Two exciting opportunities have arisen for a Consultant Psychiatrist and Band 6 Nurse in the Millfields Unit, John Howard Centre, London
This post offers a rare opportunity to work in the rapidly-expanding field of forensic personality disorder. The full-time position, which has become vacant due to retirement, is based in Millfields Unit at the John Howard Centre medium secure service in Hackney, East London. Millfields provides assessment and treatment for 16 adult men with severe personality disorder from London and the South, who have committed serious offences and continue to pose a high risk to others. The successful candidate will be Responsible Clinician for 10 to 12 of these patients, and for up to five outpatients. The clinical model, which is influenced by psychodynamic thinking but highly integrated with other approaches, is that of a modified therapeutic community, with community meetings and small group psychotherapy. Integrated into this over-arching framework are individual psychotherapy, psychology, art therapy, structured offending behaviour work, and an imaginative programme of education, activities and paid work. The multidisciplinary ethos of the service is exceptionally strong, and regular staff support and reflective practice groups are provided. We are also part of a consortium of four London mental health trusts, which together have been awarded contracts to deliver specialist personality disorder services in three prisons and for the probation service across the capitol. The post-holder will contribute to services management team, to its relationship with Offender Personality Disorder Commissioners, and to the continuing development of our newly-funded Community Team. There are good teaching opportunities: the service runs a pan-London, multi-professional course on working with personality-disordered offenders, and in 2017 will be delivering an MSc module in conjunction with Queen Mary, University of London. The service has a strong track record in research, and the post-holder will be supported in this area.
Closing date 27th November 2016.
East India Ward is a 16-bedded ward in a medium secure forensic unit and is a service for men over the age of 18 who can be described as having severe personality disorder. The ward operates as an adapted democratic Therapeutic Community and attempts to create an environment, which turns experience into learning for both patients and staff. The model of treatment is action based and uses an integration of psychoanalytical / dynamic concepts, cognitive behavioural and social systems theory to support the psychological, physical and social functioning of the individual within the group setting. The therapeutic milieu encourages a culture of enquiry through the use of daily domestic tasks, and recreational aspects of living as a tool for understanding and exploring the interpersonal exchange between patients and staff. The emphasis is on promoting personal awareness and social functioning particularly as these relate to criminal behaviour. In addition there are a range of complementary interventions embedded into the therapeutic community structure, including cognitive behavioural groups for anger management and substance misuse. This post focuses on the need to bring strong clinical leadership into the clinical area to promote a high performance culture, improve the service user experience and really challenge traditional nursing through new insights and perspectives. The post holder will foster a philosophy of pride, work towards meeting ambitious clinical targets and will work with others to bring the specialism back into mental health nursing. They will support the Matron and Clinical Nurse Manager in establishing systems that support therapeutic engagement, promote best practice in relation to mental health and physical care and work alongside nursing staff to influence and enable change and clinical excellence. The post holder will adopt a culture of defensible practice that does not stifle creativity, and will be tenacious and resilient with an ability to sustain these qualities in the face of adversity. This post provides the opportunity to combine your therapeutic and management skills. You will be expected to provide clinical leadership, staff supervision and demonstrate sound group work skills to enable you to work effectively within the therapeutic community model.
Closing date 6th November 2016.