JOB DESCRIPTION Consultant Psychiatrist Mental Health & Addiction Services Position Title: Consultant Psychiatrist Organisation Unit: Mental Health & Addiction Services Location: Far North ( Kaitaia) Responsible to: Clinical Head of District Mental Health & Addiction Services Primary Functions of the Position: 1. 2. 2. 3. 4. 5. 6. To provide Clinical leadership for the Far North Mental Health multidisciplinary team. To provide psychiatric assessment and management of patients under the care of the Far North and to provide expert psychiatric opinion and advice to clinicians working within other specialties. To provide Psychiatric input for clients in the Far North Sub-Acute unit. To provide assessment and management, participate in court hearings and to undertake any other activities required to fulfill the role of Responsible Clinician for patients subject to the Mental Health Act. To provide psychiatric assessment and management for any patients under the care of Mental Health Services when directed to do so by the Clinical Head. To act as an effective member of multidisciplinary teams in both Mental Health Services and other specialist services. To provide supervision when required to a registrar and other clinicians. Service Run This position is one of two psychiatrists providing services to the Adult population in the Far North of the North Island. There are currently 240 adult clients registered with mental health services. The service is co-located with Addiction services and Services for Older people. Mental health and Addiction Services for Child and Youth are adjacent to the facility, along with Kaitaia Hospital. The area has a high level of deprivation which impacts on mental health and addiction services. 53% of the client base are Maori. Consultant Psychiatrist Mental Health & Addiction Services January 2014 Page 1 of 7 Functional Relationships The Consultant Psychiatrist will develop and maintain excellent relationships with: Internal External General Manager, Mental Health & Addiction Services Clinical Head, District Mental Health & Addiction Services Clinical Advisor, Mental Health & Addiction Services Chief Medical Advisor, NDHB DAMHS Mental Health Act Administrator Professional Leaders, Mental Health & Addiction Services Team Managers and multidisciplinary staff of Mental Health teams Consumer advocacy services Medical Officers, Kaitaia Hospital Patients and family/whanau NGO providers Community services General Practitioners Police Corrections Key Responsibilities and Expected Outcomes Northland District Health Board has established a set of values by which the organisation will respond, in part, to achieving its goals and objectives through their workforce. The following Values and supporting statements are expected behaviours of each individual employed with NDHB: Values Supporting Statement People First Tangata I te tuatahi Respect Whakaute (tuku mana) Caring Manaaki Communication Whakawhitiwhiti korero Excellence Taumata teitei (hirangi) People are central to all we do We treat others as we would like to be treated We nurture those around us, and treat all with dignity and compassion We communicate safely, openly and with respect to promote clear understanding Our attitude of excellence inspires success, competence, confidence and innovation The position of Consultant Psychiatrist encompasses the following major functions or key result areas: Client focused practice Communication & Team Work Professional development Relationship building Consultant Psychiatrist Mental Health & Addiction Services January 2014 Page 2 of 7 Quality improvement Treaty of Waitangi Health and Safety The outcome requirements of the above key responsibility areas are outlined below: Key Responsibility Area Expected Outcomes Provide competent, timely and thorough psychiatric assessment of persons presenting or referred for assessment. Provide competent and effective psychiatric treatment for patients under the care of Northland District Health Board. Assessments will include evaluation of the present and past history including both psychiatric and other medical history, family history, personal and social history, cultural considerations and mental state examination including an evaluation of personality. When required the assessment will fully comply with the Mental Health Act 1992. All assessments will be clearly documented and communicated to relevant others including patients, clinicians, other agencies and family/whanau. Ensure patients discharged from the inpatient unit are seen within 7 days of discharge. Treatment and response to treatment will be regularly reviewed. Treatment will be planned in collaboration with the patient and relevant others including the patients family/whanau, other clinicians and staff of other agencies. Treatment plans will be clearly documented and communicated to relevant others. Treatments prescribed and recommended will be based on current treatment guidelines and generally accepted specialist psychiatric practice. Treatment will be carried out in accordance with the stipulations of the Mental Health Act 1992. Treatment will include a recovery approach. Utilise videoconferencing to remain an integral part of discharge planning process for clients admitted to the inpatient unit. r Work all rostered hours as required by the employment contract at the direction of the Clinical Head. Key Responsibility Area Expected Outcomes Meet current standards for professional clinical practice. Consultant Psychiatrist Mental Health & Addiction Services January 2014 When required undertake duties on the on-call roster during normal working hours to provide emergency assessments and management for patients referred to and/or already under the care of Northland District Health Board and/or to provide supervision and advice to registrars and other staff in these circumstances. Follow guidelines and meet standards recommended by Northland District Health Board, the Medical Council of New Zealand and the Royal Australian and New Zealand College Page 3 of 7 Maintain and continue to develop clinical knowledge and skills. Contribute to service quality assurance. Contribute to teaching of other staff. Demonstrate commitment to a culturally appropriate and safe service. Treaty of Waitangi Health & Safety Consultant Psychiatrist Mental Health & Addiction Services January 2014 of Psychiatrists. Participate in regular peer review activities. Be enrolled in and meet requirements of the RANZCP Clinical Professional Development Program or other professional development programmes as negotiated with the Clinical Head. Participate in regular in-service training activities. Participate in clinical audits, case reviews and incident review processes. Ensure work meets standards laid down by Northland District Health Board and Ministry of Health. Supervise a psychiatric registrar in training according to the supervision guidelines laid down by the RANZCP. Provide teaching to other staff in the course of clinical work and at formal teaching sessions. Supervise other medical staff as negotiated with Clinical Head. Have a working understanding of the Treaty of Waitangi and its relevance to health and health services. Seek advice from cultural advisors when appropriate. Routinely assess and respect cultural issues in working with patients, staff and relevant others. Contribute to the promotion of the principles of Treaty of Waitangi and the involvement if Maori within the decision making process for their health and independence, within District Health Board management processes and procedures Include the principles of the Treaty of Waitangi within all aspects of the role and its outcomes Ensure that consultation and engagement processes include appropriate mechanisms to meet the need of Maori in a culturally appropriate and safe manner Attend the Northland District Health Board Treaty of Waitangi Training Ensure compliance with designated responsibilities detailed in Northland District Health Board’s Health and Safety Policy Promote an environment of physical, occupational, cultural, ethical and legal safety Observe safe work practices, rules and instructions relating to work, and be pro-active in hazard management Willingly co-operate in the achievement of all health and safety goals and initiatives by: Practicing and observing safe work methods; The use of safety equipment; Page 4 of 7 Reporting unsafe conditions or equipment; and Reporting and documenting all accidents or incidents Variation of Duties Duties and responsibilities described above should not be construed as a complete and exhaustive list as it is not the intention to limit in any way the scope or functions of the position. Duties and responsibilities can be amended from time to time either by additional, deletion or straight amendment by the Clinical Head to meet any changing conditions, however this will only be done in consultation with the employee. Consultant Psychiatrist Mental Health & Addiction Services January 2014 Page 5 of 7 Person Specification Education and Qualifications Essential Desirable Specialist qualification in psychiatry. Vocational registration with Medical Council of New Zealand. FRANZCP Experience Essential Desirable Experience in General Adult Psychiatry. Current Annual Practicing Certificate. Current Full NZ drivers licence. Mental Health Compulsory Assessment and Treatment ACT. Experience as a supervisor of psychiatric registrars. Experience working in a rural community setting. Awareness and Understanding of Essential Desirable The Treaty of Waitangi and it’s application to the health setting Privacy Act (1993) and Health Information Privacy Code (1994) Health and Safety in Employment Act (1992) NZ Mental Health Act Health and Disability Commissioner (Code of Health and Disability Services Consumers’ Rights) Regulations (1996) New Zealand Council of Healthcare Standards Recovery competencies for Mental Health workers (MH Commission 2001) Strengths Model (Charles Rapp) Skills & Personal Attributes Skills Cultural sensitivity Excellent communication skills – verbal and written, including formal presentations Computer and telehealth literacy – NDHB information systems eg JADE, Outlook, Intranet Time management Advocacy Teaching Clinical leadership Personal Attributes Consultant Psychiatrist Mental Health & Addiction Services January 2014 Page 6 of 7 Open minded Optimistic Resilient Supportive Honest Professional Caring Performance Development Review An initial review of performance will be conducted after three months, with an annual review thereafter. An individual Development Plan will be developed to reflect the contribution this position is expected to make towards achieving the team’s objectives and measures. Key result areas will be developed and agreed at this time. Authorised by: Date: Acceptance Acceptance of the position implies acceptance of this position description. Position Title: Signature of employee: Date: Consultant Psychiatrist Mental Health & Addiction Services January 2014 Page 7 of 7