To undertake comprehensive biopsychosocial assessment of patients referred into the service. Following assessment, the post holder will devise and deliver interim risk management and clinical intervention plans for patients requiring mental health input, in collaboration with the medical teams and the patient, and where appropriate, their carer.
Demonstrate the ability to arrive at a formulation of risk following assessment which incorporates the principles of positive risk taking. Formulate a comprehensive risk management plan to address areas of identified risk and oversee this until clinical responsibility is passed to another clinician or clinical team. Demonstrate the necessary clinical skills to contain and manage patients exhibiting challenging behaviours. Accurately and comprehensively document the assessment, formulation, risk assessment, and agreed management plan based on the assessed needs of the patient. Documentation should take various forms to accommodate the communication needs of the patient, carers, and the wider clinical team. This includes inputting the assessment on the Common Assessment Tool, and handwritten, relevant documentation in the medical notes.
Responsible for evaluating the outcomes of prescribed care. Accurately record all referrals and contacts on the trust's IT system within 24 hours. Complete a Care Cluster Allocation tool for each patient. Demonstrate up-to-date knowledge of the legislation and guidance involved in determining a person's capacity. Demonstrate up-to-date knowledge of the psychosocial risk factors for mental health issues in older adults. Demonstrate knowledge of dementia, delirium, and depression/anxiety in older adults. Demonstrate up-to-date knowledge of mental health issues and the impact of aging on risk assessment and management, e.g., suicide and falls.
Communicate effectively with patients with physical and psychological comorbidities, including cognitive and sensory impairment, their carers, and members of the care team. Liaise effectively with other services involved in the patient's care including MHCOP, physical care team, social services, and primary care services to discuss and assist in the implementation of effective care programmes for older adults. Act upon concerns about safeguarding issues. Demonstrate up-to-date knowledge of The Mental Health Act and The Mental Capacity Act as they apply to patient care in the acute hospital. Request Mental Health Acts when clinically indicated. Support patients in participating in all aspects of their health care.
Be aware of the need to avoid inappropriate admission to hospital, reduce the length of stay in hospital, and support appropriate, timely discharge from acute hospital wards. Responsible for working with SWBT and BCHFT teams, other mental health trusts, primary care teams, social services, and other agencies to identify and introduce appropriate care pathways. Required to work closely with the Crisis Recovery and Home treatment teams, including supporting referral and assessment of patients to the Adult and Older Adult home treatment teams as required.
Effectively and efficiently provide psychological support to patients with mental health needs who are temporarily in crisis, or who have mental health needs as a result of their physical illness or hospitalization. Provide time-limited liaison reviews when needed for those patients with more complex and enduring mental health needs while inpatient in Sandwell General Hospital. Contribute to the development and quality of clinical practice of liaison work with this client group at local and national levels. Undertake relevant data collection, analysis, and evaluation to assess the effectiveness of the post. Develop knowledge and networks with local community resources and cascade this into the team.
Promote effective communication between the Acute Trust and Mental Health Service, identifying and reporting difficulties to appropriate service managers. Work alongside acute staff and raise awareness of the importance of good mental health and how to deal with patients who suffer from mental health illness, who also have comorbid medical conditions in order to enhance the current level of care offered. Reduce the number of re-attenders into Emergency Departments by signposting to more appropriate services. Contribute to student training programmes.
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