Workforce Directorate Human Resources Recruitment Team High East, Crichton Hall, Dumfries DG1 4TG Fax: 01387 244043 Email: dg.recruitment@nhs.net JOB DESCRIPTION for the following vacancy: VACANCY REF No: N325a.13 VACANCY (Post Title): Mental Health Worker (MHW) CAMHS (Child & Adolescent Mental Health) GRADE: Band 5 SALARY: £21,388 to £27,901 pro rata HOURS: 37.5hpw Permanent CAMHS have a B5 Mental Health Worker vacancy, predominantly working in the West of the region with some input to the Stewartry as required. Applicants should have a relevant professional qualification and preferably have gained some post qualifying experience of working with people affected by mental health problems. Experience in working with children/young people/families is desirable, however applications are also welcome from those without experience but who are able to demonstrate an aptitude, interest and the transferrable skills to work in CAMHS. Informal enquiries to Elaine Wylie 01387 244662/244331 or Martin Stewart, CAMHS (West) Tel: 01776 707759. Closing Date: Thursday 12 September 2013 at 5.00pm Dumfries & Galloway NHS AfC Ref. NE060 Criminal Record Check With effect from 28th February, 2011 posts considered to be within "Regulated Work" with Children and/or "Regulated Work" with Protected Adults will require membership of the Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG Scheme) as a condition of employment. Please note: You do not have to do anything about PVG Membership when submitting your application form for the post. Candidates selected for appointment will be advised on how to become a PVG Scheme Member prior to taking up the position. Further information on the PVG Scheme Membership can be found at the following:- http://www.disclosurescotland.co.uk/pvg Standard Disclosure Check For other roles not considered to be within "Regulated Work with Children" and/or "Regulated Work with Protected Adults", a Standard Disclosure Check may be required and the cost of this will be met by NHS Dumfries & Galloway. Applicants who have lived outside the UK within the last five years, if offered a position, in addition to a Disclosure Scotland Check, will be required to provide a completed police record check (Certificate of Good Conduct) from the police authority in the country or countries in which they were resident. Dumfries & Galloway NHS AfC Ref. NE060 1. JOB IDENTIFICATION Job Title : MENTAL HEALTH WORKER Band 5 (West of region) Department(s) : COMMUNITY CAMHS Job Holder Reference: No. of Job Holders : 2. JOB PURPOSE The postholder will be responsible for assessment, intervention and evaluation of the care of a defined client caseload, primarily at Tier 2 with children/young people and their families/carers where complexity and risk is low The postholder, in partnership with, and guidance from the CAMH multidisciplinary team, will contribute to assessment, therapeutic interventions and evaluation for children and adolescent clients with more severe and complex presentations/diagnosis and risk factors. 3. ORGANISATIONAL POSITION See Appendix 4. SCOPE AND RANGE The postholder will: Be required to work with clients from 0-18 years and their families/carers, from diverse backgrounds, presenting with a wide range of emotional/behavioural/mental health problems and disorders. Have access to, and work closely with, senior colleagues, most frequently Band 6 Senior Mental Health Worker (West) Undertake autonomous duties within the limits of experience/competencies, and develop their knowledge skills and autonomy as a practitioner through the process of development review, supervision and training Manage a defined caseload as previously described Contribute to the management of other children and young people’s care alongside/with guidance from senior CAMHS colleagues Normally work from 9-5 Mon to Fri but may occasionally be required to participate in ‘out of hours’ care plans to provide an alternative to a young persons admission to hospital/support staff providing care eg paediatric or adult mental health ward. 5. MAIN DUTIES/RESPONSBILITIES Work within professional code of conduct and regulations, clinical competencies, local and national standards and guidance Assess, develop, implement and evaluate programmes of care for referred children, as Dumfries & Galloway NHS AfC Ref. NE060 the accountable caseholder for an agreed client group Contribute to the assessment and treatment of children/young people with more complex, severe and higher risk presentations in conjunction with, and/or guidance from those members of the team managing their care. Use a range of evidence-based interventions and therapies designed to meet individual need. Assume responsibility for using established lines of communication, reporting routinely on progress with cases. Use clinical supervision sessions to develop learning through reflective practice Actively participate in a personal development plan to develop competencies in child and adolescent mental health. Work closely with staff across all agencies when indicated, developing and maintaining good relationships and clear lines of communication. Attend interagency meetings as required. Practice with knowledge of Child Protection procedures; and the Mental Health Act Maintain accurate records (paper and electronic) on all activity undertaken