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PERSONAL SPECIFICATION / SELECTION CRITERIA Each statement contained in the Personal Specification / Selection Criteria must be justifiable by evidence obtainable from an analysis of the job. The specification should decide the person is capable of doing the job adequately. POST Mental Health Support Midwife DEPARTMENT Midwifery and Nursing LOCATION: The Rotunda Hospital DATE: February 2014 FACTORS ESSENTIAL QUALIFICATIONS EXPERIENCE (LENGTH AND TYPE) PROFESSIONAL KNOWLEDGE KNOWLEDGE CORE COMPETENCIES DESIRABLE Registered in the Division of Midwifery or Nursing or Psychiatric Nursing Clinical expertise in the care of women who are experiencing distress in pregnancy and postnatal depression in the first year following childbirth 3 years post- registration experience. Evidence of professional development. Up to date knowledge of issues and treatments relating to this group of patients, or ability to source same. Knowledge of relevant research. Strategic planning and development knowledge. National Quality/Hygiene Schemes Freedom of Information. Risk Management. Scope of Practice. Good Communication Skills Good Organisational Skills Good Management/Leadership Skills. Good Counselling Skills Ability to work as part of the Multidisciplinary Team and alone. 1 Have undertaken professional study at third level. Counselling Programme. Have undertaken relevant courses or attended relevant conference workshops and seminars. Have evidence of presenting data or reports to a wide audience. Counselling Qualification February 2014 JOB DESCRIPTION MENTAL HEALTH SUPPORT MIDWIFE TITLE OF POST : Mental Health Support Midwife GRADE: Clinical Midwife Manager 2 REPORTING TO: Consultant Psychiatrist Assistant Director of Midwifery/Nursing ACCOUNTABLE TO: Director of Midwifery & Nursing ESSENTIAL QUALIFICATIONS: Registered Nurse/Midwife. Experience and clinical expertise in the care of women who are experiencing antenatal and postnatal depression in the first year following childbirth. Anxiety management is also an essential part of the role. Have the ability to practice safely and effectively, fulfilling his/her professional responsibility within his/her scope of practice. Evidence of continuing professional development must be demonstrated. PURPOSE OF THE ROLE: The Mental Health Support Midwife is an expert Midwife and local champion who leads work with the Maternity Services to ensure that women with perinatal mental illness and their families receive the specialist care and support they need during pregnancy and in the postnatal period. They also raise awareness of Postnatal Depression and organise early management and treatment. Specialist Mental Health Midwives can provide expert advice to colleagues and to women and their families, and act as a resource on issues relating to the identification, assessment and management of mental health problems during pregnancy or after birth. This is turn: Raises awareness to ensure pregnant women and their partners are informed of the emerging signs of mental health problems and illness and what to do if these problems occur. Assists with building a trusting relationship which helps women to feel confident in speaking out if they are unwell. To support women to access additional care if required. Prevents depression in some women. Also benefits women not vulnerable to clinical depression. Promotes positive mental health of mothers which is central to the physical and psychological wellbeing of families/preservation of family unit and helps to reduce the stigma and discrimination associated with poor mental health. Promotes a positive relationship with babies. 2 February 2014 RESPONSIBILITIES: Work with colleagues to ensure that there is routine screening and early identification of women with, or at risk of a mental illness. Work with colleagues to ensure that women and their families receive appropriate information about mental health and illness in a sensitive way. Ensure that all policies and guidelines relating to women with perinatal mental illness are evidence based and appropriate, and that they are adhered to. Support and assure the implementation of guidelines by statutory and professional bodies as they relate to mental illness. Collate, analyse and report on information about the quality of service provided to women with mental illness. Use research to support evidence based practice and shape the strategic direction of support for women with mental illness and their families. Identify areas for research, audit and development relevant to mental health. Initiate and participate in research and clinical audit programmes, and encourage other Midwives to do the same. Screening all pregnant women for risk factors starting at the booking clinic and continuing throughout antenatal period. Early intervention by Mental Health Support Midwife offered to High-Risk group. Communication and referral between appropriate professionals. Normalising the possibility of PND through the use of the Edinburgh Postnatal Depression Scale (EPDS) on all patients prior to discharge. This is used in conjunction with a discussion on the symptoms, prevention and early identification of PND and information on where help is available. Early follow-up offered to those at risk. Close attention to those women showing evidence of risk factors such as previous history of depression, unexpected