from serious mental illness, via a range of venues.
• Conduct appropriate specialist assessments of children, young people and their families/carers, evaluating the results and offering a range of therapeutic interventions as appropriate to the presenting clinical need. Working for our organisation Barnet Enfield and Haringey Mental Health NHS Trust provides local, regional and national award-winning healthcare services. We have more than 3.300 staff working out of 20 main sites serving a population of 1.2 million people. We provide community health services and mental health services for young people, adults and older people. Our North London Forensic Service treats and cares for people in the criminal justice system who have mental health conditions. We also provide one of the largest eating disorders services in England, as well as drug and alcohol services. We are an organisation that is passionate about equality, diversity and inclusion; one that prides itself in developing the leadership capabilities of its employees, looking after their health and wellbeing, creating safe spaces for staff to speak up and providing opportunities to mentor and be mentored. Our employees are the reason for delivering Good CQC ratings, excellent outcomes and outstanding patient experiences, so it is our aim to create a happy and healthy working environment where you can thrive and succeed. Detailed job description and main responsibilities • Demonstrate respect for all team members, maximising potential through the diverse roles within the team. • Attend team meetings as required and to attend meetings outside the team on occasions. • Liaison with other teams and services to ensure that quality and timely services are delivered.
• Work closely with other team members to ensure that care is delivered to the highest standards. • Maintain appropriate client confidentiality at all times, with reference to information sharing agreements using CPA and public protection principles. • Communicate clearly and concisely in both written and verbal forms, taking into account the ethical, professional and legal aspects of documentation. Document all aspects of care, including care provision and communication with relevant others. • Use appropriate methods of communication for addressing client, staff and management issues. • Provide information, education and support to family members, carers and other professionals. Person specification QUALIFICATIONS/EDUCATION/TRAINING Essential criteria •RMN /RN (Mental Health) •Diploma or Degree with minimum 2 years post qualification experience. •ENB 998 or equivalent course •Evidence of Further Continuous Professional Development •ENB 603 •RMN 1st level with the NMC – Nursing •Dip SW, RN (Mental health), Social Worker PREVIOUS EXPERIENCE Essential criteria •Experience of working with Young people and their families or mental health patients in the acute/crisis setting •Experience of working with young people with acute and enduring mental health illness with complex needs •Experience of working with young people with challenging behaviour, high risk and self harm. •Experience of working in a multi-disciplinary team. •Sound understanding of the role of Home Treatment Team •Evidence of professional and clinical knowledge acquired through specialist short courses, mandatory training, and self study. •Experience and the ability to plan, organise and delegate a broad range of activities to meet the requirements of the service and the day to day management of the Team, as delegated. •Knowledge and understanding on the application of Trust policies and procedures. •Technical knowledge and skills in the use of computers. Experience in implementing nursing/ clinical procedures. •Specialist Nursing Process skills in bio-psychosocial Assessment, formulating of care plan, implementation and evaluation of care. •Administration of oral Medications •Demonstrate clinical skills in the administration of intramuscular injections and medication management. •Working knowledge of the Mental Health Act 1983, Community Care Act 1990, National Service Framework, NHS Implementation Plan, Clinical and Social Governance. •Sound knowledge and understanding of the Children Act •Sound understanding of Health and Safety at Work Act 1974. •Knowledge and application of Care Programme Approach, Risk assessment and Risk management. •Working knowledge of Adult Protection and Child Protection. •Sound Knowledge of the breakaway techniques. •Ordering, checking and storing of medications •Management of infection control and clinical waste •Basic wound management. •Knowledge and understanding of the Trust Clinical Procedures and the applications of them in day to day practice •Evidence based knowledge and understanding of current mental illness, treatment and how the illness affects the young persons’ life. •Ability to be able to identify high risk situation and respond appropriately. •Ability to work with other agencies to formulate care packages to meet young persons needs. SKILLS/KNOWLEDGE/ABILITY COMMUNICATION SKILLS Essential criteria •Able to communicate information which is contentious including where there are barriers to understanding. •Able to communicate complicated highly sensitive, confidential information in difficult situations. •Ability to communicate in a highly emotive atmosphere. •Ability to communicate in a hostile and antagonistic atmosphere. •Ability to describe, explain, persuade, influence, negotiate, motivate, use tact/diplomacy, and use empathy in providing care for young people and their families. •Good written and verbal communication skills. •Basic teaching and assessing skills. •Supervisory skills. •Good team player ANALYTICAL SKILLS Essential criteria •Ability to make decision & problem solve of complex and conflicting situations. •Ability to make judgements and match skills mix and the needs of the young people in delivering care. •Ability to make judgements on treatment where young people and their families are unable to give complete information. •Ability to assess young people and their family and make judgements on their suitability taking into account the risks and whether they are suitable for home treatment or hospital admission or community services •Ability to make judgements in a crisis where an expert opinion may need to be sought such as consultation with the consultant. •Able to assess and manage crisis. •Complete audit processes & adapt/adjust practices accordingly. •Analyse & Interpret data and/or information. •Able to work without direct supervision. •Ability to plan and organise own time on a day to day bases. •Plan and organise teaching sessions in the Team •Time Management skills. •Ability to work autonomously and within the team. •Able to meet deadlines. •Ability to plan and organise various meetings such as transfer meetings, clinical review meetings, and multi-professional and multi-agency meetings. •Plan and organise treatment plans in conjunction with young people and their families. •Ability to plan, organise and coordinate induction programmes for new staff and students to the Service PHYSICAL SKILLS Essential criteria •Basic keyboard skills required. •Able to access information using Trust data systems. •Able to use Excel, Words, PowerPoint and word processing. •Able to use the intranet and internet for keeping up to date with relevant National Mental Health Development. •Ability to use and communicate on E-mail following the Trust policies and procedures •Car driver (unless you have a disability as defined by the Equality Act 2010 which prevents you from driving) PHYSICAL EFFORT Essential criteria •Able to handle and manipulate small equipment (e.g. giving injection). •Ability to take blood, monitor blood pressure, pulse, temperature and respiration. •Ability to be mobile. Evidence of current and valid driving license. •Ability to assist young people in attending to their personal care. •Ability to restrain young people in a crisis (basic self- defence) and be able to leave the situation quickly if possible for individual safety. MENTAL EFFORT Essential criteria •Ability to maintain concentration within an unpredictable work pattern and environment. •Ability to cope and respond to interruption in the course of work and re-prioritise work as a result of it. •Ability to concentrate when carrying out duties such as checking detains documents, taking details information from referrers, carrying out assessment, carrying out therapy, carrying out clinical interventions, inputting details information on the computer system, undertaking report writing and analysing details statistics related to the team workings. EMOTIONAL EFFORT Essential criteria •Ability to be able to provide a service to young people and their family at times when they are under distress and can be angry. •Ability to give unwelcoming news to young people, carers and families such as changing appointments, transferring back to other services. •Ability to work with challenging behaviour and emotionally demanding young people. •Ability to provide the emotional support to colleagues following difficult situations where they found themselves at risk from young people and carers or others. •Ability to travelling to and from young people’s homes in the community in all weather conditions. •Ability to working with young people and their families who may at times due to their illness neglects the cleanliness in the home. •Ability to working with young people and families who may expose you to shouting, swearing and verbal abuse or attack due to deterioration in their mental condition in extreme circumstances. •Ability to attend to young peoples’ personnel hygiene which may expose you to unpleasant body fluids, smells and orders.
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