Professionally and managerially accountable to: Consultant Family and Systemic Psychotherapist, Team Manager
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- George Booth
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1 JOB DESCRIPTION Service Sector: CAMHS Professionally and managerially accountable to: Consultant Family and Systemic Psychotherapist, Team Manager Responsible for: Exercising clinical responsibility for the assessment, treatment and discharge of clients. Liaises with: Other team members and members of other disciplines and agencies responsible for client care. Oxford Health colleagues from community, day and inpatient teams, GPs, members of non-statutory agencies involved in client care. Criminal Records Bureau: Full JOB SUMMARY To provide a qualified systemic family therapy service to the clients served by the Melksham CAMHS team. To provide consultation, supervision and support to other clinical members of the team who provide family based care and treatment. To work autonomously within professional guidelines and exercise responsibility for the governance of family therapy practice within the service/team. To utilise skills for audit, policy, service development and research. WORKING ENVIRONMENT 1. Working as part of the CAMHS community team, seeing clients individually and in group settings. Working within other settings as required for clinical work e.g. day patient, inpatient and outreach services. 2. The post involves independent travel (driving) between all of the above sites and there may be potential risk of exposure to aggressive or unpredictable behaviour from clients and carers or family members in distress. The post holder should be guided by the local team s lone worker policy and Trust risk policy and their supervisor when undertaking visits. 3. On some occasions the post holder may be required to use their own vehicle to transport clients for attendance at meetings or as part of the therapeutic process. 4. The post holder s office base will be with other team members for clinical work undertaken and they will have access to support from the team secretary. 5. There is a need to use effective and efficient keyboard skills in the recording of clinical information and in communicating with colleagues. MAIN TASKS, DUTIES AND RESPONSIBILITIES Clinical 1. To provide specialist systemic assessments of clients referred to the team based upon the appropriate use, interpretation and integration of complex data from a variety of sources including psychological self-report measures, rating scales, direct
2 and indirect structured observations and semi-structured interviews with clients, family members and others involved in the client s care. 2. To plan and implement formal family therapy treatment and/or management of a client s mental health problems, based upon the client s problems, and employing methods of proven efficacy. 3. To implement appropriate family therapy interventions for individuals, carers, families and groups, adjusting and refining formulations drawing upon different explanatory models and maintaining a number of provisional hypotheses. 4. To evaluate and make decisions about treatment options taking into account both theoretical and therapeutic models and complex factors concerning historical and developmental processes that have shaped the individual, family or group. 5. To be responsible and accountable for the assessment, treatment and discharge of clients whose problems are managed by family therapy based standard care plans. 6. To provide specialist family therapy advice, guidance and consultation to other professionals contributing directly to clients formulation, diagnosis and treatment plan. 7. To undertake risk assessments and risk management for individual clients and to provide advice to other professions on aspects of risk assessment and risk management from a family therapy perspective 8. To act as care coordinator, at times where no other team member is involved, taking responsibility for initiating planning and review of care plans including clients, their carers, referring agents and others involved in the network of care. 9. 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. 10. To maintain the highest standards of clinical record keeping including electronic data entry and recording, report writing and the responsible exercise of professional self-governance in accordance with professional codes of practice of AFT and UKCP as well as Trust policies and procedures. 11. To take part in the duty rota for emergency assessments as agreed with the team manager. Teaching, training, and supervision 1. To receive regular clinical professional supervision from a senior family therapist and, where appropriate, other senior professional colleagues. 2. To gain additional specialist experience and skills relevant to family therapy and the service as agreed with professional lead/team manager. 3. To provide advice, consultation and clinical supervision to other members of the treating team in the provision of family therapy based interventions to help improve client functioning. 4. To contribute to the pre- and post-qualification teaching of family therapy, as appropriate and agreed with professional lead/team manager. 5. To provide advice, consultation and training to staff working with children and families across a range of agencies and settings, where appropriate. Management, recruitment, policy and service development 6. To provide specialist family therapy advice, guidance and consultation to other professionals contributing directly to clients formulation, diagnosis and treatment plan.
3 7. To undertake risk assessments and risk management for individual clients and to provide advice to other professions on aspects of risk assessment and risk management from a family therapy perspective 8. To act as care coordinator, at times where no other team member is involved, taking responsibility for initiating planning and review of care plans including clients, their carers, referring agents and others involved in the network of care. 9. 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. 10. To maintain the highest standards of clinical record keeping including electronic data entry and recording, report writing and the responsible exercise of professional self-governance in accordance with professional codes of practice of AFT and UKCP as well as Trust policies and procedures. 11. To take part in the duty rota for emergency assessments as agreed with the team manager. Teaching, training, and supervision 1. To receive regular clinical professional supervision from a senior family therapist and, where appropriate, other senior professional colleagues. 2. To gain additional specialist experience and skills relevant to family therapy and the service as agreed with professional lead/team manager. 3. To provide advice, consultation and clinical supervision to other members of the treating team in the provision of family therapy based interventions to help improve client functioning. 4. To contribute to the pre- and post-qualification teaching of family therapy, as appropriate and agreed with professional lead/team manager. 5. To provide advice, consultation and training to staff working with children and families across a range of agencies and settings, where appropriate. Management, recruitment, policy and service development 1. To advise both service and professional management on those aspects of the service where family therapy and/or organisational matters need addressing. 2. To be involved, as appropriate, in the short listing and interviewing of other mental health workers (e.g. assistant psychological therapists) as required. Research and service evaluation 1. To contribute to the development, evaluation and monitoring of the team s operational policies and services and participate in the development of high quality, responsive and accessible services. 2. To utilise theory, evidence-based literature and research to support evidence based practice in individual work and work with other team members. 3. To participate in appropriate research as appropriate to own level of experience and within agreed service objectives. 4. To participate in project management, including complex audit and service evaluation, with colleagues using research methodology to address a clinical question or improve services.