difficulties at delivery, social isolation, a poor partnership relationship or recent adverse life events. Liaison with appropriate agencies that can provide service for at risk women i.e. Social Work Department, Public Health Nurses, Local Psychiatric Services, Hospital Psychiatric Services, Postnatal Distress Support Group, Mother and Toddler Group. (Social support can help to prevent or alleviate depression). Challenging beliefs and myths around Motherhood and social expectations e.g. ‘New mothers should be very happy and able to cope’ and encourage mothers to have more realistic ideas on the stresses of Motherhood and to accept help when available and appropriate. Discussion on the importance of ‘time off’ (e.g. An uninterrupted bath or walk to shops) and also the importance of time to relax and enjoy baby. Sharing information on PND with partners where possible as depressive behaviour can be interpreted as hostility and rejection rather than a cry for help. Above discussions to be accompanied by literature on postnatal distress. Be aware of and implement all Policies, Guidelines in relation to Infection Prevention and Control / Decontamination Actively contribute, participate and ensure compliance with the key areas identified in the following: o Infection prevention and control / decontamination o National Quality/Hygiene Schemes o B.F.H.I. and all audits deemed necessary by the Rotunda Hospital Management Team. PATIENT/CLIENT ADVOCATE To act as an advocate for the individual woman by communicating, negotiating and representing her needs to the multidisciplinary team and to ensure they get the specialist mental health care they need. 3 February 2014 To support the woman in aspects of her relationship with her family which may be affected by the condition. EDUCATION AND TRAINING: Act as a resource for all staff involved in maternity care (including Obstetricians, Midwives, Student Midwives and Maternity Support Workers. Provide evidence based advise, support and information with regards to the appropriate management and referral of women with mental health problems and their families. Provide education and support for staff caring for women diagnosed with postnatal depression. Identify training needs for all staff caring for women with postnatal depression and plan and assist with in-service teaching programmes to address these needs. Plan and implement appropriate specialist in-put to induction and orientation programmes for new staff. Provide information, education and support for families where appropriate. Undertake family education where appropriate. Ensure that appropriate and up-to-date information is readily available for patients, families and staff. Maintain high standards of clinical skills by continually reflecting on practice and accessing appropriate education. RESEARCH AND AUDIT: Initiate and facilitate developments in nursing within the specialty. Lead in the evaluation of midwifery/nursing care in this care group. Lead in the development of multidisciplinary and midwifery standards of care, protocols and guidelines for women who are diagnosed with Perinatal Depression. Lead in the development of databases and the collection of data. Improve the quality of service for patients by implementing evidence-based care. Lead in the audit of perinatal care and outcomes in this cohort of women. Identify and facilitate areas for midwifery/nursing research relating to this group and participate in multidisciplinary research projects. CONSULTANT: To be involved in the provision and development of Mental Health Perinatal Services in conjunction with the Consultant Psychiatrist. MANAGEMENT: Collect statistical information and data in order to inform the service and to aid the future planning process. Establish links with other organizations, both at national and international level where appropriate, providing support and information regarding this specialized area and utilize these additional resources where necessary, to benefit parents care. Be available as a resource to colleagues in other institutions in the process of establishing similar Midwife-led support programmes. To identify and communicate to all staff in the department, procedures/practices, which will ensure the implementation of Infection Control Policies as agreed by the Hospital. Identify Clinical Risks and liaise with the Clinical Risk Manager to ensure they are investigated and action taken to reduce future risks. Actively contribute and ensure compliance with the key areas identified in National Quality/Hygiene Schemes. Ensure that Data Protection Regulations are adhered to. Work with the Assistant Director of Midwifery & Nursing and others in identifying Key Performance Indicators and reporting on a monthly basis compliance and progress. 4 February 2014 Be aware of and comply with the policy on Staff Responsibility for the Protection and Welfare of Children. Each appointment is subject to a hospital contract. Roster: Full-time: 39 hours per week (average exclusive of meal times) Annual Leave & Public Holidays: As approved by the Department of Health & Children. Salaries: As approved by the Department of Health & Children. THIS JOB DESCRIPTION IS SUBJECT TO REVIEW BY THE HOSPITAL AUTHORITY FROM TIME TO TIME. THIS IS A JOB DESCRIPTION OF THE PRINCIPAL RESPONSIBILITIES OF THE POST AND IS NOT A COMPREHENSIVE LIST OF DUTIES. 5 February 2014 6 February 2014