The post holder will work assertively with people, who are frequent attenders at North Middlesex University Hospital (NMUH) and who have alcohol-specific complaints, to enhance their engagement with treatment services and support them in improving their daily living skills, housing and health. The post holder will hold a case load of clients with complex support needs, and provide comprehensive assessments, risk assessments, and undertake recovery planning and support.
The post is part of the HAGA Alcohol Service, and the post holder will be expected to work across the Haringey Treatment System and will a range of voluntary and statutory agencies. Main duties and responsibilities:
Provide 1:1 psychosocial interventions to repeat attending patients at NMUH engaging them in HAGA’s wider alcohol treatment service. Carry out comprehensive assessments (including risk assessments) and basic occupational health assessments. Liaise other services including: mental health, primary care, disabilities, social care and any other relevant services in response to service user needs. Monitor, report on and improve outcomes across a range of measures, but particularly to reduce preventable GP attendances, urgent care centre attendances, A&E attendances, hospital admissions, ambulance call-outs for the service users in the “frequent attender” cohort. To conduct hospital ward rounds to identify those with alcohol specific needs and engage them in treatment. To conduct hospital ward rounds to identify those with alcohol-specific complaints and engage them in treatment To travel to various locations by within Haringey, to make contact and build up relationships with the hospital “frequent attenders” through regular and consistent contact episodes and motivational interviewing oriented interventions. To comprehensively assess the needs of the service-user group, in hospital or community settings and within their own homes. Offering appropriate interventions and referrals as agreed with manager/team members and in line with outputs and outcomes agreed for the project. To ensure that joint assessments take place as required and interagency partnership working is prioritized Advocate on behalf of service users in obtaining assistance with housing, benefits, mental and physical health care and access to substance misuse treatment services at whichever tier is appropriate. Assist service users in developing strategies, which improve self-esteem, social skills and psychological wellbeing that supports their rehabilitation from alcohol misuse. Teach service users appropriate daily living skills to manage own alcohol and substance misuse along with improve health and social functioning. To act as a care coordinator for service users needing residential detox/rehabilitation in agreement with nursing staff at HAGA. To work collaboratively with statutory and voluntary prescribing services and encourage clients’ medication compliance, as well as advocating in case of concerns. Attend regularly the NMUH and where appropriate the Homerton, St Ann’s and Whittington Hospitals in order to engage, assess and provide care input for service users. Conduct functional assessments informed by occupational therapy approaches for the purposes of providing practice support and appropriate referral for occupational therapy input or social care.
To carry out initial screening and triage assessment for new clients, and to follow up immediate risk/needs appropriately. To carry out in-depth strength based assessments, including assessment of physical and mental health needs, social and support issues. To provide crisis intervention and duty services on a rota basis, for clients whose Keyworker is not available. To provide harm reduction advice, information, and support with an emphasis on safer drug use, safer sex, HIV, Hepatitis A, B, and C and other blood borne infections. To carry out Dry Blood Spot testing for clients at risk from Hepatitis C, and to discuss and support service users with possible outcomes both before and after testing. To work closely with the Nursing Team and refer clients who test positive for BBVs. To manage a caseload, this may include service users with complex needs. In consultation with service users and the multi-disciplinary team, to develop flexible and realistic strengths-based recovery plans. To review care plans at agreed intervals, with the focus on service user input and participation, according to service policy. To provide one to one keyworking and care coordination with service users, ensuring that strength based assessment and care and recovery planning is conducted on an individual basis according to the specific needs of the service user. To employ a range of interventions with service users, including ITEP, Motivational Interviewing, Level 1CBT-based Brief Solution Focused Therapy. To be fully familiar with treatment tools, including any tools that measure the cycle of change and the phasing and layering of treatment, to use in keyworking sessions and in supervision, and to be able to provide training on such tools. To provide information about, signpost to and facilitate access to Recovery focussed activities such as Mutual Aid, Peer Support, ETE, etc. To work with other team members to plan, facilitate and evaluate a comprehensive group work programme, including relapse prevention, harm reduction, SMART Recovery, Open Groups. To be flexible and able to deliver interventions in any of the treatment pathways dependent on the needs of the service To follow local Safeguarding procedures in order to promote the safety and wellbeing of children and vulnerable adults. To support the production of reports necessary for social services, courts or other external organisations. To make home visits consistent with need and in line with Blenheim policies. To support services users to become involved in local service user activities, planning and review of services. Where appropriate, to engage friends and family of the service user in their treatment, where explicit consent has been given. To supervise volunteers and peer mentors and encourage service users to take up peer mentoring and volunteering activities.
To work effectively with all partner agencies e.g. voluntary and statutory agencies such as Criminal Justice, Adult and Children Social Services Departments, Mental Health, GPs, MARAC, Housing etc.
To attend and participate fully in all clients-based meetings, business and external meetings when required, including Core Groups and Case Conferences as required. To develop a network of contacts with relevant agencies to promote service accessibility for the client group. To work as an effective member of the multidisciplinary team actively participating in team meetings, group supervision and clinical team meetings. To work effectively with the multidisciplinary team to achieve service objectives. To enter new client information onto the Case Management System, ensuring it is accurate and complies with NDTMS requirements. To maintain clinical data entry to agreed standards at all times, including progress notes, risk assessments, care plans, safeguarding information, and inward/outward referrals. To achieve individual and service targets, reporting to supervision and team meetings. To ensure that all interventions are underpinned on sound theoretical methods to ensure that outcomes are measurable. To ensure that client confidentiality is maintained at all times and to adhere to the Data Protection Act. To adhere to the risk assessment, policy and procedure
Person Specification - Essential criteria:
Extensive experience of working with people with alcohol & drug misuse and problems. Skilled at completing Comprehensive assessment, risk assessment and management plans. Able to formulate SMART care plans. A good understanding of the complex needs and problems that confront those with a history of problematic alcohol misuse, e.g. physical, psychological, mental health, legal etc. A good understanding of alcohol harm minimisation and how it can be used as an intervention to reduce the risk of harm to individuals and the wider community Able to effectively engage with clients about their alcohol use through good verbal and non-verbal communication whilst maintaining boundaries. Good motivational interviewing skills and able to develop a therapeutic alliance. Able to build and maintain positive and collaborative working relationships with both work colleagues and people from partner agencies. Able to demonstrate respect for the diversity, culture, values and choices of clients and wider family and community. Able to promote equal opportunities and challenges discriminatory practice. An understanding of child and adult safeguarding and the skills and abilities to manage and monitor safeguarding cases. Candidates will be recruited within the advertised range, please did not automatically expect initial recruitment to be at the top end, as this will depend on experience and enables progression in role through the Humankind development process . Please note that all communication regarding your application for this post will be sent to the email address you provide on your application form. We will contact shortlisted candidates by email to confirm the arrangements for interview. Please check your email inbox after the closing date for notification as you will not be notified by any other means. Please remember to check your junk folder. Due to the current restrictions as a result of the coronavirus pandemic, interviews will be via Microsoft Teams or Zoom.