Job overview
To provide Barnet CAMHS with a high-quality evidence based Psychoanalytic and Psychodynamic service to children, their families, carers and professional networks, including assessment and therapy to patients and their families. This includes all clinical presentations in the generic CAMHS service.
To provide generic assessment and treatment of Children and Young People entering the Barnet CAMHs service.
Main duties of the job
To provide specialist advice and consultation regarding diagnoses and treatment to CAMHS
colleagues, external agencies, working both autonomously within professional guidelines and the overall framework of the team's policies and procedures.
The post holder will provide advice and consultation to other clinicians in the service.
The post holder will make positive contributions to any future service developments and the delivery of high quality, evidence based care pathways.
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
MAIN TASKS AND RESPONSIBILITIES:
1. To provide generic mental health and specialist Psychoanalytic and Psychodynamic assessments of children, adolescents and their families/carers referred to the team drawing on a variety of sources including psychological self-report measures and rating scales, as well as direct and indirect clinical observations and semi-structured interviews with clients, family members and others involved in the client’s care.
1. To formulate and implement plans for the treatment and/or management of children, young people and their families with mental health problems, based upon an appropriate conceptual framework of the presenting problem(s), and employing methods of proven efficacy, across the full range of care settings, in consultation with the Multidisciplinary Team (MDT).
1. To reflect upon assessments and treatment formulations adjusting and refining them, drawing upon different explanatory models and maintaining a number of provisional hypotheses.
1. To be responsible, in consultation with the Child and Adolescent Psychotherapy Service Lead, for implementing a range of Psychoanalytic and Psychodynamic models of interventions for children, young people, their families/carers, within and across teams.
1. To provide assessment and discharge care planning to children and young people who present for assessment in the acute NHS hospital, as part of a local protocol and rota.
1. To evaluate and make decisions about treatment options taking into account both theoretical and therapeutic models and highly complex factors concerning historical and developmental processes that have shaped the individual child/young person, family or group.
1. To exercise autonomous professional responsibility for the assessment, treatment and discharge of children, young people and families whose problems are managed by psychologically based standard care plans.
1. To provide specialist advice from Psychoanalytic and Psychodynamic models, guidance and consultation to other professionals contributing directly to formulation, diagnosis and treatment plan.
1. To ensure that all members of the multi-disciplinary team have access to a therapeutically based framework for understanding the care needs of children, young people and their families from a Psychoanalytic and Psychodynamic perspective, through the provision of advice and consultation and the dissemination of psychological research and theory and specifically from the perspective of Psychoanalytic and Psychodynamic
1. To undertake risk assessment and risk management for individual children, young people and their families and to provide general advice to other professionals regarding risk assessment and management.
1. To act as care coordinator, taking responsibility for initiating planning and review of care plans including clients, their carers, referring agents and others involved the network of care.
1. To communicate complex and potentially highly contentious information in a highly skilled and sensitive manner, in situations with children, young people and their families/carers who may be extremely hostile or highly emotional, requiring the highest level of communication skills. To communicate in a skilled and sensitive manner, information concerning the assessment, formulation and treatment plans of clients under their care and to monitor and evaluate progress during the course of both uni- and multi-disciplinary care.
1. To provide expertise, advice and support to facilitate the effective and appropriate provision of care by all members of the treatment team with a special focus on Psychoanalytic and Psychodynamic
1. To undertake generic camhs assessments as CAMHS team member in the; Getting Help and Getting more Help Pathway.
1. To undertake to use, collate and enter Patient ROMS into the EPR and to use them in accordance with the CYP IAPT principals.
Person specification
EDUCATION AND QUALIFICATIONS
Essential criteria
* Doctoral level training in Child and Adolescent Psychoanalytic Psychotherapy, (or its equivalent for those trained prior to the introduction of training doctorates) providing membership to the Association of Child Psychotherapists
Desirable criteria
* Post-qualification training in one or more additional specialised areas of therapeutic practice
EXPERIENCE AND KNOWLEDGE
Essential criteria
* Experience of working as a qualified Child and Adolescent Psychotherapist, including experience within the designated specialty where the post is located.
* Experience of specialist Psychoanalytic and Psychodynamic assessment, formulation and intervention with individuals and families.
* Experience of working with a high degree of professionalism in the face of highly emotive and distressing problems, verbal abuse and the threat of physical abuse with a wide variety of client groups across the whole life course presenting problems that reflect the full range of clinical severity.
* Experience of exercising full clinical responsibility for Psychoanalytic and Psychodynamic care and treatment, both as a professionally qualified care coordinator and also within the context of a multidisciplinary care plan.
* Experience of working in a multi-disciplinary team
* Experience of working with a range of childhood disorders at the acute and chronic stage.
* Experience of self-harm assessment and intervention with both individuals and their families
* Experience of risk assessment and management.
* Experienced in the use of outcome measures.
Desirable criteria
* Experience of working with people (children and families) of all ages. Experience of the application Psychoanalytic and Psychodynamic psychotherapy in different cultural contexts. Experience of the application Psychoanalytic and Psychodynamic psychotherapy to therapeutic work with CYP with neurodevelopmental problems and mental health difficulties.
SKILLS AND ABILITIES
Essential criteria
* Advanced skills in using a wide variety of Psychoanalytic and Psychodynamic theories and interventions and the ability to use these appropriately in relation to client need and work setting Advanced skills in the use of complex methods of psychological assessment, intervention and management, frequently requiring sustained and intense concentration. Well-developed skills in the ability to communicate effectively, orally and in writing, complex, highly technical &/or clinically sensitive information to clients, their families, carers and other professional colleagues both within and outside the NHS. Advanced skills in providing consultation to other professional groups and non-professional groups. Advanced knowledge of and skill in using a wide variety of Psychoanalytic and Psychodynamic theories and interventions and the ability to use these appropriately in relation to client need and work setting Advanced skills in professional supervision; skills for offering live supervision of multi-disciplinary colleagues. Advanced Knowledge of child development/ mental health issues Knowledge of research methodology consistent with Psychoanalytic and Psychodynamic practice Ability to work with a racially and culturally diverse community in a wide variety of contexts including advanced specialist skills for working therapeutically in family homes Up-to-date knowledge of relevant legislation, ethical issues and strategic frameworks including The Children Act 1989, and its implications for both clinical practice and professional management. Ability to identify and employ methods of clinical governance as appropriate, to support and maintain clinical practice in the face of regular exposure to highly emotive material and challenging behaviour. Good organisational and time management skills, ability to plan and prioritise own workload. Ability to be part of the recruitment process.
Desirable criteria
* Experience of group work.
PERSONAL QUALITIES
Essential criteria
* Excellent interpersonal skills. The capacity to contain high levels of complex affect in oneself, for clients and other team members. Supportive, positive and enthusiastic attitude. Ability to manage working in highly complex situations where there are multiple difficulties, competing views about those difficulties, and take a lead in creating contexts that develop rapport, and harness the abilities of others in developing resources and solutions. Appreciation of the interface between personal and professional lives, high level of self-awareness and knowledge of principles of self-care. Ability to teach and train others, using a variety of complex multi-media materials suitable for presentations in public, professional and academic settings. Ability to recognise and challenge all discrimination. Evidence of continuing professional development as recommended by the ACP. Ability to work as part of a team and independently. Experience of working within a multicultural framework. Willingness to work flexibly. An awareness of own strengths and limitations.
Desirable criteria
* Experience of group work.
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