Job summary We are looking for a dynamic, highly motivated individual committed to delivering high-quality care to autistic people and their families. This is an exciting opportunity for a suitably qualified, experienced professional looking to contribute to the development of this new service. The Adult Autism Intensive Support Team will provide specialist assessment, formulation, therapeutic interventions (directly to individuals or through consultation) to a small number of autistic people with complex needs. The multi-disciplinary service will support autistic adults, without a co-occurring intellectual disability, under the care of an existing SWLSTG services. You will be thoughtful in the way you work with the multi-disciplinary team and have experience in developing the skills of colleagues. You will be interested in working with external partners to develop supportive networks and have energy, drive and enthusiasm for working with complexity. You will be part of a developing service that strives for clinical excellence and aims to support its staff to feel valued, provides opportunities for training and development and encourages active participation relevant service developments. Main duties of the job To provide applied behavioural assessment and intervention for service users who present behaviour that challenges services and poses risks to their well-being, including specialist assessment, treatment, planning, implementation and monitoring of outcomes. To employ the principles of Positive Behavioural Support in all aspects of clinical work. To participate in strengthening local services and developing capable environments though training, consultation and modelling. To work across a variety of setting including residential and inpatient services. To work autonomously alongside service users, families, support workers and professionals to enable others to better understand and respond to behaviours that are challenging in line with PBS principles, Positive & Proactive Care: reducing the need for restrictive interventions (2014) and NICE Guidance (including NG11 & NG93). To provide clinical supervision and consultation as appropriate. To participate in service evaluation, audit and research. To work as an autonomous professional within professional and Trust guidelines and codes of conduct, and guided by the policies and procedures of the service, taking responsibility for own work including treatment and discharge decisions with support of clinical supervisor. To plan and facilitate staff training and teaching, and presentations as appropriate About us We are Proud to Belong at South West London and St George's Mental Health NHS Trust. We have expert services, a rich history and a clear commitment to providing the best quality care for those with mental ill-health. The Care Quality Commission already rates our services as 'good' - we aspire to be 'outstanding'. This is a great time to join us. We are transforming the way we care for our communities to support our mission of Making Life Better Together. We have built two brand new mental health facilities at Springfield University Hospital, which are amongst the best in the world. More developments are planned across our sites and services as we invest a further £120m to upgrade and modernise our estate by 2027. We are inclusive and diverse and strive to be actively anti racist. We want to attract people from all backgrounds and experiences to enrich the work we do together. We are proud to co-produce and involve our local communities in all that we do. We offer flexible working, career development and a variety ofbenefits to enable a positive, welcoming environment in which our people and their careers can thrive. Come and join our inclusive teams and help our patients on their recovery journey. Date posted 14 February 2025 Pay scheme Agenda for change Band Band 7 Salary £51,883 to £58,544 a year per annum inclusive outer London HCAS Contract Permanent Working pattern Full-time Reference number 294-MHCA-7008707-JB Job locations The Wilson Hospital Cranmer Rd Mitcham CR4 4TP Job description Job responsibilities To take responsibility for planning and undertaking comprehensive specialist functional assessments and interventions in line with a positive behavioural support (PBS) approach. To undertake clinical interviews with service users and carers in order to gain a thorough and holistic understanding of clients needs, quality of life, current and past experiences and their environment. To undertake complex analysis and interpretation of data collected from a wide variety of sources. To present these data in graphical format within a detailed functional assessment report, including an assessment of the contribution of physical, emotional/psychological, cognitive and environmental and social factors that may be contributing to the challenging behaviour. To develop and implement positive behaviour support plans based upon a thorough holistic assessment and across the full range of care settings, including consideration of evidence of efficacy, and to decide upon the most appropriate intervention in liaison with the client or staff or carer. Interventions to include proactive strategies (including positive programming/skills building, ecological manipulations and differential reinforcement),reactive strategies, using non-aversive and least restrictive and wider system approaches and using methods with the focus on improving a clients (and carers) quality of life. To use the written agreement between carers and challenging behaviour practitioners, detailing the action plan and responsibilities at the beginning of an assessment/intervention, and to review this with the client and carers as appropriate. To ensure that all interventions are reviewed and monitored and that the referrers and carers are aware of the progress of the client. To ensure that carers are informed of any changes to interventions/action plans, using the formal agreement with carers for this purpose. To recognise barriers to successful working relationships and to