Job Description
This role involves providing evidenced based treatment to patients in the community who are experiencing serious mental illness or dementia. Most of this will be individual work with patients (and their carers) although there are opportunities to joint work with other professions.
Enthusiasm and a desire to help people live their best lives are the key qualities we are looking for, and we are used to providing comprehensive supervision and support to our staff.
We strongly encourage personal and professional development – and once you are established within the team, there would be opportunities to undertake SCM training, Understanding psychosis and bipolar training, and Motivational Interview training.
If you are interested in joining the team and are keen to progress in your development, please do get in touch - we really encourage you to contact us for an informal chat, visit and/or a shadow shift with us – and submit an application form!
This role is focussed on providing appropriate, effective interventions and treatments to people with severe and enduring mental health needs including dementia and their carers (including friends and relatives) and their supporters in the community.
The role will require for you to assist service users with meeting their daily health, social care and well being needs, in line with personal recovery goals, and facilitating engagement with mainstream services.
Always under the overarching framework of CPA, the post holder will be responsible for the ongoing assessment, planning delivery and review of activities and interventions against identified health, social care and well being needs, acting as care coordinator for a defined group of service users.
You will be required to undertake tasks such as delivering specific health or social care assessments and interventions, according to care clusters,
including identified service users on other caseloads.
We are AWP (Avon and Wiltshire Mental Health Partnership NHS Trust): a diverse organisation with over 5,000 dedicated staff providing inpatient and community-based mental health care.
We provide services from a range of locations to approximately 1.8 million people living in Bath and North East Somerset (B&NES), Bristol, North Somerset, South Gloucestershire, Swindon, across the county of Wiltshire and in parts of Dorset.
Our outstanding people promote mental health and wellbeing. The expertise and resources within AWP are dedicated to a person-centred approach for those who use our services and for all employees. We recognise that happy and fulfilled employees give better care.
At AWP we actively encourage applicants from all backgrounds; we are particularly keen to encourage applications from people from Black, Asian and minority ethnic backgrounds, those with disabilities and from the LGBTQ+ community. We want people to bring their unique blend of experiences, backgrounds, perspectives and knowledge to AWP, as diversity makes us stronger
To undertake the full range of activities required to deliver ongoing comprehensive mental health assessment for service users with severe and enduring mental health needs including dementia living in the community and in a range of settings. This will include:
a) The use of standardised assessment tools, i.e. the Cluster Allocation Support Tool (CAST),
b) History, strengths and aspirations
c) Mental state
d) Impact of culture and diversity
e) Functional needs
f) The needs of family and carer
g) Evaluation of risk
h) Physical health
i) Complicating factors
j) The interventions and treatments required to enable positive change.
k) Social care needs
m. Safeguarding and public protection
n. Capacity under the Mental Capacity Act
To be responsible for developing delivering and reviewing comprehensive and complex treatment programmes using appropriate frameworks in line with evidence–based practice, including strategies to manage risk for service users with complex needs and carers, bringing in other resources as required.
To act as care coordinator for service users with the most complex needs.
To deliver a range of defined activities/interventions to improve the carers‘ ability to support the service user and to enable them in their relationship with the service user.
To develop and maintain good partnership working with other services throughout all treatment episodes, including regular liaison within Primary Health Care Team, inpatient and intensive services, day services, voluntary sector and with nominated carers/advocates.
To be responsible for maintaining own workload on a day to day basis, ensuring that time is prioritised effectively, utilising of electronic resources such as diaries/scheduling.
To be responsible for the protection of individuals from abuse and harm in line with local safeguarding policies and procedures, including working with others in the planning development and review of protection plans, ensuring the appropriate sharing of information.
Coordinating and undertaking protective interventions which maybe required in the protection of others, as outlined in the protection plan, taking individual action where indicated. , co-ordinate speedy, safe and effective discharges from AWP hospitals & all general hospitals within Banes to prevent /resolve DTOC's.
To maintain the single health and social care record, ensuring both paper and electronic records are kept up to date in accordance with professional and organisational standards.
Report and record within agreed timeframes, all activity relating to information reporting and performance requirements.
To participate in management, caseload and clinical supervision in accordance with trust policy.
To provide mentoring/training for others in relevant practice areas, according to professional requirements, taking a collaborative approach to practice development and evidence-based care. Specifically this means providing a safe and effective learning environment for the mentoring and supervising of students , participating in their learning objectives and assessments
Demonstrate responsibility for developing own practice in line with professional qualifications and for contributing to the development of others, by making use of and providing, effective feedback, supervision, coaching and appraisal.
Monitor and maintain health, safety and security of self and others, undertaking assessments and taking appropriate action where required.
Develop own knowledge and practice, and contribute to the development of others, making use of available feedback, supervision and appraisal to identify appropriate areas of development for this work role, taking responsibility for accessing identified learning and training opportunities.
Communications and Working Relationships
Services Users and Carers
Health and social care teams
Primary care
Third sector/voluntary agencies
Community groups and local authority provision
Other statutory agencies
Most challenging part of this role
Individually, and through leadership and supervision to co-ordinate the care of individuals within an individual and across a wider defined caseload, to develop increasing skill and confidence with a wide range of health, social care and wellbeing needs, setting priorities and working in community based settings. To contribute to the development of a culture
where the personal and positive aspirations of service users are the primary focus of the care plan, while developing and maintaining individual skills in delivering a range of therapeutic interventions. This must be achieved whilst respecting the dimensions of personal choice, diversity and culture and the benefits which these bring to the therapeutic relationship.
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