MENTAL HEALTH & ADDICTION SERVICES
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- Percival Barnett
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1 MENTAL HEALTH & ADDICTION SERVICES Position: Report To: Responsible For: Location: Hours Of Work: Liaise With: Addiction Clinician Clinical Team Leader - BOPAS Nil Staff Regional (Tauranga based) 80 hours per fortnight (may include shift work) Multidisciplinary team, Consumers, Caregivers, Family/Whanau Community Teams Consumer Advisor/Family/Whanau Advisor Maori Health Services Pharmacy Relevant Professional Advisor Primary Health Providers NGO Sector Jan 2016 THE BAY OF PLENTY DISTRICT HEALTH BOARD: The District Health Board s fundamental purpose it to work within the resources allocated to it to improve, promote and protect the health of the whole population within its district, and to promote the independence of people with disabilities. Vision: Mission: Healthy, thriving communities Enabling communities to achieve good health and independence and ensure access to high quality services. Values: C Compassion A Attitude R Responsiveness E Excellence
2 MENTAL HEALTH AND ADDICTION SERVICES The vision, values and goals of the Mental Health & Addiction Services (MH&AS) forms the foundation of the services offered to our service users and underpins the BOPDHB vision. Goal To provide accessible and responsive specialist secondary Mental Health and Addiction Services for the BOP community that is culturally appropriate and inclusive. This position description includes the Seven Real Skills as identified by Te Pou s Let s get Real framework as well as the focus areas of the MH&AS Business Plan ( ). PRIMARY FOCUS Mental Health & Addiction Services is committed to the provision of safe and accountable acute response services and dynamic ongoing care delivery. Interventions are predicated on robust assessment and collaborative planning using a holistic approach and authentic therapeutic engagement with the client and his/her family. The Addiction Clinician will work as a member of the Mental Health & Addiction Service to provide an effective community based assessment and treatment service to the target populations within existing legal frameworks. Addiction Clinicians working with Mental Health & Addiction Services understand that staff will maintain skill-diversity by adhering to training requirements and taking opportunities to collaborate with various roles within the service. Acceptance of a position within this team signals a commitment to partnership and a willingness to provide assistance and collegial support on request. The Addiction Clinician will contribute to, and be guided by national strategic service directives such as the New Zealand Health Strategy, Recovery, Strengths and Harm reduction models, as well as local strategic directions outlined within policy and protocol. The mental health and addiction care environment is evolving to meet expectations, priorities and needs of the community and all staff is expected to creatively contribute to service changes to meet identified needs. The Addiction Clinician will provide safe, effective client care using professional knowledge and skills in accordance with DHB policies and protocols and the professional bodies. A central focus of this position will be managing the care of clients with addiction treatment needs, provision of consultation/liaison function to key agencies and service providers and forming community relationships in support of the development of a network of providers with a focus on the needs of this client group. Service Objective To provide a specialist alcohol and other drug outpatient based assessment and treatment service to individuals with an identifiable or suspected DSM IV Substancerelated disorder (moderate to severe use) Addiction Clinician Page 2 of 8
3 Interventions The Addiction Clinician offers a range of specialist interventions which will include- specialist comprehensive assessments pharmacological treatments opioid substitution treatment effective psychosocial therapies withdrawal management relapse prevention groups liaison with other key agencies specialist addiction service assistance for offenders that have been given a community based sentence and have alcohol and other drug treatment as part of their sentence conditions. Reporting Relationships Tauranga and Whakatane Clinical Director Business Leader Professional Advisor/ Nurse Leader Clinical Coordinator (ACMH&AS) Clinical Team Leader (BOP Addiction Service) Multi-disciplinary Team Addiction Clinician Page 3 of 8
