To provide strategic and clinical leadership for the delivery the Enhanced Intensive Support (EIS) function within the Community LD Teams. The post holder will be required to contribute specialist psychological knowledge and leadership to support the team in the provision of specialist assessment and therapy to those individuals who have a learning disability with complex presentation, including people with behaviours that challenges, autism and forensic presentation and to their support systems. The post holder will offer advice and consultation on individuals psychological care to other professionals and carers as well as holding an identified caseload of those individuals with the most complex needs. The job requires the post holder to lead on and utilise research skills for audit, policy and service development and research within the area served by the team/service. The service model is one of supporting people whose behaviours challenge services, working closely with specialist practitioners and other health professionals to support this complex group of individuals to remain in their community setting and, where an appropriate admission has occurred, to be discharged promptly and safely in line with national Transforming Care strategy. The post holder will have clinical oversight of the team caseload, particularly those who are on the dynamic support database and presenting in crisis with a risk to admission into hospital and/or placement breakdown, Duties and Responsibilities Clinical: To be a member of the service team and to contribute to, participate in and adhere to the guidelines and policies of that service. To be responsible for the systematic provision of the Enhanced Intensive Support (EIS) service function at a highly specialist level. To adhere to the organisation of the service particularly with regard to membership of the multidisciplinary teams. To ensure interpretation and integration of complex data from a variety of sources including psychological and neuropsychological tests, self- report measures, rating scales, direct and indirect structured observations, and interviews with clients, family members and others involved in the client's care. This will include the following: Highly specialist one-to-one clinical consultation Highly specialist psychological assessment including issues of risk Psychological interventions for individuals, families and groups, adjusting and refining psychological formulations drawing upon different explanatory models and maintaining a number of provision hypotheses Decision making for and evaluating treatment options, taking into account both theoretical and therapeutic models and highly complex factors concerning historical and developmental processes that have shaped the individual, family or group Exercising autonomous professional responsibility for the assessment, treatment and discharge of clients whose problems are managed by psychologically based intervention plans Staff consultation contributing directly to clients' formulation, diagnosis and intervention plan Staff consultation on the use of psychological techniques Staff supervision in the use of psychological techniques To carry a specialised caseload of clients with complex, severe and enduring challenging behaviour and other psychological problems. To provide specialised psychological assessments of referred clients, based on appropriate use, interpretation and integration of a range of complex psychological data from a variety of sources, including psychometric tests which require manual dexterity. To develop highly specialised clinical psychology interventions and management plans, based on formulations and an appropriate conceptual framework for the particular individual, and drawing upon extensive theoretical knowledge of different explanatory psychological models and specialist expertise in the implementation of evidence- based practice. To prioritise and delegate work to ensure that skills are used to address the more severe and complex psychological presentation and crisis intervention working with people with LD on the Dynamic Support Database (DSD). To consult with a wide range of services and negotiate appropriate professional relationships with both statutory and voluntary agencies to both ensure the referral of appropriate casework and communicate highly complex clinical information To exercise autonomous clinical responsibility for implementing a range of psychological interventions with adults with behaviour that challenges their care setting, their families and carers, adjusting, interpreting and reformulating psychological models as appropriate on the basis of feedback, monitoring and follow up. To make referrals to other disciplines and specialist practitioners as appropriate, following discussion with other community team members and consultation with the Consultant Clinical Psychologist To provide expertise, advice and support to other professionals, in order to facilitate the effective and appropriate provision of psychological care to service users. To undertake risk assessment and risk management of individuals presenting with risk of vulnerability, self-harm and / or risk of physical, sexual or emotional harm to others as part of the teams risk assessment process. To participate directly in the teams caseload and provide support and guidance to other colleagues undertaking the role. Please see attached job description for full details