4 General and Professional 1. 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 post holder s professional and service manager(s). 2. To contribute to the development and articulation of best practice in family therapy across the service, by continuing to develop the skills of a reflexive and reflective practitioner, taking part in regular professional supervision and appraisal and maintaining an active engagement with current developments in the field of family therapy. 3. To maintain up to date knowledge of legislation, national and local policies and issues in relation to both the specific client group and mental health. ADDITIONAL INFORMATION Health and Safety at Work Act The post holder is required to take responsible care for the health and safety of him/herself and other persons who may be affected by his/her acts or omissions at work. The post holder is also required to co-operate with the Trust to ensure that statutory and departmental safety regulations are adhered to. Confidentiality The post holder has a responsibility to comply with the Data Protection Act 1998 and Code of Practice on Confidentiality and Data Protection. Equal Opportunities The Trust welcomes all persons without regard to age, ethnic or national origin, gender or sexual orientation, religion, lifestyle, presenting illness, marital or parental status or disability. We aim to provide a non-judgemental service at all times. Other duties The post holder will be required to undertake any other duties according to the needs of the service. This job description is not intended to be an exhaustive list of activities, but rather an outline of the main areas of responsibility. Any reasonable changes will be discussed and agreed with the post holder before any variations to the job description are made. Travel to other sites You may be required to travel to other Trust locations. Pleas complete the travel expenses form; details of allowances can be obtained from the Human Resources Department. Smoking and Alcohol Statement The Trust has a no smoking policy and this is not permitted on any Trust premises. Alcohol must not be consumed whilst on duty. Review
5 This job description will be reviewed at regular intervals as part of the Trust s individual appraisal mechanism, in consultation with the operational manager and relevant professional lead. Core Responsibilities In addition to undertaking the duties as outlined above, the post-holder will be expected to fully adhere to the following: Personal Development To actively participate in an annual performance review (appraisal) and the development and implementation of a personal development plan. To take responsibility for own professional development ensuring professional standards are maintained and statutory and mandatory training is in date. To attend any training as requested. Code of Conduct To adhere to the Professional Code of Conduct relating to your profession (if applicable). To uphold the principles and values set out in the NHS Code of Conduct for Managers. To support the organisation in developing an effective work/life balance for employees that meets the needs of the organisation. To ensure that the health and wellbeing of patients is at the centre of all activities and that all staff engage and communicate with patients as appropriate. To always promote quality and safety of patients, visitors and staff thus enabling the Trust to meet its regulation requirements (Care Quality Commission Registration - Regulations and Outcomes) that relate most directly to patients and also strive for continuous quality improvement. Equal Opportunities/Diversity To observe Oxford Health NHS Foundation Trust s Equal Opportunities Policy providing equality of treatment and opportunity to employee s, service users and service providers irrespective of sex, sexuality, age, marital status, ethnic origin or disability. Health & Safety To take responsibility for the health & safety of themselves and other persons who may be affected by their omissions or actions at work. To promote the Trust s Health and Safety policy and ensure matters are managed in accordance with it. To co-operate with the Trust to ensure that statutory and departmental regulations are adhered to. Report accidents, incidents and near misses, implementing corrective action where necessary.
6 Infection Control and hand hygiene To comply with Trust policies for infection control and hand hygiene such as hand hygiene, decontamination policy, uniform and workwear code and standard precautions policy to reduce the spread of healthcare-associated infections (HCAIs). Employees with clinical responsibilities must incorporate into their clinical activities up-to-date evidence that supports safe infection control practices and procedures, such as the use of aseptic techniques and the safe disposal of sharps. Confidentiality and Data Security To comply fully with the duties and responsibilities outlined in the Trust s Information Governance Policy. To comply with the Data Protection Act 1998, NHS Confidentiality guidelines (e.g. Caldicott, GMC.) and any code of practice on Confidentiality and Data Protection, as accepted by the Trust. Departmental codes of practice and procedures for confidentiality are available from the head of department. To ensure that all information collected, stored and used is done so in compliance with the above Act and any relevant Trust Policy. To preserve the confidentiality of any information regarding patients, staff records in your area (in connection with their employment) and the Trust business. This obligation shall continue in perpetuity. To raise any matters of concern with your Manager/Director. Safeguarding Other To recognise that promoting the welfare and safeguarding children, young people and adults is everyone's business and access training and supervision as appropriate to the role. To support the organisation in ensuring service users are protected from abuse, or the risk of abuse and their human rights are respected and upheld. To ensure concerns are responded to appropriately in line with the Trust s Safeguarding Adults Policy and the Child Protection Policy and interagency safeguarding procedures. To comply with recruitment and other checks as requested by the organisation including undertaking an Enhanced Disclosure via the Criminal Records Bureau. To be aware of and work in line with all Trust polices and procedures. To carry out any other tasks as reasonably directed.
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