on behalf of the service Produce reports within legal/statutory frameworks in regard to named clients as requested, eg Children’s Panel Hearings, Child Protection Case Conference Contribute to the development of students and other colleagues Contribute to the efficient and effective use of resources. Participate in an integrated programme of clinical audit to ensure clinical effectiveness Adhere to all NHS procedures, policies and guidelines 6. SYSTEMS AND EQUIPMENT The postholder will contribute to the smooth running overall of CAMHS as a system by adherence to all NHS /CAMHS policies /protocols with particular attention to the following: Observe appropriate client confidentiality in all matters relating to their circumstances and treatment Comply with NHS policies and professional guidelines regarding record keeping and information sharing, maintaining legible and comprehensive records Input clinical information to an electronic database for the purposes of own record keeping, service information and audit purposes. Extract data as required for client information/service needs Adhere to service standards of communication with referrers Ensure awareness of and adherence to Child Protection Guidelines Ensure awareness of referral pathways in order to advise others Comply with partner agency systems in regard to making referrals/providing reports Comply with good practice and policy regarding lone working Efficiently manage appointment diary, letters, and all practical arrangements eg car hire, room booking in accordance with service protocol Record and provide statistical information in regard to activity on a monthly basis Provide accurate travel expenses claims on a monthly basis Communicate sickness/absence leave as per NHS policies. Complete annual leave requests as per service policy and communicate with manager and relevant colleagues any clients of concern prior to commencing leave. Manage all resources with efficiency and care. 7. DECISIONS AND JUDGEMENT The staff member will not require direct supervision for the majority of their duties and will be expected to make routine decisions and judgements related to their own caseload, and contribute to planning and decision making process with other CAMHS Dumfries & Galloway NHS AfC Ref. NE060 caseholders where he/she has had input to casework. Skills in decision making and clinical judgement will be developed, supported and informed by regular supervision, development review and appropriate personal development The postholder will also be able to access guidance from senior staff within the multidisciplinary team outwith planned supervision eg case discussion at team meetings Some decision making may be required in situations which are urgent and will involve the worker thinking under pressure eg unexpected deterioration/new presentation of serious symptoms, child protection concerns. The postholder will have access to their manager/senior clinician, in the first instance this may be by telephone, to seek advice in situations beyond the realms of their experience, skills and knowledge; however the worker will nevertheless be expected to make an assessment of the situation and make interim decisions to ensure measures of safety. 8. COMMUNICATIONS AND RELATIONSHIPS AGENCIES/PROFESSIONALS: The postholder will be required to conduct all professional relationships respectfully and courteously and develop skills in managing the often complex interface and boundaries in multi agency working, and in team working generally The postholder will have regular contact with a large range of professional staff within the team, with other NHS D&G professionals, and with colleagues from other agencies Often routine contact with staff will be on a named case basis, where the postholder will be required to contribute a mental health perspective. The postholder may be required to provide advice, within their limits of experience and competence, to professional colleagues in regard to members of the public/existing CAMHS clients in crisis situations/urgent information need CLIENTS/PUBLIC: The postholder will conduct their relationships with CAMHS clients, their families and members of the public with respect. Work in partnership with clients, using a facilitative and empowering approach. Demonstrate awareness of client’s culture and values. Develop excellent communication skills, remaining attentive to multiple strands of information in often emotive sessions. Adapt communication style appropriately depending on client’s chronological age/ developmental stage. Consider other barriers to communication and understanding e.g. communication disorders, psychosis Manage contact with clients/public, in a calm, supportive, informative and when necessary directive manner, in person or by telephone Communicate difficult information with tact, sensitivity and clarity Develop skills in managing beginnings and endings of the therapeutic relationship, client disengagement, challenging behaviour, crisis and risk taking. 