Senior DBT Practitioner | 306 North London NHS Foundation Trust

This role is part of an exciting expansion of the Barnet CEN Pathway. The remit of the new DBT Service is to offer Barnet residents referred into the service a consistent evidence-based therapeutic approach, to reduce inpatient admissions and to support the quick transitions of those in an inpatient service back into the community.

The post holder will be supporting the DBT Lead in setting up this new pathway and you will be working closely with the Barnet Younger Adult Psychological Service and Complex Emotional Needs pathway team.

The role will include supporting the service development, reporting on implementation and agreed outcomes, as well as to supervise and support the screening, referrals, assessments and group or individual therapy provided by other clinical members of the DBT team.

· To provide specialist psychological assessments of clientsbased upon the appropriate use, interpretation and integration of complex data from a variety of sources including psychological tests, self-report measures, rating scales, direct and indirect structured observations and semi-structured interviews with clients, family members and others involved in the client's care.

· To formulate and implement DBT focused treatment plans, in particular identifying repeating patterns of crisis and advise ways of altering these, based upon an appropriate conceptual framework of the client's problems

· To be responsible for implementing a range of DBT psychological interventions (group and individual)

· To work closely with referrers, services and colleagues to collaborate around the delivery of DBT interventions.

· To communicate in a skilled and sensitive manner information concerning theassessment, formulation and treatment plans of clients under their care and to monitor progress during the course of both uni- and multi-disciplinary care.

· To provide DBT supervision and line management for staff within the DBT pathway.

The partnership between Barnet, Enfield and Haringey Mental Health NHS Trust (BEH) and Camden and Islington NHS Foundation Trust (C&I) is going from strength to strength since it was originally established in 2021 forming the North London Mental Health Partnership.

In order to meet the needs of the new Partnership services you may be required from time to time to work at different locations to your normal place of work. This may mean that you are required to work at any location that fall under Barnet, Enfield and Harringay Trust and Camden and Islington Trust. The Trust reserves the right to require staff to work at such other places or locations as it considers reasonable and necessary on a temporary or permanent basis.

· The provide a high-quality DBT treatment to clients with complex mental health problems, in particular people with complex emotional needs (CEN) associated with the diagnosis of Personality Disorder, such as attachment, interpersonal difficulties and emotional intensity. This will include specialist assessment to determine the most appropriate treatment.

To formulate plans for the formal psychological treatment and/or management of client's mental health problems based upon an appropriate conceptual framework of the patient's problems, and employing methods based upon evidence of efficacy, across the full range of care settings, in particular DBT and SCM models developed within the service for the treatment of personality disorder.

To act as Key worker, where appropriate, taking responsibility for initiating planning and review of care plans under Dialog+ including patients, their carers, referring agents and others involved in the network of care in consultation with the MDT.

To utilise clinical and team supervision, to demonstrate autonomy for treatment and discharge of clients whose problems are managed with a psychologically-based standard care plan, ensuring appropriate assessment, formulation and interventions, communicating with the referral agent and others involved with the care on a regular basis.

To provide guidance and consultation to MDT teams and other professionals contributing directly to patients' formulation, diagnosis and treatment plan.

To provide formal and informal DBT supervision to facilitate the effective and appropriate provision of psychological care by all members of the team within a high-risk therapeutic setting.

To work safely and under guidance in relation to aggression and violence. To maintain breakaway skills for the prevention and management of aggression, as taught by the Trust. To ensure that risks of physical violence are minimised using appropriate planning and taking precautionary measures.

To undertake frequent risk assessment and risk management for individual patients and to provide both general and specialist advice for professionals on psychological aspects of risk assessment and risk management pertaining to patients with personality disorders.