DBT is an evidence-based treatment for people presenting with recurrent self- harm and emotional dysregulation and will be included in the new updated NICE guidelines for the management of children and young people presenting with self- harm. This is an exciting opportunity for an experienced clinician to join our team and contribute to the development of a new innovative service. The CAMHS DBT service will deliver the full DBT programme, consisting of weekly individual therapeutic work, group sessions, family session, care coordination and telephone coaching. The team will hold a caseload of up to 20-25 young people at one time.
Clinicians will offer the full range of DBT intervention to a small and defined caseload, between 5-10 young people, according to their job plan agreements.
DBT experience is not essential to the role, however experience of therapeutic work with young people and risk management is desirable. If you are not already trained, you will be offered full DBT training , alongside a supportive and inclusive working environment. The service will receive consultation and support by the National & Specialist CAMHS DBT service in the early stages of its development to ensure adherence to the DBT model and consolidation of clinical skills in the team. Candidates will have experience of working therapeutically with young people, alongside some risk management experience and experience of inter-agency liaison.
We welcome applicants from any core profession, (Registered Mental Health Nurses, Counselling/Clinical Psychologists, Child and Adolescent Psychotherapists, Occupational Therapists, Social Workers, CBT Therapists and Systemic Therapists), with interest and experience in working with young people who present with self harm, clinical complexity and risk, and their families, and enthusiasm and commitment to innovation and clinical excellence. We encourage you to get in touch with us and discuss this exciting role.
There is also scope to gain experience in the wider Islington CAMHS service as part of this role.
Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff. We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief. The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work.
To provide specialist DBT assessment and formulation to children and young people (CYP) referred to the service based upon the appropriate use, interpretation, and integration of data from a variety of sources including self-report measures, rating scales, direct and semi-structured interviews.
To design and implement plans for the formal DBT treatment and/or management of a CYP’s problems, based upon an appropriate conceptual framework of the client’s problems, and employing methods based upon evidence of efficacy.
To be responsible for implementing a range of interventions based upon evidence of treatment efficacy, and clinical formulation of the case.
To evaluate and make decisions about DBT treatment options considering both theoretical and therapeutic DBT models and complex factors concerning historical and developmental processes that have shaped the individual, family or group.
To deliver adjunctive therapy groups (e.g. DBT first Steps groups, Managing Emotions) – monitoring outcomes and modifying interventions accordingly
To engage in the assessment, treatment, and discharge of CYP within a multi-disciplinary team approach
To provide specialist DBT advice, guidance and consultation to other professionals contributing directly to clients’ formulation, diagnosis, and treatment plan.
To provide care-coordination and attend and contribute to Team Meetings.
To contribute directly and indirectly to a DBT based framework of understanding and care to the benefit of all CYPs in the service, across all settings and agencies serving the client group.
To undertake risk assessment and risk management for individual CYP and to provide advice to other professionals on DBT approaches to risk assessment and risk management.
To communicate in a skilled and sensitive manner information concerning the assessment and DBT treatment plans of clients under their care, and to monitor progress during treatment.
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