4 KEY TASKS AND RESPONSIBILITIES Management of Clinical Practice Maintains professional practice standards of clinical practice in accordance with ethical, professional and organisational guidelines.» Provide specialist comprehensive assessment within acceptable timeframes utilising effective processes to assess, implement and evaluate care.» Offer appropriate specialist drug and alcohol treatment, therapy, support and case management to clients in a safe, effective and timely manner» Ensure that an integrated care model is followed for those experiencing co-existing problems» Ongoing monitoring of symptoms and regular review of progress and treatment» Working with family and whānau and offering support and other interventions» Liaison and consultation services to other providers of health services» Referral to other services or agencies where appropriate» Support to enhance recovery and reduce the risk of relapse groups» Provide screening and brief intervention where appropriate to clients» Appropriate, effective, and objective client assessments and reports are provided.» Client assessments are completed within acceptable timeframes utilising effective processes to assess, implement and evaluate care.» The principles and practice of partnership are incorporated in all facets of assessment, intervention, treatment and care.» Recovery principles are utilised and incorporated into all treatment plans/planning in conjunction with the client and or family/whanau» Utilises and practices in accordance with the relevant professions standards of practice» Plans and priorities workload and adapts as necessary.» Will assist in establishing and facilitating community based support groups for clients with addiction and co-existing needs.» Actively engages in and effectively utilises clinical supervision and offers/provides this to clinical staff within the Service as appropriate and as per the Mental Health & Addiction Service Clinical Supervision Policy.» Participates in the development and formulation of practice guidelines, project work and other activities as required to maintain or improve the quality of services delivered, ensuring consumer representation and client/family focus. Addiction Clinician Page 4 of 8
5 Interpersonal relationships Interacts effectively with clients, family/whanau, community groups/agencies and other health professionals» Works effectively as a member of a multi-disciplinary team demonstrating individual responsibility and accountability.» Engages in a collaborative service delivery approach with colleagues from the team and other Mental Health & Addiction Services to best meet the client s needs.» Acknowledges, respects and utilises the skills and knowledge of colleagues from the team and other Mental Health & Addiction Services appropriately.» Effectively utilises clear lines of communication and professional and individual accountability for practice is demonstrated.» Clinical consultation is co-ordinated as required to assure the highest standard of care.» Limited/no overlap in roles and functions of identified key stakeholders and NGO s.» Demonstrates an ability to access information systems as appropriate.» Identifies conflict and attempts to reach a positive conclusion. Inter-professional Health Care and Quality Improvement Collaborates with the multi-disciplinary team, and the wider community, to facilitate care delivery and demonstrates a commitment to the principle of continuous improvement at a service and personal level» Establishes and maintains relationships with other health professionals and community groups/agencies such as Recovery Solutions, Salvation Army and GP s that are involved with client care.» Appropriate clinical services and referrals are provided for the client.» Demonstrates an ability to access information systems as appropriate/required.» Demonstrates a flexible approach and ability to cope with changing situations.» Contributes to service development and involves target group(s) in the planning, provision and monitoring of services» Demonstrates continuous commitment to quality improvement initiatives.» Documentation meets professional and organisational standards. Accurate and current clinical records are maintained. Addiction Clinician Page 5 of 8
6 Health Education Assists clients and groups to achieve satisfying and productive patterns of living through health education.» Recognises the potential for health teaching in care interventions.» Evaluates client learning needs and incorporates teaching into client treatment plans.» Ensures the client has adequate knowledge of the effects and consequences of treatment options.» Recognises own limitations and determines appropriate person to deliver health education sessions. Professional Development Accepts responsibility for own professional development.» Attends and participates in the Mental Health & Addiction Service competencies training.» Undertakes additional courses to promote personal and professional development.» Maintains a professional portfolio as appropriate to discipline.» Maintains an up-to-date knowledge of care/treatment/research in the area of addictions» Participates in performance review process.» Participates in service evaluation as required. HEALTH AND SAFETY You are expected to meet the health and safety requirements set out in BOPDHB policies and protocols and any other requirements set out in the Health and Safety in Employment Act The Addiction Clinician is part of a multi-disciplinary team of people with skills and experience in alcohol and other drug intervention, treatment and support, and who belong in one of the following categories health professionals regulated by the Health Practitioners Competence Assurance Act 2003 people regulated by the Drug and Alcohol Practitioners Association Aotearoa New Zealand (DAPAANZ) TREATY OF WAITANGI/CULTURAL COMPETENCIES BOPDHB is committed to the principles of the Treaty of Waitangi HEALTH PRACTITIONERS COMPETENCE ASSURANCE ACT 2003 You are required to maintain your current competency based practicing certificate. You must notify Manager of any changes to scope or conditions on practice (determined by Regulatory Authority). You must complete the requirements of any competency programme. Addiction Clinician Page 6 of 8
