SPECIFIC POSTS These timetables and descriptions are indicative only and subject to change with service development and will be tailored to meet individual trainees learning needs after discussion and agreement from individual educational supervisors. 10
POST: TRAINER: EMPLOYING TRUST: TRAINING BASE: Liaison Psychiatry Dr Peter Aitken Devon Partnership NHS Trust Wonford House Hospital, Dryden Road, Exeter, EX2 5AF JOB DESCRIPTION: This integrated mental health and wellbeing service will maintain and improve current mental health care provision to RD&E hospital. All service user presentations to the RD&E that are referred to the service will be seen and assessed by an integrated clinical team, who can deliver sophisticated assessments and interventions shaped to the needs of patients of the RD&E, draw on all three functions in any of the Mental Health Networks or arrange care out of county. The team uses bio-psycho-social assessment, signposting, brief intervention, or brokerage depending on identified level of need. The team conducts environmental risk assessment & management, mediation, group and team work, anxiety management, care planning, contingency planning, education, training, mentoring and medico-legal advice. The team uses a brief intervention tool kit based on motivational interviewing toward engagement with the care plan, problem solving or CBT based sessions at the bedside or in outpatient follow up. The team was commissioned three years ago to provide to adults of working age 0900 – 1700 Monday to Friday. (The same model of service is offered from the Exeter Crisis Team as the ‘Hospital At Night Team’ between 0000 – 0900.The SHO on call service provides from 5pm - midnight) The liaison team provides a service within one hour to the Emergency Department of the RD&E and a same day service to the 650 inpatient beds on the Wonford and Heavitree sites. Its performance is measured against 650 assessed annually, admissions avoided, action against delay to discharge, actions to avoid repeated admission, compliance with the 4 hour wait, suicide reduction. Health and Neuropsychology The service has been developed over many years to meet the psychological needs of inpatients in the RD&E, and to provide a neuropsychology service to adults with acquired neuro-disability. The health psychology team uses psychological assessment, brief interventions, short term psychotherapy (CBT, CAT) and multidisciplinary multimodal group work in outpatients. The team conduct care planning, education, training, supervision for psychological interventions and leadership of bio-psychosocial group interventions. The health psychology service is currently provided to specialist services- pain management, respiratory medicine; cancer care, kidney unit; otolaryngology. The service also provides rapid response to referrals from any department, where psychological distress impedes medical or surgical treatment. The neuropsychology service offers psychological assessment; neuropsychological assessments; brief interventions; neuro-rehabilitation; short term psychotherapy (CBT, CAT) and couple therapy with adjustment issues in outpatients. The team conduct care planning; coordination of bio-psychosocial intervention and support packages; education & training; support, coaching and supervision with enablers. The median number of individual therapy sessions delivered is 6. Integrated multi-professional group sessions up to a maximum of 6. The service is currently provided to neuro-reablement inpatient and community units, including Mardon. The health and neuropsychology services are available 0900-1700 Monday to Friday. Research Innovation and Improvement The department of psychological medicine is co-located with the Directorate of Research & Development where there is an MRC NIHR funded program of research into suicide prevention and harm minimisation from self harm, a research support service, an innovation group developing novel uses of information management 11
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