Dual Diagnosis Clinician - Nurse - Counties Manukau DHB Focus Position Description

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1 Date: July 2009 Job Title : Dual Diagnosis Clinician Nurse CMDHB Focus Department : CADS Dual Diagnosis Service Location : 50 Carrington Road, Point Chevalier & Counties Manakau DHB Mental Health Services Reporting To : Manager, Dual Diagnosis Service Direct Reports : Nil Functional Relationships with : Internal Community Alcohol & Drugs Services (CADS) Clinical Director, CADS Consultant Psychiatrist, Dual Diagnosis Clinical Team Leader, Dual Diagnosis Clinical Supervisor, Dual Diagnosis Te Atea Marino Tupu WDHB Mental Health Services External CMDHB Mental Health Services Alcohol and Drugs services Mental Health services NGO s Maori and Pacific Island agencies and services Other cultural services Caregivers Purpose : To ensure the provision of high quality, evidence based practice that meets stakeholders requirements. To develop effective and assertive treatment strategies for those people who have a serious mental illness, which is complicated by co-existing substance misuse. To improve integration between mental health and drug and alcohol services and achieve positive client outcomes. To train and support mental health and drug and alcohol professionals/support workers in dual diagnosis issues. To develop more flexible and tailored treatment approaches. Provide specialist mental health/alcohol and drug assessment and treatment services to referred clients using appropriate assessment and treatment procedures. Clients are prioritised and actioned appropriately and in a timely manner. Assessment and treatment of co-existing alcohol and drug issues and mental health disorders. Demonstration of planning, risk assessment and management and positive client outcomes, utilising knowledge and skills from Waitemata District Health Board -JOB DESCRIPTION - Approved Regional Manager September 04 Page 1

2 Assessment and Treatment Risk management Case support Client education Client support Family/whanau caregiver involvement Group facilitation Documentation Establish and maintain effective networks and relationships for liaison and consultation with Mental Health Services, CADS and related agencies. Effective systems Consultation Peer support Participate in the provision of education to health professionals (both internal and external), referral agencies, clients and their significant nursing theory. Implementation of Harm Reduction model of treatment. Maintenance of a caseload of clients (as agreed with Dual Diagnosis Manager and Clinical Team Leader). Provision of ongoing assertive case support and A&D management of clients in consultation and conjunction with other services. Management/follow-up plans for clients are developed, actioned, monitored and evaluated. Clients are seen as often as clinically indicated. Clients management is regularly discussed and reviewed with clinical team. Appropriate recommendations and/or referral to others are actioned to ensure the best outcome for the client. Clients are supported in developing their own resource systems to meet their needs. Family/whanau and caregivers are encouraged to participate with client s treatment with client s consent. Provision of group facilitation or co-facilitation as appropriate and requested. Client care is documented and care is provided in accordance with service protocols and clinical pathways. Statistical information collected and recorded as per organisational and unit requirements. All clinical file audit requirements are met. Effective systems and processes are set up and maintained which enable liaison and consultation to occur. Relationships are proactively and effectively established with mental health and alcohol and drug providers that foster mutually cooperative collaboration and consultation. An up to date knowledge base of community resources and support services is maintained. Active participation in liaison and consultation with all services that currently and/or could potentially utilise the Dual Diagnosis Service. Provision of consultation/peer support to mental health and alcohol and drug professionals, as appropriate. Active involvement in updating and dissemination of relevant educational materials. Waitemata District Health Board -JOB DESCRIPTION - Approved Regional Manager September 04 Page 2

