Job Description

This is an exciting opportunity to work alongside the CAMHS and Adult mental health services to support the transition of young people from CAMHS to Adult services. The main responsibility of the post holder is to improve the relationship between the two partners as well as the wider organisation and external partners to best support our young people in Croydon. The post holder will be supported by the Service manager within the Central Locality community team and supervision will be provided regularly via the existing CAMHS/AMHS forum and other reflective platforms. The caseload will be allocated to the CAMHS transition worker following referral from CAMHS and service users will handed over after the stabilisation period to the Adult community mental health team for ongoing care.



Professional and personal development programme within SLAM will support career development goals and ambitions for the post holder.



The post holder will be based in the adult service and directly care co-ordinate complex cases and young people from the age of 17yrs and 6 months who have been identified as requiring enhanced support during transition from CAMHS. They will be responsible for assessing, planning, implementing and evaluating programmes of care for the young people under their caseload.



The post holder will endeavour to ensure the smooth transition of the care of young clients from CAMHS to the adult services being involved with, and consulting on transiting cases between the services.



The post-holder will also be involved in joint working and consultation on other cases within both services that they may not be directly involved with, as such activities would facilitate the sharing and development of skills and knowledge within the teams.



The post will engage with and support the implementation of the initiatives that support the 16-25 Pathways and Transition from CAMHS to Adult Services.



The post holder will participate in the continuing development of the interface between adult and CAMHS services. They will be responsible for actively building relationships outside the NHS with the voluntary sector, community services and with Social Care to benefit young people. This will include supporting young people to access non-NHS community provision where appropriate.



The Trust has 4,500 staff and operates from many sites. It has close links in education and research with the Institute of Psychiatry and Guy's, King's and St Thomas' School of Medicine, both of which are part of King's College London. This close collaboration involves working to ensure that developments and research feed directly into clinical practice. Its academic links with King's College London, which also include the Nightingale Institute and South Bank University, enables the Trust to ensure that health care staff receive high quality clinical training at the pre-qualification (or registration) stage and in specialist skills (post qualification).



The Trust is committed to managing and developing a range of mental health services, working closely with patients and carers and local partners in health and social care. Services are primarily focused on people with severe and enduring mental illness. However, the Trust also promotes good mental health, early intervention to prevent more serious problems and provides support to primary care in dealing with people with less severe problems. The Trust has a strong community focus and our services are provided in a wide range of settings including people's own homes, GP practices, day services, residential and nursing homes, prisons and hospitals.



The Trust's core value states that 'everything we do is to improve the experience of people using our services and to promote mental health and well being for all'.



To work in co-operation with members of the Multidisciplinary Clinical Team and other relevant health and social care professionals to assess, develop, implement and evaluate programmes of care to meet the needs of young people.



To be responsible for the assessment of newly referred young adults who have complex needs referred into the adult pathway



To complete risk assessments following Trust policy and guidance and ensure that complete and up to date risk assessments are considered when planning programmes of care.



To be responsible for maintaining accurate records using the Trust's electronic records system ensuring entries are made in a timely fashion to ensure all relevant information is up to date and available to other professionals and for contract monitoring purposes.



Assertively outreach hard to engage clients and regularly meet with young people, as far as possible at a venue of their choice, be this at home, in the community, CMHT centre, further and higher education settings, work or recreational establishments to assist with engagement and encourage participation in treatment access/delivery as well as facilitating independence in all aspects of daily living.



Provide clinical supervision and support to junior members of the team, including supervised visits, assessment of skills, appraisal, objective setting and performance management as required.



To attend and participate in regular monthly (as a minimum) supervision to ensure effective caseload management, appropriate assessment and care planning skills and to monitor appropriate kept records.



Complete carers assessments for all carers of young people on caseload



Contribute to the effective functioning of the service through attendance at relevant meetings, taking responsibilities within the service as appropriate and negotiated with the service manager



Contribute to the continued development of the team through clinical governance activities e.g. providing training sessions, completing audits, collating statistical information required about the team caseload, maintaining and developing own skills through supervision and training



Provide professional, specific interventions as required within the team whilst maintaining and ensuring good professional standards and attitudes towards the care and treatment of parents, children, young people and their families.



To act as a transition's worker between CAMHS and AMHS to ensure smooth transition of young people from CAMHS, aged from 17yrs and 6 months where they have been identified as requiring ongoing interventions from the adult service. Where requested by the young person, the transitions worker will support and stay in contact with the young person for the duration of their treatment in identified adult team.



To build a visible presence for the role with the community for the benefit of young people and to actively seek appropriate contacts with the Voluntary Sector and attend appropriate meetings held by the infrastructure organisations: CVA, BME Forum, Asian Resource Centre and Croydon Neighbourhood Care.



Assessment work to include family liaison/ the family voice to identify both strengths and barriers to engagement in treatment.



The post holder will also support the clients wishes and strengths to be heard with consideration given to difficulties and needs identified during assessments.



The post holder will care co-ordinate the young person post transitioning to adult mental health services as required for a minimum of 3 months, to support continuity of care.



To undertake other duties as requested by Clinical Service Lead, Team



Leader and CAMHs Team leader and be required to work from any location in the borough.



Undertake all duties in line with the professional Codes of Professional Conduct, and maintain professional registration requirements for the post according to discipline/profession.



Work in accordance and within the principles, policies, procedures and guidelines of all aspects of clinical governance.



Identify development and training needs with manager in accordance with Trust/Directorate guidelines. Remain up to date with changing practices and wherever possible make full use of all training and educational facilities.



Participate in the monitoring, evaluation and audit of the service.



Work with others to undertake and promote research-based practice and use that knowledge in your everyday practice, sharing it with others in the team.