Detailed job description and main responsibilities

Key Task and Responsibilities

To deliver a range of specialist interventions at primary and secondary care level; to include

·        Referral management, screening assessment, triage, and evidence-based interventions

·        Care Planning and risk assessing

·        One-to-one and group-work facilitation

·        managing a mixed and challenging caseload

·        providing appropriate, pragmatic harm minimisation advice to patients

·        providing drug, alcohol and holistic health education to patients and colleagues

Leadership

• Provide supervision to junior staff and to receive supervision as directed (line management and clinical).
• To develop and take on a specialist lead role within the Integrated Substance Misuse Service as appropriate and provide peer support and training in this area.
• To contribute towards support, advice, consultation, and training for other prison departments.
• Provide supervision, mentorship & leadership for junior staff.

Clinical

• To complete comprehensive clinical assessment, developing immediate risk management and safety planning and instigate recovery planning for all prisoners arriving in HMP Bristol who have an identified substance misuse need/dependency issue.
• Through assessment, identify and escalate safeguarding concerns relating to patients and their families at the point of arrival into HMPPS. 
• Assist in the clinical oversight of new arrivals over the first five days in prison.  
• Correctly identify indicators of withdrawal or sedation and request appropriate clinical interventions to support patients including Opiate Replacement Therapy, alcohol detoxification and benzodiazepine detoxification. 
• Provide relevant harm minimisation and health education advice for patients with alcohol and substance use issues, including education in the administration of Naloxone.
• Provide a range of evidenced-based specialised clinical care in the treatment of alcohol and substance dependency, and signposting for co-morbid conditions associated with and compounding to, patients’ substance and/or alcohol use.
• Ensure that patients’ needs are addressed effectively and in a timely manner, ensuring equivalence of care or better that one would expect from accessing services in the community.
• Participate in and co-ordinate joint and collaborative care planning for patients with additional complexities, including developing appropriate signposting to specialised services and release planning.
• To perform robust assessment, screening, and interventions to offenders with a learning disability
• To participate in resource centre services as directed, delivering specialist drug, alcohol and holistic healthcare activities under the direction of the clinical lead.
• To work in a psychologically minded way with prisoners in achieving their agreed goals and quality health outcomes.
• Please see JD&PS