Band 4 Mental Health Care Coordinator - Swindon

at  Avon Wiltshire Mental Health Partnership NHS Trust

Key Result Areas: 1. To act as a care co-ordinator to a caseload of lower risk and well established services users on the CIT caseload. Care coordination would include supporting those service users and monitoring progress during the course of multi-disciplinary interventions and being responsible for essential documentation aligned to their case. 2.
To contribute to the full range of activities required to deliver ongoing comprehensive mental health assessment for service users with severe and enduring mental health needs living in the community and in a range of settings. This may include: Risk Assessments annually as a minimum or when a significant change occurs in risk. CPA as per CIT guidelines Crisis and Contingency Planning Care Plans Team and Person specific, ensuring these are individualised around goal setting aligned to evidence based scales. Consent to Share Clustering on allocation and as required Carer Identified with up to date contact details.
NoK Identified on RIO with contact details. 3. To contribute to the planning, delivery and evaluation of defined, therapeutic interventions as identified, in line with personal recovery plans, including to service users who maybe on other caseloads. This might include: Individual or group therapeutic intervention Psychosocial interventions Motivational and coping enhancement strategies.
Medication management Interventions under the Mental Health Act, Using the recover Start as a framework for planning care. Preparing for and delivering defined self-help groups. Therapeutic activities to improve and individuals coping skills e.g. anger, anxiety, stress management, assertiveness or relaxation Therapeutic activities to improve an individuals physical health such as exercise programmes, diet or nutritional planning.
4. Planning and undertaking activities to enable the individual to meet and develop their daily living skills, to increase confidence and independence in line with agreed personal recovery plans. This might include helping individuals to: access information on appropriate and safe housing move into new accommodation or respite care. complete forms or letter e.g.
housing benefits contact employment advisors or education facilities. Or it might include providing any of the following emotional support to individual focusing on motivation and encouragement. information and advice to maintain good physical health by encouraging a good diet and exercise. information on rights under the mental health act.
5. Effectively build hope inspiring relationships which acknowledge the personal journey of each person, and focus on strengths and aspirations to allow the creation of meaningful personal recovery plans. 6. Communicate effectively with a wide range of people in order to build and sustain effective and positive relationships with individuals, and carers, team members and other agencies.
This may include accessing translation and interpreting services. 7. Promote continuity of care by maintaining regular contact with service users, during episodes of inpatient treatment, working closely with other teams to facilitate early discharge. 8.
To work collaboratively with service users and their carers to understand and manage their mental health needs in line with their personal recovery plan and relapse prevention strategies. 9. To undertake specific activities and interventions in the support of carers including engagement and involvement, assessment and provision of support or services. 10.
Organise and participate in the development of risk assessments and crisis management plans, rapid access plans, within the appropriate framework, ensuring that when trigger points are reached these are reported appropriately to a registered practitioner, and that immediate or direct action is taken in line with these, or in the event of a crisis. 11. Respond to the needs of individual with sensitivity with regard to their age, culture, race, gender, ethnicity, social class or disability, modifying behaviour to optimise the helping relationship. 12.
Promote the rights of individual by recognising differences and acting in accordance with the relevant legislation, recognising and reporting discriminatory behaviour, and taking appropriate action. 13. To be responsible for maintaining own caseload on a day-to-day basis, ensuring that time is prioritised effectively. Making full use of electronic resources such as diaries/scheduling.
14. Contribute to the protection of individuals from abuse and harm in line with local safeguarding policies and procedures, by recognising and reporting any signs that may indicate an individual is at risk of neglecting or harming themselves or at risk from others, and by participating in processes with other agencies to keep the individual safe. 15. To support duty worker in the CIT team between the hrs of 9-5pm when required.
You might be responsible for handling essential calls into the team and any normal admin duty roles. You might be required to complete community duty visits as required. This might be under supervision of senior staff or independent visit depending on complexity and duty task. 16.
To attend weekly team meetings and promote clinical supervision. Bringing suitable service users for discussion and documenting this appropriately. 17. Monitoring the RAG (Red, Amber, Green) rating of service users assigned on your individual caseload and feedback during weekly MDT, clearly identifying why any changes in rating need to be made and documenting these accordingly.
18. To be able to identify possible safeguarding concerns and raise these to the appropriate service (MASH, MAPPA, MARAC, Adult safeguarding ) with the support from senior staff. 19. To contribute to planning, delivering and reviewing treatment programmes using appropriate frameworks in line with evidence-based practice, including strategies to manage risk for service users with complex needs and carers, bringing in other resources as required.
20. To develop and maintain good partnership working with other services is maintained throughout all treatment episodes, including regular liaison within Primary Health Care Team, inpatient services, day services, voluntary sector and with nominated carers/advocates. 21. To facilitate access for service users and carers to appropriate community services and interventions outside secondary mental health services and across the complete recovery pathway.
22. Personally working collaboratively and sensitively with individuals with a range of mental health needs to develop skills to manage their own health, in accordance with their personal recovery plan, by actively promoting and using approaches, which are affirming, build on strengths, identify past positive experience and success, and use small steps to move towards the persons goal. 23. To proactively participate in management, workload and clinical supervision in accordance with trust policy, taking personal responsibility for making appropriate arrangements.
24. Demonstrate responsibility for developing own practice in line with professional qualifications and for contributing to the development of others, by making use of effective feedback, supervision, coaching and appraisal, and by providing appropriate information to help others. 25. Report and record within agreed timeframes, all activity relating to information reporting and performance requirements.
26. To participate in local arrangements in order to ensure consistent care to service users across the local geography. 27. To show willingness to support practices which foster and maintain team working

Please refer the Job description for details