As a senior specialist clinician, the post holder provides and evaluates individual and group assessment and treatment services in response to the complex mental health and learning disability needs of male adult secure patients across West Hertfordshire medium and low secure units. Many of whom will have high levels of emotional and psychological disturbance and will present with serious difficulties including symptoms of psychotic illness, anxiety and depressive illnesses, personality or mood disorders, ASD suicidal and/or self-harming behaviour. To clinically manage an agreed caseload paying high regard for patient safety quality standards and clinical risk. To work very closely with members of the wider MDT, external partners and service users families and carers, within the boundaries of confidentiality. As a senior specialist clinician the post holder works jointly with other professionals to deliver assessment and care consultation for the range of psychological therapies, and provides individual and group arts (art drama or music) psychotherapy assessments and treatment; core coordination and care consultancy in complex cases. As a senior specialist clinician they are required to evidence their clinical decision making through verbal and written reports and evaluations, outcome measuring and knowledge of evidence based interventions. To analyse and clarify factors of risk e.g. self-harm, level of functioning, capacity to engage in therapeutic work, unmet needs and support systems to determine the patients complex need and capacities to undertake the treatment mode. To provide specialised assessment of service users referred for the range of psychological therapies. Working jointly with Arts Psychotherapies (Art Drama or Music), Psychology or other Psychotherapy to determine which service will meet their therapeutic needs. To make clinical decisions and immediate and long-term recommendations regarding the treatment of service users with complex learning disabilities, autism, challenging behaviours and mental health problems or personality disorders through investigative assessment processes and to use interpretive skills to understand complex behaviours and psychological function within a reflective supervised clinical process. To plan, monitor and deliver specialised programmes of care for the treatment of an agreed case load of service users experiencing complex learning disabilities and enduring mental illness. To provide Arts (Art Drama or Music) psychotherapy interventions, group or individual as appropriate through sensitive and expert application of arts psychotherapeutic techniques to service users assessed as able to engage in therapeutic work, whether brief or longer term. Standardised outcome measures and evidence based practice interpretation is an essential part of this.