HAGA is the alcohol service, supporting those affected by primary alcohol misuse. HAGA provides support for residents of Haringey to address their alcohol use. The service delivers a range of support and treatment including community alcohol detoxification, extended interventions within GP Practices, a 12-week alcohol stabilisation programme, hospital link work, and a range of psychosocial interventions. The role of Enhanced Alcohol Detox Recovery Worker will work alongside HAGA team and the North Middlesex Hospital departments, including Accident & Emergency, Out Patients, Social Care, Wards. You will work in North Middlesex Hospital up to 3 days per week, identify patients with alcohol related issues, providing harm reduction advice, information of treatment services, undertaking comprehensive assessments and referrals. You will work with people with alcohol related problem in the community and at the HAGA service locations as part of the detoxification treatment and recovery plans. The primary focus is to work alongside the nurses, recovery staff and service user in the preparation for the alcohol detox by providing assessment, care planned key working and group work. Supporting service users during detox and ensuring after care is considered. Provide advice, guidance and information to carers of service users undertaking ambulatory detox. For those who are suitable to undertake ambulatory or home detox safely, who have no family/ friend support, you will stay with them overnight for the first 72 hours (9pm-9am). Main duties and responsibilities:
Community Detoxification Work
To support people with alcohol problems in the community detox service who need home supervision. To liaise with the Nurse leading the detoxification. To respond the client’s presentation and access medical intervention as needed as part of detox supervision To stay overnight at their home whilst the individual undertakes detox To undertake regular supervision and health checks throughout the Detox (including CIWA-Ar) To support clients in compliance with prescribed medication. To keep full and accurate records of the detox in the relevant logs provided. To provide full and comprehensive updates to the nurses at handover times. To adopt an approach helping clients stabilize their alcohol use, as part of HAGA service ethos and principles To monitor outcomes for service users, and produce reports relating to outreach activity To assess the wellbeing of clients during the detox process. To assist assessment with identified clients in various settings across Haringey with other professionals and attend external appointments with clients as required.
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. 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 support the production of reports necessary for social services, courts or other external organisations. To make home visits consistent with need
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.
Recording, Monitoring and Evaluating
To enter new client information onto the Case Management System, ensuring it is accurate and complies with NDTMS requirements. To maintain clinical data entry & confidentiality 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. This job description is intended to provide a guide to the general duties and responsibilities of the post. It should not be regarded as a contractual document. It will be reviewed regularly and may be varied at the discretion of Humankind
Person Specification - Essential criteria:
Extensive experience of working with people with alcohol problems and drug problems Extensive experience of working with people with alcohol problems including use of alcohol specific assessment tools, delivery of Extended Brief Interventions, and motivational interviewing skills A good understanding of the complex needs and problems that confront those with a history of problematic alcohol substance misuse, e.g. physical, psychological, mental health, legal etc. Ability to undertake comprehensive assessment, risk assessment and produce risk management plans and smart care plans aimed at recovery. Able to establish and maintain good productive working relationships both within a multi-disciplinary team and with external partners using communication skills appropriate to the audience An understanding of child and adult safeguarding and the skills and abilities to manage and monitor safeguarding cases Experienced in designing, facilitating and evaluating group work programmes. 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. Able to undertake waking night sessions (12 hours per session for 3 nights) 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.