Eating Disorders are extraordinarily complex illnesses that present with abnormalities in physical and psychological functioning. The physical complications have the potential to cause permanent damage and in some cases are life threatening. The causes are complex and multi-factorial, including genetic, neurodevelopmental and environmental influences. They require a comprehensive treatment programme including medical, psychiatric, psychological, social and educational interventions. Ellern Mede offers two treatment programmes, a Recovery Unit and a High Dependency Unit (HDU). We aim to stabilise patients' physical and psychological states as rapidly as possible for transfer to step down service. The HDU admits patients whose illness requires more intense levels of clinical involvement and nursing. The service can admit patients requiring treatment under mental health legislation. The aims of the services are to improve the patients' health and dependency needs sufficiently for transfer to a regular eating disorder unit or to the community.
* To manage a caseload of clients with complex needs, using evidence based /client centred principles to assess, plan, implement and evaluate interventions.
* To participate in the planning, development and evaluation of OT services.
* To prepare reports, conduct assessments, perform risk assessments, conduct planned and structured therapeutic activity (both individual and group) for the patient population and in collaboration with the MDT members.
* To engage with families as part of the treatment programme.
* To prepare group and individualised therapy/activity timetables and provide monthly analysis on engagement.
* To direct the activity staff and apply resources cost effectively and appropriately.
* To participate in staff training and reflective practice with the nursing and clinical team to support the learning culture of the Hospital and promote best practice.
* To work independently on a day-to-day basis. This work will be supervised and reviewed at regular intervals by the Clinical Director.
* To ensure that all patients are safeguarded from potential harm and to conduct activities in a manner which is consistent with professional practice, policy and legislation
DUTIES AND RESPONSIBILITIES Clinical
* To apply a high level of understanding of the effects of disability on occupational performance and provide training and advice on lifestyle changes and adaptations to the client's social and physical environment.
* To promote equality of outcome for service users that reflect their mental health needs and those of ethnicity, gender, culture physical health and age.
* To promote social inclusion and physical and mental well-being using evidence-based practice. This is underpinned by the principles of hope and recovery, health promotion and relapse prevention.
* To independently manage a clinical caseload of service user with complex mental health needs.
* To identify occupational therapy goals as part of the overall care plan, using specialist mental health and occupational therapy assessments, including MOHO tools.
* To exercise clinical professional judgement in complex clinical cases and difficult clinical situation, referring to senior staff when necessary.
* To consider both physical and mental health needs as part of the occupational therapy assessment.
* To plan and implement specialist individual and/or group interventions collaboratively, to enable service users to achieve valued goals and satisfactory occupational performance outcome.
* To identify any significant risk factors in line with local policies, with support from senior staff
* To contribute to and work within clinical pathways and protocols.
* To evaluate effectiveness of therapy interventions and quality of clinical decisions in conjunction with service users/carers, other professional
* To establish and maintain effective communication networks with users and carers, team members, occupational therapy colleagues and other agencies.
* To communicate with people in a manner consistent with their culture, background and preferred ways of communicating.
* To work as a member of the inter-professional team, attending meetings and contributing to decisions about the care and treatment of service users.
* To work in partnership with other relevant agencies to promote a seamless service.
* To educate service users and carers on occupational therapy interventions, for example, the use of equipment.
* To promote awareness of the role of occupational therapy within the team, negotiating priorities where appropriate