Highly Specialist MBT Therapist and Supervisor

• To facilitate group and individual clinical supervision for MBT provision and modality.
• To provide highly specialised psychological interventions (MBT) to patients in Personality Disorder Teams.
• To co-facilitate MBT groups and hold a caseload of weekly patients.
• To hold a senior lead role for the Richmond CEN Referrals Pathway processes
• Provide specialist MBT Assessments for patients initially screened for MBT. Assessment processes are based upon clinical appropriateness, interpretation and integration of complex data from a variety of sources, and as required for EUPD screening set at approved Trust level. This includes clinical history taking, SCID ll, self-reporting measures (DIALOG), DERS rating scales, alongside direct clinical observations.
• To supervise and support the psychological assessment and therapy provided by other clinical members of the teams who provide psychologically informed care and treatment, and be responsible for the governance of MBT provision, and broader care planning.
• Work alongside the team, and senior clinicians within the borough, to ensure the MBT Intensive Treatment Programme is delivered, monitored and evaluated, and to take a lead on evidencing outcome measures for senior management.

• To provide scheduled specialist MBT clinical supervision for the team both group and individual, to enhance containment within the team, along with providing, as required, a consultative role for teams within the service line, who may also require both guidance and containment when working with those with a diagnosis of EUPD.
• To hold a senior lead role for the Richmond CEN Referrals Pathway processes and provide specialist MBT Assessments for patients initially screened for MBT. Assessment processes are based upon clinical appropriateness, interpretation and integration of complex data from a variety of sources, and as required for EUPD screening set at approved Trust level. This includes clinical history taking, SCID ll, self-reporting measures (DIALOG), DERS rating scales, alongside direct clinical observations.
• To evaluate and make evidence-based decisions about the most clinically appropriate treatment options for those with a diagnosis of EUPD within the assessment and engagement phase, and in line with the treatment modalities provided within the Trust, along with identifying co-morbidities that might need to take precedence, or be co-worked with, holding the MBT lens, and alongside highly complex factors concerning historical and developmental processes that have shaped the individual.
• Within the MBT assessment processes, to gather information about psycho-pharmacological treatment and to liaise with IRH medical colleagues to formulate a plan to review and manage psychotropic medication whilst the patient is in the assessment and engagement phase. Medical reviews are then led by the PDITT consultant once the patient is under the sole care of PDITT.
• To play a key role in the twice daily team Zoning Meetings and in the weekly Team Meeting which focuses on clinical work, governance, and Trust wide/service needs business items.
• To formulate and implement care plans for the formal treatment of MBT and the management of a patients presenting mental health needs and identifiable social care needs, with full involvement with the patient. This includes MBT Formulations (known as My Relational Passport), Genograms, and Collaborative Crisis and Contingency Planning.

Essential

• Educated to degree level or equivalent
• Core Mental Health Profession registered with an appropriate professional body (NMC, UKCP, HCPC, SWE)
• Accreditation in supervision in MBT (Anna Freud Centre)
• Formal Accreditation in MBT with the Anna Freud Centre, with a minimum of 2 years of supervised MBT clinical practice

Essential

• Demonstrable experience of working with adults with mental health problems in a variety of community settings
• Experience of multi-disciplinary team working
• Experience of inter-agency working
• Experience of working with clients with a diagnosis of personality disorder

Desirable

• Experience of the use of a variety of therapeutic tools
• Experience and skills in risk assessment and management
• Experience of working with diverse communities

Essential

• Good knowledge of Risk Assessment procedures and skills to make significant clinical decisions based on this knowledge.
• Ability to undertake complex assessments and develop comprehensive clinical formulations
• Ability to reflect on personal experience. Demonstrates capacity and willingness to use clinical supervision.
• Knowledge of evidence-based practice, clinical governance and related knowledge for research and audit.
• Good knowledge of legislation and its implications for both clinical practice and professional management in relation to relevant fields.

Desirable

• Skills in providing consultation to other professional and non-professional groups
• Knowledge of legislation in relation to the client group and mental health
• Ability to consider differences and equalities both in therapy and professional relationships. This includes age, disability, culture and race, sexual orientation and religion/belief systems.