9. PHYSICAL DEMANDS OF THE JOB The postholder will be required to manage the demands on a community practitioner frequently in 'lone worker' circumstances: Travelling, often significant distances over the course of the day. Deliver services in often unsuitable and uncomfortable surroundings. Work in locations which may be isolated, and out of reach of phone signal, and /or in areas of high deprivation. Manage oneself in environments which have the potential to become hostile; deal Dumfries & Galloway NHS AfC Ref. NE060 with threats of violence; or infrequently, actual violence. Psychological demands: The postholder will need to be continuously attentive, applying intense levels of concentration to all aspects of the work throughout the typical day eg direct client contact, recalling/recording sessions, making/receiving telephone calls in busy offices, driving. 10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB Working with emotive issues Learning new skills/working with a new client group 11. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB KNOWLEDGE/SKILLS An understanding of child development and family dynamics Awareness of common stressors, risk and resilience and the impact on/relationship to child mental health Knowledge of a range of mental health disorders affecting children and adolescents Knowledge of evidence based theory/models of interventions in child and adolescent mental health Awareness of legislation relevant to the post eg Mental Health Act, Child Protection. Demonstrated skills in assessing needs, planning, implementing and evaluating interventions for referred clients/patients Effective engagement, interviewing and counselling skills with a diverse range of people Organisational skills Accurate record keeping Ability to travel on a daily basis within one or more localities of mixed rural/town composition, and also across the region as required. TRAINING Professional practitioner qualification eg nursing, occupational therapy Registered to practice with a professional body Commitment to further professional development EXPERIENCE Experience of working in a mental health service/with people with mental health problems Working in present /recent post with minimum supervision, with a demonstrated ability to competently manage a devolved level of responsibility Ability to work positively as a member of a team Evidence of constructively utilising personal and professional development opportunities, including performance review / appraisal and supervision 12. JOB DESCRIPTION AGREEMENT Job Holder’s Signature Date Head of Department Signature Date Dumfries & Galloway NHS AfC Ref. NE060 PERSON SPECIFICATION Job Title: B5 Mental Health Worker CAMHS DESIRABLE ESSENTIAL Qualifications: Relevant professional practitioner qualification eg Mental Health Nursing, Occupational Therapist Active registration with a professional body eg NMC Skills: Good overall verbal and written communication skills Skills in communicating and engaging with people affected by mental health problems, and other circumstances where there are barriers to communication Competent to assess needs, plan, implement and evaluate care/treatment plans or interventions Able to competently deliver therapeutic interventions Person centred and collaborative in approach with service users Experience: Experience of delivering mental health interventions to a range of service users Demonstrated ability to responsibly and effectively work without direct supervision, having undertaken delegated responsibility for the care/management of a group of people Ability to plan, prioritise, and organise own workload Able to take initiative, make decisions and judgements at the level expected in current/previous post Evidence of positive contributions to team working Knowledge: Theories of child development An understanding of mental health issues, problems and disorders affecting children and adolescents Knowledge of evidence based interventions relevant to child and adolescent mental health Aware of indicators and models of risk, risk assessment and management; and aware of the key areas of risk with regard to the client group including child protection Knowledge of the Mental Health Act Awareness of current mental health policy Personal Characteristics: Flexible, positive approach, non judgemental Post basic training relevant to child and adolescent mental health Skills in working with children/young people/families An advanced level of skill in the delivery of a specific intervention eg CBT Skills in risk assessment/management Skills in interagency working Experience of working directly with children/young people/families in a relevant mental health context Experience of working in a community setting Experience of working across professional/agency boundaries Understand vulnerability and resilience in relation to children’s mental health An advanced level of theoretical knowledge related to the assessment/care of children/young people/families Broad understanding of the roles and responsibilities of agencies who work with children Knowledge of the national/local policy context influencing children’s services and CAMHS in particular Dumfries & Galloway NHS AfC Ref. NE060 Self motivated and reliable Self aware, able to recognise strengths, limits, and support needs Able to work with all necessary feedback, guidance and direct instruction whilst developing skills and knowledge Enthusiasm for personal and service development Other Requirements: Driving licence, as will be required to travel within remote and rural locations and across the region Able to work outwith regular office hours on occasion