act on these as appropriate. To identify carers training needs and to provide advice on behavioural interventions and formal training to carers and other staff as appropriate, working towards optimizing well-being for service users and their families. To ensure that training addresses any ethical or moral implications of any interventions. To take autonomous responsibility for communicating with the referral agent and others involved with the care on a regular basis. Within learning disabilities this is likely to involve liaison with an extensive network of health professionals, social care professionals, voluntary agencies and families. To provide consultation and advice to professional colleagues on behavioural assessment and management of challenging behaviour in general and specifically around the care of specific service users. To undertake risk assessment and risk management for relevant individual service users and to provide advice on aspects of risk assessment and management. To work with other disciplines and agencies, to provide a coherent and effective service for people with learning disabilities. To communicate information concerning the assessment, formulation and intervention plans of service users in a skilled, professional and sensitive manner. To communicate in a manner that is accessible and understandable. This may involve producing an easy to understand version of reports or letters. To seek ethical advice on any aspects of their work which may have ethical or moral implications for the individual, carers or others To record and analyse ongoing data about the clients quality of life and challenging behaviour as well as any other important aspects of the intervention. To carry out an effective hand-over to the clients network or staff team once the work has been completed, so that staff are able to continue monitoring any challenging behaviour and are aware of when professional help needs to be sought. To ensure that a key person is identified who can take responsibility of ensuring that intervention plans are continued as appropriate. To provide comprehensive closure reports, using the standard template, written in a way that is accessible to the particular carer/staff teams. To ensure that all necessary information is accessible and available. To be able to take effective and immediate action at times of crisis for service users. To be able to prioritise workload and to provide advice, support and debriefing to carers and other staff. To respond immediately and appropriately to any suspicions or allegations of abuse, following Trust safeguarding procedures To contribute to effective incident management procedures and promoting an Just Culture Job description Job responsibilities To take responsibility for planning and undertaking comprehensive specialist functional assessments and interventions in line with a positive behavioural support (PBS) approach. To undertake clinical interviews with service users and carers in order to gain a thorough and holistic understanding of clients needs, quality of life, current and past experiences and their environment. To undertake complex analysis and interpretation of data collected from a wide variety of sources. To present these data in graphical format within a detailed functional assessment report, including an assessment of the contribution of physical, emotional/psychological, cognitive and environmental and social factors that may be contributing to the challenging behaviour. To develop and implement positive behaviour support plans based upon a thorough holistic assessment and across the full range of care settings, including consideration of evidence of efficacy, and to decide upon the most appropriate intervention in liaison with the client or staff or carer. Interventions to include proactive strategies (including positive programming/skills building, ecological manipulations and differential reinforcement),reactive strategies, using non-aversive and least restrictive and wider system approaches and using methods with the focus on improving a clients (and carers) quality of life. To use the written agreement between carers and challenging behaviour practitioners, detailing the action plan and responsibilities at the beginning of an assessment/intervention, and to review this with the client and carers as appropriate. To ensure that all interventions are reviewed and monitored and that the referrers and carers are aware of the progress of the client. To ensure that carers are informed of any changes to interventions/action plans, using the formal agreement with carers for this purpose. To recognise barriers to successful working relationships and to act on these as appropriate. To identify carers training needs and to provide advice on behavioural interventions and formal training to carers and other staff as appropriate, working towards optimizing well-being for service users and their families. To ensure that training addresses any ethical or moral implications of any interventions. To take autonomous responsibility for communicating with the referral agent and others involved with the care on a regular basis. Within learning disabilities this is likely to involve liaison with an extensive network of health professionals, social care professionals, voluntary agencies and families. To provide consultation and advice to professional colleagues on behavioural assessment and management of challenging behaviour in general and specifically around the care of specific service users. To undertake risk assessment and risk management for relevant individual service users and to provide advice on aspects of risk assessment and management. To work with other disciplines and agencies, to provide a coherent and effective service for people with learning disabilities. To communicate information concerning the assessment, formulation and intervention plans of service users in a skilled, professional and sensitive manner. To communicate in a manner that is accessible and understandable. This may involve producing an easy to understand