CLINICAL RESPONSIBILTIES To provide expert knowledge and guidance regarding the psychological issues related to specialist medical services for sexual assault, sexual health, and other related mental health conditions. To provide specialist psychological assessments of clients referred to the Havens, based upon the appropriate use, interpretation and integration of complex data from a variety of sources includingpsychological (and neuropsychological) tests, self-report measures, rating scales direct and indirect structured observations and semi-structured interviews with clients, family members and otherprofessionals involved in the clients care. To formulate plans for psychological treatment and/or management, drawing upon an appropriate conceptual framework and employing methods based upon evidence of efficacy and including CBT models of PTSD and complex trauma and other evidence-based models for trauma. Adjusting and refining psychological formulations drawing upon different explanatory models and maintaining a number of provisional hypotheses. To make highly skilled evaluations and 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. To be responsible for implementing a range of psychological interventions including pre-trial therapy for individuals affected by sexual violence for problems such as PTSD, depression, anxiety, impulsive behaviour, relationship difficulties, sexual dysfunction and other psychological sequelae of rape and sexual assault. Therapy approaches will include specialised PTSD therapies, cognitive behavioural therapy, EMDR, systemic approaches, psychosexual therapy, communication skills training and reducing vulnerability and risk. When necessary, provide crisis intervention for those suffering severe emotional and psychologicalreactions to sexual assault and those who are expressing suicidal thoughts or harm related to others or themselves. To contribute across services to ensure that psychological interventions / management strategies contribute to a coherent and optimal package of care. To exercise full responsibility and autonomy for the treatment and discharge of clients from the Therapies Service, ensuring appropriate assessment, formulation and interventions, communicatingwith the referral agent and others involved in the clients care including the MPS and CPS wheneverappropriate. To provide expertise and specialist psychological advice, guidance and consultation to other professionals contributing directly to clients formulation, diagnosis and treatment plan. To ensure that all members of the clinical team have access to a psychologically based framework for the understanding and care of clients of the service, through the provision of advice and consultation and the dissemination of psychological knowledge, research and theory. To provide expertise and advice to facilitate the effective and appropriate provision of psychological care by all members of the team. To undertake risk identification and management for relevant individual clients and to provide both general and specialist advice on psychological aspects of risk identification and management to theclinical team. To communicate in a highly skilled and sensitive manner, information concerning the assessment, formulation and treatment plans of clients and to monitor and evaluate progress. To provide expert consultation beyond the multi-disciplinary team to the wider professional body within the Trust. To provide expert consultation about the psychological care of this client group to staff and agencies outside the Directorate and Trust. To provide expert knowledge and guidance regarding the psychological issues related to specialist medical services for sexual assault. To prepare written reports, including court reports as a professional witness. To work as an autonomous professional within Health Care and Professions Council (HCPC) and BPS guidelines and the policies and procedures of the service, taking full responsibility for own workincluding treatment and discharge decisions. To take a lead in developing the services delivery of accessible and acceptable services to diverse local communities. To be proactive in challenging discrimination and support the development of culturally competent services.