This role provides senior clinical leadership in the development, delivery, and embedding of systemic family therapy across the Forensic Directorate inpatient services, spanning medium secure and low secure settings. Low secure services include non‑LD adult male wards as well as Learning Disability wards.
The post holder will operate with a high level of autonomy and professional authority, translating the Trust’s approved Family Therapy business case and policy into consistent, safe, and clinically effective practice across the forensic pathway. You will contribute to governance, service development, and evaluation activity, supporting equitable access to family interventions across medium secure, low secure, and low secure rehabilitation pathways.
The role combines advanced specialist clinical practice with service‑level leadership. Alongside a defined caseload of complex family work, the post holder will provide consultation, supervision, and strategic input to multidisciplinary teams, ensuring that family‑inclusive practice is integrated into assessment, risk management, care planning, rehabilitation planning, and discharge processes across diverse forensic populations.
Clinical Practice and Risk Interface
* Provide highly specialist systemic assessments and family therapy interventions with service users and their families across forensic inpatient services, where presentations are complex and risk, safeguarding, trauma, and relational rupture are prominent.
* Adapt systemic approaches to meet the communication, cognitive, and neurodevelopmental needs of individuals within Learning Disability services, ensuring accessible and neuroaffirming practice.
* Apply advanced systemic formulation to understand how family and relational dynamics interact with mental disorder, detention, and offending‑related risk, and to support MDT decision‑making.
* Contribute to psychologically informed risk formulation and management by advising MDTs on relational factors that may amplify or mitigate risk, including issues relevant to safeguarding, public protection, and victim considerations.
* Work collaboratively with Responsible Clinicians and ward teams to ensure family perspectives appropriately inform CPA processes, care planning, leave planning, and discharge pathways.
* Communicate complex and sensitive clinical information to families and networks in a manner that is clear, containing, and proportionate to risk and capacity.
We are the Kent and Medway Mental Health NHS Trust. We care for the mental health and wellbeing of people across Kent and Medway. Our teams support adults with a wide range of mental health needs. Because we cover the whole county and both hospital and community settings, we can make care more joined up and easier to access for the 1.8 million people of Kent and Medway. Rated ‘Good’ by the CQC, we care for over 2,000 people in our hospitals and 54,000 in the community each year.
HCA allowance, also referred to as London Weighting, is a payment made to employees who work in London and the surrounding areas. As this post is based in Dartford, Gravesham or Swanley, the successful applicant will receive an additional payment each month of 5 % of basic salary, subject to a minimum payment of £1,346 per year and a maximum payment of £2,270 per year (the agreed annual amount will be divided into 12 equal amounts and paid monthly).
Advert closes on Wednesday 27 May 2026.
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