3 others. Education Service Promotion Participation in the delivery of Dual Diagnosis and associated skills training, as required. Dual Diagnosis Training CADS Orientation and Training (COAT) Specialist skills training Evaluation To meet organisational requirements and to undertake activities that enhance professional development. Policy and Procedures Professional Development and Recognition Programme (PDRP) Orientation Performance development and review Supervision Research Quality Team Planning Training Cultural Safety education sessions to services and their staff, as appropriate. education sessions to clients and/or significant others, as appropriate. Active participation in community initiatives that promote CADS as a socially responsible service of excellence. Involvement in the planning and delivery of the Five Day Dual Diagnosis Training Programme, as required. Facilitation of co-facilitation of CADS COAT modules, as required. specialist skills training sessions to other services and their staff. Provide follow-up skill consolidation/ consultation as appropriate post training. Involvement in ongoing evaluation of the effectiveness of the training programmes being offered. All WDHB and CADS Clinical Policies, Protocols, Standard Operating Procedures, Practice Guidelines and Practice Standards are upheld. Adherers to the requirements of a competency based practicing certificate and engages in the WDHB Professional Development and Recognition Programme (PDRP) for Registered Nurses. Completion of all orientation and mandatory training requirements. All CADS Performance Development System requirements are fully met and accurate records are maintained. Supervision is undertaken from an identified Supervisor in accordance with CADS policy. Involvement in approved research and evaluation activities and projects as negotiated via the manager. Involvement in quality initiatives and continuous improvement. Educational and/or training courses, which ensure that the incumbent remains up to date in the fields of youth, mental health, drug and alcohol disorders and treatments are attended in consultation with the Manager and the Clinical Team Leader. All service activities are carried out in a culturally safe manner. Waitemata District Health Board -JOB DESCRIPTION - Approved Regional Manager September 04 Page 3

4 To ensure that the principles of the Treaty of Waitangi are supported and implemented in delivery of service Services are delivered in accordance with the philosophies, priorities and objectives of WDHB and specifically Mental Health Services Group and CADS. A demonstrated commitment to understanding the implications for Maori health that are implicit in the Treaty of Waitangi and to support and participate in the organisation s commitment to bi-culturalism. Appropriate referral to Te Atea Marino. Appropriate consultation with Te Atea Marino staff when working with Maori clients. Attendance at Treaty of Waitangi/ biculturalism training. Completes orientations and mandatory training as stipulated in the Training and Development and team policies. Philosophies and values are known and supported. Consumer rights and responsibilities are actively supported. All conduct is ethical and confidential. Safety standards are known and met. WDHB values of openness, transparency, respect, integrity and customer focus are modelled. To recognise Individual Responsibility for Workplace Health and Safety under the Health and Safety in Employment Act 1992 Support WDHB H&S culture by: All Staff: Reading and understanding the WDHB H&S policies and relevant procedures and applying to own work activities. Identifying, reporting and self managing hazards where appropriate. Ability to identify H&S reps for area. Note: The above key tasks and expected outcomes are intended to describe the general nature and level of work being performed. They are not intended to be construed as a list of all responsibilities, duties and skills required of the position and the incumbent. VERIFICATION: Employee: Department Head: Date: Waitemata District Health Board -JOB DESCRIPTION - Approved Regional Manager September 04 Page 4

5 PERSON SPECIFICATION POSITION TITLE: DUAL DIAGNOSIS CLINICIAN NURSE- CMDHB Focus Minimum Preferred Qualification NZ Registered Psychiatric or Comprehensive Nurse with Current Practicing Certificate. Relevant postgraduate health related tertiary qualification. Experience Reasonable period of experiences working in either the mental health or drug and alcohol fields. The ability to work both independently and as a member of a multidisciplinary team. Good communication and negotiating skills. Ability to develop and maintain effective networks. Ability to offer training and education to other health professionals and related groups. Demonstrate willingness and a commitment to understanding the implications for Maori health that are implicit in the Treaty of Waitangi. Indicate a willingness to support and participate in the Organisation s commitment to biculturalism. A willingness to support and participate in the commitment to the Pacific Peoples Health Charter. Good physical and emotional health. Basic computer skills. Current Driver s license (Manual vehicles). Significant postgraduate experiences working with Dual Diagnosis clients. Waitemata District Health Board -JOB DESCRIPTION - Approved Regional Manager September 04 Page 5

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