Job Description

A new role has become available with the Wiltshire Dementia Complex Intervention Team (DCIT).



As a key worker in the team you will be responsible for a caseload of service users with a diagnosis of dementia, working within the Your Team, Your Conversation, Your Plan framework to deliver a range of health and social care interventions. You can expect to receive excellent supervision, and there will be opportunities for career development and training in order to support you in this role.



This post is based in the west of the county and mainly involves working in that area, however as the service is Wiltshire-wide there may be a need, on occasion to travel within the county. Due the size of Wiltshire and the nature of the position, the post holder would need to hold a full driving licence and have access to their own transport for work. It would not be possible to fulfil the requirements of this post using public transport.



The Complex Intervention Team aims to provide safe and supportive mental health care for adults with a diagnosis of dementia who are experiencing some level of distress or difficulty due to their illness.



The Team provides a range of community-based health interventions for service users, working in an inclusive way to resolve the immediate difficulties and improve their situation, you will act as a care co-ordinator.



Where appropriate, the post holder will work alongside other services to plan, deliver and review effective interventions to manage risk and prevent hospital admission.



We welcome applicants from band 5 practitioners with relevant post graduate experience, we will also consider band5/6 development post.



We offer flexible working and part time or job share positions.



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.

Key responsibilities:

To undertake the full range of activities required to deliver ongoing comprehensive mental health assessment for service users living with 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), ACE III.



History, strengths and aspirations. Mental state. Impact of culture and diversity. Functional needs. The needs of family and carer. Evaluation of risk. Physical health. Complicating factors. The interventions and treatments required to enable positive change. Social care needs. Safeguarding and public protection. Capacity under the Mental Capacity Act.

2. 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.



3. To act as key worker for service users with the most complex needs, also providing defined interventions to individuals on other workers caseloads.



4. To plan, deliver and evaluate defined, specialist therapeutic interventions as indicated in the assessment process ,in line with personal recovery plans, including to service users who maybe on other caseloads. This might include:



a. Individual or group therapeutic intervention.



b. Psychological treatments such as family interventions.



c. Psychosocial interventions.



d. Motivational and coping enhancement strategies.



e. Medication management.



f. Interventions under the Mental Health Act.



g. Cognitive Stimulation Therapy.



5. 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.



6. 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.



7. In collaboration with service users and carers, to be responsible for facilitating the development of complex comprehensive crisis plans, rapid access plans, advance statements etc, involving other agencies such as primary care etc where appropriate.



8. To personally build and lead others to build, hope inspiring relationships with service users, which acknowledge the personal journey of each person, and focus on strengths and aspirations to allow the creation of meaningful personal recovery plans.



9. To be responsible for maintaining own workload, as well as planning the workload of others, on a day to day basis, ensuring that time is prioritised effectively, utilising of electronic resources such as diaries/scheduling.



10. 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.



11. Coordinating and undertaking protective interventions which maybe required in the protection of others, as outlined in the protection plan, taking individual action where indicated.



12. Personally and leading others to collaboratively and sensitively work with individuals, with a range of mental health needs to develop skills to manage their own health, in accordance with their personal recovery plan, by actively promoting and using approaches which are affirming, build on strengths, identify past positive experiences and success, and use small steps to move towards the persons goal.



13. Undertake active clinical leadership and supervision within the team, covering for the manager and colleagues as required.



14. 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.



15. Report and record within agreed timeframes, all activity relating to information reporting and performance requirements.



16. To participate in management, caseload and clinical supervision in accordance with trust policy.



17. 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.



18. 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.



19. Monitor and maintain health, safety and security of self and others, undertaking assessments and taking appropriate action where required.



20. 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.



21. Lead, maintain and participate in practices which enable effective team working.



22. To participate in on call rotas as required.



23. To participate in local arrangements in order to ensure consistent care to service users across the local geography.