version of reports or letters. To seek ethical advice on any aspects of their work which may have ethical or moral implications for the individual, carers or others To record and analyse ongoing data about the clients quality of life and challenging behaviour as well as any other important aspects of the intervention. To carry out an effective hand-over to the clients network or staff team once the work has been completed, so that staff are able to continue monitoring any challenging behaviour and are aware of when professional help needs to be sought. To ensure that a key person is identified who can take responsibility of ensuring that intervention plans are continued as appropriate. To provide comprehensive closure reports, using the standard template, written in a way that is accessible to the particular carer/staff teams. To ensure that all necessary information is accessible and available. To be able to take effective and immediate action at times of crisis for service users. To be able to prioritise workload and to provide advice, support and debriefing to carers and other staff. To respond immediately and appropriately to any suspicions or allegations of abuse, following Trust safeguarding procedures To contribute to effective incident management procedures and promoting an Just Culture Person Specification Training & Qualifications Essential Current registration with relevant professional body: oNursing - NMC oOccupational Therapy - HCPC oClinical Psychology - HCPC oSocial Worker - Social Work England Certification with Behaviour Analyst Certification Board (BACB) or willingness to work towards this or equivalent Postgraduate diploma, MSc, or MA in either Applied Behaviour Analysis, Autism or PBS Desirable Registration with UK-SBA Experience Essential At least two years of qualified experience in working with individuals whose behaviour challenges services Experience of a range of specialist behavioural assessment and interventions with service users with learning disabilities whose behaviour challenges services, across the full range of care settings Experience of working with individuals with autism Experience of working with assistant psychologists within PBS framework Desirable Experience of teaching, training and/or supervision. Previous experience of working in a Community team Knowledge & Skills Essential Skills in the use of complex methods of functional assessment, intervention and management frequently requiring sustained and intense concentration. Well developed skills in the ability to communicate effectively, orally and in writing, complex, highly technical and/or clinically sensitive information to service users, their families, carers and other professional colleagues both within and outside the NHS. Skills in providing consultation to other professional and non-professional groups. maintaining a high degree of professionalism in the face of highly emotive and distressing problems, verbal abuse and the threat of physical abuse. Ability to cope emotionally with challenging behaviours displayed by individuals on a day to day basis, and to support carers in times of distress. Ability to collect, analyse and present qualitative and qualitative data and to present this to others, taking into account the needs of the audience Desirable Knowledge of the theory and practice of specialised psychological therapies in specific difficult to treat groups (e.g. personality disorder, dual diagnoses, people with additional disabilities etc). Knowledge of legislation in relation to the client group and mental health. Person Specification Training & Qualifications Essential Current registration with relevant professional body: oNursing - NMC oOccupational Therapy - HCPC oClinical Psychology - HCPC oSocial Worker - Social Work England Certification with Behaviour Analyst Certification Board (BACB) or willingness to work towards this or equivalent Postgraduate diploma, MSc, or MA in either Applied Behaviour Analysis, Autism or PBS Desirable Registration with UK-SBA Experience Essential At least two years of qualified experience in working with individuals whose behaviour challenges services Experience of a range of specialist behavioural assessment and interventions with service users with learning disabilities whose behaviour challenges services, across the full range of care settings Experience of working with individuals with autism Experience of working with assistant psychologists within PBS framework Desirable Experience of teaching, training and/or supervision. Previous experience of working in a Community team Knowledge & Skills Essential Skills in the use of complex methods of functional assessment, intervention and management frequently requiring sustained and intense concentration. Well developed skills in the ability to communicate effectively, orally and in writing, complex, highly technical and/or clinically sensitive information to service users, their families, carers and other professional colleagues both within and outside the NHS. Skills in providing consultation to other professional and non-professional groups. maintaining a high degree of professionalism in the face of highly emotive and distressing problems, verbal abuse and the threat of physical abuse. Ability to cope emotionally with challenging behaviours displayed by individuals on a day to day basis, and to support carers in times of distress. Ability to collect, analyse and present qualitative and qualitative data and to present this to others, taking into account the needs of the audience Desirable Knowledge of the theory and practice of specialised psychological therapies in specific difficult to treat groups (e.g. personality disorder, dual diagnoses, people with additional disabilities etc). Knowledge of legislation in relation to the client group and mental health. Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name South West London and St Georges Mental Health NHS Trust Address The Wilson Hospital Cranmer Rd Mitcham CR4 4TP Employer's website https://www.swlstg.nhs.uk/ (Opens in a new tab)