JOB PURPOSE/SUMMARY To provide a qualified Clinical or Counselling Psychology service to adult patients, across all sites and sectors of care by: a) Providing highly specialist psychological assessment and therapy, b) Offering advice and consultation on patients psychological and neuropsychological care to non-psychologist colleagues and to other non-professional carers, c) Using research skills for audit, policy and service development and leading on research projects within the area served by the team/service d) Working autonomously in the execution of these duties and within professional guidelines and the overall framework of the Psychology Teams, Department and Trust policies and procedures.. PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY Clinical: 1. To provide specialist psychological assessments of patients based upon the appropriate use, 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 semi-structured interviews with patients, family members and others involved in the patients care. 2. To formulate, develop and implement plans for the formal psychological treatment and/or management of a patients psychological problems, based upon an appropriate conceptual framework of the patients problems, and employing methods based upon evidence of efficacy, across the full range of care settings. 3. To be responsible for implementing a range of psychological interventions for individuals, carers, families and groups, within and across teams employed individually and in synthesis, adjusting and refining psychological formulations drawing upon different explanatory models and maintaining a number of provisional hypotheses. 4. To evaluate and make decisions about 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. 5. To exercise autonomous professional responsibility for the assessment, treatment and discharge of patients whose problems are managed by psychologically based standard care plans. 6. To provide specialist psychological advice, guidance and consultation to other professionals contributing directly to patients formulation, diagnosis and treatment plan. 7. To contribute directly and indirectly to a psychologically based framework of understanding and care to the benefit of people under the medical services, across settings and agencies serving the patient group. 8. To undertake risk assessment and risk management for individual patients and to provide advice to other professions on psychological aspects of risk assessment and risk management, with particular reference to deliberate self-harm. 9. To act as care co-ordinator, where appropriate, taking responsibility for initiating planning and review of care plans under enhanced CPA (or its equivalent in the acute physical health care setting) including patients, their carers referring agents and others involved in the network of care. 10. To communicate in a skilled and sensitive manner, information concerning the assessment, formulation and treatment plans of patients under their care and to monitor progress during the course of both uni- and multi-disciplinary care. Teaching, training, and supervision 1. To receive regular clinical professional supervision from a more senior clinical/counselling psychologist and, where appropriate, other senior professional colleagues 2. To gain additional highly specialist experience and skills relevant to clinical/counselling psychology and the service (as agreed with the Lead Psychologist and Head of Department) up to two sessions per week. 3. To develop skills in the area of professional post-graduate teaching, training and supervision and to provide supervision to other MDT staffs psychological work as appropriate. 4. To provide professional and clinical supervision of doctoral trainee and graduate/ assistant psychologists. 5. To contribute to the pre- and post-qualification teaching of clinical, health and/or counselling psychology, as appropriate. 6. To provide advice, consultation and training to staff working with the patient group across a range of agencies and settings, where appropriate. Management, recruitment, policy and service development 1. To contribute to the development, evaluation and monitoring of the team, specialty and department operational policies and services, through the deployment of professional skills in research, service evaluation and audit. 2. To advise both the service and the Lead Psychologist on those aspects of the service where psychological and/or organisational matters need addressing. 3. To manage the workloads of assistant graduate psychologists and doctoral trainee clinical psychologists, within the framework of the team/specialty and Department policies and procedures. 4. To be involved, as appropriate, in the short listing and interviewing of assistant / graduate psychologists. Research and service evaluation 1. To utilise theory, evidence-based literature and research to support evidence based practice in individual work and work with other team members. 2. To undertake, as a major component of the post, appropriate research and provide research advice to other staff undertaking research, and to disseminate appropriate material via presentation and publication. 3. To lead on research projects within the area served by the team/service. 4. To undertake project management, including complex audit and service evaluation, with colleagues within the service to help develop service provision. 5. To provide appropriate research supervision of doctoral trainees and graduate assistant psychologists. SPECIAL WORKING CONDITIONS i) PHYSICAL EFFORT: The following physical skills are needed in this clinical post: a) highly-developed skills in psychometric assessment. This involves manipulating of complex test materials, attention to detail for precise and accurate placement of test materials and timing and recording of patients responses, acute observational and sensory skills to assess and record a patients behaviour and make comparisons with standardised test norms. It includes the ability to co-ordinate all of these activities whilst establishing rapport with a patient, maintaining their interest and motivation to carry out the assessment. Assessment sessions may be up to 2-3hrs in length. In addition the post requires: b) keyboard skills In this post the psychologist is engaged in clinical work for more than 50% of the time. In clinical sessions with patients the post-holder is required to sit in restricted positions for lengthy clinical assessments or psychotherapeutic sessions (up to 3-4hrs). b) Test equipment weighing c. 3 kilos has to be lifted and moved short distances in the majority of clinical sessions. There are requirements to move case notes/test equipment between clinic locations. This involves moving loads of c 8 kilos twice per week. ii) MENTAL EFFORT: This post requires the psychologist to work with distressed and emotionally distraught patients. Over 50% of the post is in clinical work with patients. Psychotherapeutic work with distressed patients requires intense listening and concentration over long periods of time, the psychologist actively attending to what is said, making complex clinical judgements concerning the relevance of what is said and making decisions about how to respond to the patient in line with best evidence based practice. iii) EMOTIONAL EFFORT: Psychologists, by the nature of their work, deal with highly distressing material. They work for much of their time in emotionally demanding environments. This clinical post deals with this type of material for the majority of clinical sessions i.e. over 50% of the time. Some patients will have histories of severe emotional, physical or sexual abuse and some will be severely depressed and suicidal. Others will have experienced traumatic incidents. There may also be conversations around issues about dying and the end of life. The work of the psychologist involves listening to the patients/relatives account of their experiences, carrying out a detailed assessment of their psychological problems and working psychotherapeutically with them to help them overcome and deal with their problems. iv) WORKING CONDITIONS: In this post there will be some exposure to patients who are intimidating and/or physically aggressive. The Department has a system of panic alarms which can be used and a departmental policy and procedure for dealing with aggressive or violent patients. The Department works closely with mental health services when required.