Consultant Child & Adolescent Psychiatry

consultant child & adolescent psychiatry

royalhospital for sick children

Information pack

reF: 31550d

Closing Date:noon17th january 2014

SUMMARY INFORMATION

Post: consultant child & adolescent psychiatrIST

Base:royalhospital for sick children

The post-holder will join a group of Consultants within Child and Adolescent Psychiatry currently employed by NHS Greater Glasgow and Clyde (NHSGGC). Child and Adolescent Mental Health Services (CAMHS) in NHSGGC provide a range of services, from those which focus on the delivery of a high quality mental health service to a local community, through those offering more narrowly targeted services to a wider area, including the West of Scotland Regional Adolescent Inpatient Unit and the national children’s inpatient unit.

This post will provide medical input to Tier 4 Mental Health Services. Redevelopment of tier 4 services in NHS Greater Glasgow & Clyde along with a consultant vacancy has led to the opportunity to develop an exciting new post for some of the most vulnerable children and adolescents in the area. We are hoping to recruit a psychiatrist who is innovative and enthusiastic to help to develop and deliver this service.

This service specialises in developing and delivering mental health services to children and young people who are presenting with significant mental health problems which require additional interventions to those provided within locality CAMHS services. The post will provide psychiatric assessment and intervention for the most vulnerable children and young people in NHS Greater Glasgow & Clyde who are often looked after and/or accommodated and\or who have high forensic risk in addition to mental health disorder.

This post will require an interest in the Law as applied to children in terms of The Children Scotland Acts 1995 and the 2011 Act on Children's Hearings, the Mental Health (Care and Treatment) (Scotland) Act 2003 and the Criminal Procedures (Scotland) Act 1995. The postholder will be responsible for providing psychiatric assessment and treatment to children and young people under 18 years of age, supporting and working with other team members, and providing reports for the courts and children's hearings where required.

DRAFT JOB DESCRIPTION

CONSULTANT CHILD & ADOLESCENT IN PSYCHIATRY

Specialist Children’s Services

Tier 4 CAMHS, YorkhillHospital

NHS Greater Glasgow and Clyde

INFORMATION PACK FOR POST OF CONSULTANT

CHILD & ADOLESCENT PSYCHIATRIST

1. who also had a learning disability (LD-CAMHS);

1. who were also involved in serious offending (Forensic or F-CAMHS);

1. who were also looked after and accommodated (LAACMH team);

1. who required intensive home treatment.

1. who required support from the Self Harm Team.

1. The post holder will play an active role in developing and delivering a mental health service to children and young people who fit the criteria for CAMHS Tier 4 services particularly in the complex vulnerability care pathway.

1. The post holder will have a key role in the development, delivery and evaluation of Tier 4 services, ensuring effective care pathways and links of these services to other CAMHS services and relevant agencies

1. The post holder will be expected to lead and contribute to the development of systems to ensure that service development is, as far as possible, linked to robust processes of evaluation and research. This will include contribution to research (time negotiable) as an acknowledgement that this service is set within a developing field of practice in relation to which the evidence base is limited.

• Complex ASD
• Complex LD and Mental Health Problems
• Forensic CAMHS
• Complex Vulnerability (including LAC)
• Eating Disorders

1. Build capacity in CAMHS Tier 3 to provide assessments and care for children and young people in the above care pathways.

1. Agree roles and responsibilities between CAMHS Tier 4 services and CAMHS Tier 3 services specific to individual care pathways.

1. Develop a workforce and training plan to ensure that both CAMHS Tier 3 and Tier 4 staff have the skills and competencies required to deliver the services specified.

1. Provide link workers for the specific care pathways i.e. LD CAMHS and Complex Vulnerability (including LAC), to provide support, advice, consultation and case holding capacity to Tier 3. Link workers will deliver and support others to deliver Choice and Partnership appointments where the child or young person is presenting to CAMHS Tier 3 in these care pathways. These responsibilities can be effectively carried out by a number of professionals but the formal validated training in mental health, case holding capacity and skills and experience in the topic in the specified care pathway (i.e. LD CAMHS and Complex Vulnerability (including LAC) will be essential.

1. Ensure that there is sufficient capacity and expertise across CAMHS Tier 4 services and that CAMHS Tier 4 services work collectively with a single point of entry and as a single MDT (NB. Current teams have been collocated in Block 4, RoyalHospital for Sick Children, adjacent to other CAMH services for service and clinical reasons. This will facilitate the creation of a single MDT CAMHS Tier 4 hub during the Workforce Change process.)

1. Ensure that services for specific groups of children and adolescents with mental health issues and other co-morbidities (e.g. Learning Disabilities, Neurodevelopmental Disorders, Substance Misuse issues etc.) are appropriately and effectively provided.

1. Ensure that appropriate and effective services are available to respond to crisis/emergency mental health situations for all children and young people, both in-hours and out of hours. This includes CAMHS community on-call arrangements in hours and out of hours and timely admission to appropriate emergency inpatient services if and when required. A separate proposal for a CAMHS RMN Nurse in Charge/Out of Hours Service has been agreed to support the CAMHS Medical On Call Service currently in operation.

1. Ensure that effective care pathways exist between CAMHS Tier 3 and CAMHS Tier 4: Including the following:-

• Robust and clear systems and processes for each Tier and the service interfaces,

• Effective communication between clinicians, users, carers and other professionals supporting children and young people.