Senior MBT Practitioner | East London NHS Foundation Trust

We are looking for an enthusiastic, thoughtful and motivated clinician to come and join our Complex Emotional Needs and MBT & Outreach team as a Band 7 clinician for a permanent position.

The team is based in Hackney and the majority of the work is in person.

The successful candidate will be expected to have had Mentalization Based training as well as some experience of Structured Clinical Management. We would welcome creative aspects to their job, experience of working with complex presentations as well as a capacity to supervise junior members of staff.

The team is part of the larger Specialist Psychotherapy Service that offers a variety of evidence based treatments. The MBT & Outreach Service comprises of two streams - the Outreach service and the MBT Treatment pathway. The Outreach part of the service focuses on working with patients who are difficult to engage in the main treatment pathways, so experience related to this client group would be a plus. The MBT treatment pathway delivers MBT and SCM on a short and long-term basis.

This is an opportunity for an experienced registered clinician, who has considerable experience/knowledge of working with this client group and an interest in working in a psychologically informed way, to develop these skills further. They will be part of a growing service that is dedicated to building a positive future for service users and the staff team alike

To provide specialist evidenced based treatment to patients within City and Hackney community Complex Emotional Needs service (Specialist Psychotherapy MBT & Outreach Service) which is part of the wider Complex Emotional Needs pathway.

Working as a member of a multi disciplinary team the post holder will be responsible for providing individual assessment, identified clinical interventions (both group and individual) and direct care to service users with complex emotional needs, often characterized as Complex Emotional Needs, and associated difficulties.

This is a senior position and the post holder will be expected to take up management & leadership responsibilities within the team and broader service, including supervision, assessments, supporting senior team members, management of junior team members, liaising with services, etc.

As a registered Nurse/Allied Health Care Professional (with NMC /HCPC/UKCP reg.) the post holder will be responsible for working in a way that promotes levels of excellence in the team ensuring that safe, evidence based, effective, culturally competent care is delivered in a timely manner to service users.

Our mission is to make a positive difference to people's lives by improving the quality of life for all we serve. Our values are: We Care, We Respect, We are Inclusive - so we are looking for people who live and breathe these qualities when supporting service users and carers, and in their relationships with colleagues in the Trust and our partner organisations.

· To provide skilled assessments of patients' emotional and psychological needs based upon the understanding, interpretation and integration of complex data given by the patient and obtained from other sources.

· To evaluate and make decisions about treatment plans taking into account both theoretical and therapeutic models and highly complex factors concerning historical and developmental process that have shaped the individual, in conjunction with the team.

· To formulate and implement plans for the formal psychological treatment and management of the patient's mental health problems, based upon the clinical management and brief treatment and mentalisation based therapy model within the service.

To communicate in a skilled and sensitive manner, information concerning assessment formulation and treatment plans of patients under their care and to monitor progress together with team.

· To be responsible for implementing sound clinical skills in mental health practice, including coordinating patient care, group work, risk assessment and management and crisis intervention.

· To be responsible for implementing psychological interventions for individuals, their families or carers, within the team, adjusting and refining psychological formulations drawing on the clinical management and mentalisation- based therapy models as well as other models, and maintaining an open mind to the nature of the difficulties encountered in the work, in consultation with other MDT and under supervision.

· To provide group psychotherapy and individual psychotherapeutic interventions, under supervision, according to the structured clinical management and the mentalisation-based therapy model.

· To demonstrate clear knowledge of the 1983 Mental Health Act and its amendments

· To undertake frequent risk assessment and risk management for individual clients within the formal therapy setting as well as on the telephone or in domiciliary visits, and to provide advice to other professions on aspects of risk assessment and risk management, including both the immediate physical risk to the safety of clients, as well as psychological aspects.

To provide a liaison service to other services in the trust e.g in patient wards, crisis service, psychiatric liaison service and CAMHS.

· To maintain the highest standards of clinical record keeping including: electronic data entry and outcome recording of sessions, report writing in accordance with professional codes of practice, PDS, Trust policies and procedures and provide statistical returns in accordance with service requirements.

· To participate in the investigation of accidents, incidents or complaints in accordance with Trust policy.

To be involved in developing new areas of work and initiatives within the service

· Support the clinical pathway lead and the SMT to ensure the efficient use of human resources ensuring safe levels of staffing, which reflect the necessary and appropriate skill mix across the team as identified by senior managers

· Contribute towards the development of effective training plans and lead on team building, when requested, as part of the change management process, to promote an open, honest, supportive forward and outward looking working environment, facilitating new ideas, suggestions or debate in relation to the service requirements.

· Participate in the formulation and implementation of protocols and procedures for the delivery of the Complex Emotional Needs (CEN)

· Carry out a range of clinical audits within the service and necessary reporting back to the SMT.

Facilitate service user and carer involvement in the ongoing development and evaluation of the service

· To receive regular clinical and professional supervision from a designated senior colleague and, where appropriate, other senior professional colleagues

· To participate in teaching and act as mentor/role model to students of various disciplines.

· To assist and provide teaching to health faculties/other multidisciplinary professionals of the specialist treatment methodology developed within the CEN, wider Specialist Psychotherapies Service and the wider trust.

· To participate in the on-going research and in audit and Quality Improvement projects where necessary. To collate data as necessary.

To utilise theory, evidence-based literature and research to support evidence-based practice in individual and group work with other team members.

· To evaluate and make decisions autonomously on therapeutic interventions taking into account the complexity of the individual patients and the patient group's communication, ensuring the safety of the therapeutic environment and within the protocol of research

· To ensure professional registration is maintained at all times.

· To comply with professional requirements at all times.

· 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 PDS manger

· To contribute to the development and articulation of best practice across the service, by continuing to develop the skills of a reflexive and reflective practitioner, taking part in regular professional supervision and appraisal and maintain an active engagement with current developments in the field of Complex Emotional Needs, psychological therapy and related disciplines.

To actively participate in the formulation, direction and development of policies and procedures relating to the CEN.

· To be able to commute to and from home to the office as required

To be able to have face to face and online sessions with service users and colleagues