7 You must notify employer of concerns relating to the risk of harm to the public of another health practitioner practicing below the required standard of competence. Know the provisions of the HPCAA as the governing legislation. DAPAANZ REGISTERED PRACTITIONERS Required to meet the requirements for registration with DAPAANZ (Drug and Alcohol Practitioners Association of Aotearoa New Zealand). This position description is not exhaustive and the incumbent may be requested to perform any reasonable task requested by their Team Leader and/ or Clinical Co-ordinator. KEY WORKER» The key worker role outlined here should be regarded as an extension of the key tasks and responsibilities outlined above.» The key worker will work within an integrated and eclectic model of care predicated on crisis resolution, strengths and recovery and harm reduction philosophies that aims to promote the service-user s strengths in managing addictive behaviour and mental disorder, decrease the destructive potential of addictive behaviour and mental disorder, utilise person-specific risk management and relapse planning in a timely and congruent manner.» Key manager functions include assessment and response and timely management of referrals, ongoing care, review and discharge planning. The case load may include clients experiencing high risk addiction presentations as well as specific therapeutic engagement and includes facilitating: access to care and ensuring smooth transitions along the care pathway for clients and their families resolution of distress and effective management of addiction and mental health issues re-integration with family and primary care networks» The Addiction Clinician will be expected to utilise specialist knowledge and a broad range of skills and therapeutic strategies to achieve these aims. The mix of skills that are required will enable this professional to address the needs the client group.» These skills include: Knowledge of mental disorder Competence in comprehensive assessment, risk assessment, the use of the mental status examination and problem formulation Clinical skills in engagement, de-escalation, conflict resolution, and problem solving Ability to discuss and negotiate management plans with clinicians Ability to prioritise Excellent interpersonal skills Good written and oral presentation skills Strong client focus Sensitivity to the context and experience of others Cultural awareness and safe practice Addiction Clinician Page 7 of 8
8 Respect for privacy and confidentiality A professionally based attitude to mental health care Competence in the implementation of discrete therapeutic frameworks Knowledge of relevant legislation including Mental Health (Compulsory Assessment and Treatment) Act 1992, Privacy Act 1993, Health and Disability Act, Health Practitioners Competency Assurance Act, and the NZ Health Strategy (Te Tahahu; Te Kokiri) and the Alcoholism & Drug Addiction Act (1966), Practice Guidelines of Opioid Substitution Treatment in New Zealand PERSON SPECIFICATION Essential Criteria Registered Nurse (Endorsed to work in - Mental Health and Addiction) or Allied Health Professional registration. Current Annual Practicing Certificate or DAPAANZ registered practitioner. Demonstrates a sound knowledge and understanding of addiction and co-existing problems and risk assessment. Demonstrate knowledge and understanding of addiction and co-existing problems theory. Current full clean motor vehicle drivers licence. Desirable Criteria Previous experience working in the area of addiction and co-existing disorders. Post-graduate qualification with an addiction focus Affiliation to DAPAANZ if registration is under HPC Act. Experience of working within teams and knowledge of how teams work and exhibits willingness/ability to teach and/or share expertise within the team. Computer literate. Demonstrates a commitment to post-registration study and professional development. Demonstrates cultural safety within the practice setting. Knowledge of Tikanga and Te Reo Personal Demonstrates a commitment to quality. Excellent communication skills and interpersonal skills. Demonstrates flexibility and adaptability. Able to prioritise work requirements. Ability to work effectively as a team member. An awareness of the Iwi within the boundaries of the Bay of Plenty District Health Board area. The Bay of Plenty District Health Board is a smokefree environment Addiction Clinician Page 8 of 8
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