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NHS KSF Outline for Mental Health Chaplain
Maudsley Hospital
South London & Maudsley NHS Trust
Job title:
Mental Health Chaplain
Reports to:
Lead Chaplain
Accountable to: Lead Chaplain
Job summary 1. To assist in the design and delivery spiritual and pastoral care to service users, carers and mental health staff working within
SL&M services and partner organisations.
2. To offer a wider source of advice, support and counsel in matters concerning spiritual and pastoral care to other health care
professionals and managers
KSF outline with examples of application
Dimension and
Indicators
Examples of application
level
People with whom communicating
Dimension 1
- Service users
Communication
- Relatives/carers
- Colleagues/clergy
Level 4
- Other religious leaders of different faiths
Develop and
- Faith communities
maintain
- Healthcare staff
communication
- Service delivery and development managers
with people on
- GPs
complex matters,
- Volunteers
issues and ideas
- Registrars
and/or in complex
- Coroners
situations
- Students
1
Foundation
Gateway
Situational factors, issues and risks
- verbal abuse/aggression from service users or members of the public
Level 3
Communicate
and maintain
communication
with people about
difficult matters
and or difficult
situations
Taking action to improve communication
- assessing the need for translators/advocates in a widely culturally diverse population
- accessing and using the interpreter service to aid communication with service
users/relatives/carers
Purpose of communication
- providing spiritual, pastoral and religious counselling to distressed patients and/or their
relatives
- comforting patients in states of high distress and disturbance
- offering advice and support to clinical staff and managers in order that they may better
support the spiritual and pastoral care needs of service users
- providing and receiving complex/sensitive or contentious information e.g. exploring the
interface between religion/spirituality and mental health with highly disturbed service
users
- listening actively and demonstrating empathy with service users who may have a
different sense of reality
- overcoming barriers to understanding or acceptance of mental illness
- raising awareness and understanding of mental illness for staff and relatives/carers as
well as service users
- being a source of information and reassurance to try to remove/lessen the stigma and fear
associated with mental illness
- establishing and maintaining relationships in difficult pastoral circumstances
- dealing with differences of opinion in an equitable and objective manner
- receiving information from service users in hospital while being bound by the dual
demands of the Chaplaincy and the NHS in respecting the confidentiality of personal
information and what may be shared with the team
- advising clergy and other religious leaders in the pastoral care of their people while in
2
-
hospital
advising healthcare staff in the spiritual, pastoral and religious care of patients and
relatives/carers especially in the interface between spirituality and mental health
teaching staff and students.
facilitating information and advice sharing networks among local faith communities
concerning the relationship between spirituality, religion and mental health care
acting as a resource for a wide range of people seeking advice.
advising healthcare staff, patients/carers on multi-cultural issues and spiritual values
conducting services of public worship in the hospital Chapel
publicising when services will be held
facilitating ceremonies and sacraments
publicising Chaplaincy in mental health locally by presentations at seminars, conferences
etc.
Indicators
Dimension 2
Personal and
people
development
Level 3
Develop oneself
and contribute to
the development
of others.
FGW Level 2
Developown skills
and knowledge
and provide
information to
others to help
Examples of application
Own development needs
- keeping up-to-date with best practice through participation in courses, conferences and
professional association activities e.g. study days for mental health chaplains
- being committed to and understanding own professional spiritual growth and
development within an overall framework of a more general perspective on human
emotional and psycho-spiritual development
Personal development
- receiving professional supervision related to psychological working.
- identifying own personal development plan with line manager
- engaging in reflective practice
- developing expertise and special interest within a programme of care e.g. mental health
Enabling others to develop
- Assisting to develop mental health training for chaplains working in mental health
settings.
3
-
their development
-
-
Dimension and
level
Dimension 3
Health, safety and
security
Level 2
Monitor and
maintain health,
safety and security
of self and others.
contributing to a wide range of service initiatives in training and education
offering advice, guidance and consultation to healthcare staff on issues related to
spiritual assessment and care of patients and relatives
modeling ways of working which emphasise the workplace as a learning environment
acting on evidenced based practice as a normal way of working.
teaching healthcare staff how to address the spiritual needs of service users
contributing to and assisting with ad hoc seminars for doctors and psychologists on the
interface of spirituality and mental health.
offering work related support to staff experiencing stress
acting as a resource for knowledge, support, training and education for healthcare staff
contributing to the planning, implementing, and evaluating the delivery of formal
programmes which provide the core competences needed for CHCC Professional
Registration - entry level
contributing to the theological and professional development of the Chaplaincy Team
supporting the Director in running the formal programmes
supervising theology students in the workplace
coordinating part time chaplains and volunteer-student placements
teaching volunteers
Indicators
FGW
Omit
indicator
e
Examples of application
Risks to health, safety and security
- undertaking statutory training and regular updates
- ensuring that team members undertake statutory training and regular updates e.g.
students and volunteers
Monitoring work areas and practices
- ensuring that the Chapel of Rest and Chapel are suitably maintained
Taking the necessary action in relation to risks
4
-
Dimension and
level
Dimension 4
Service
improvement
undertaking an assessment of risk in all cases e.g. especially when working in high
dependency locked areas
providing training for volunteers basic personal safety when working individually with
patients e.g. how to exit the room
providing training for volunteers in managing contingencies when patients are being
transported from place to place
ensuring security of information relating to patients
Indicators
FGW
Omit
indicators
e&f
Level 2
Contribute to the
improvement of
services
Examples of application
Direction, policies and strategies
- identifying and evaluating the development of Chaplaincy work in a multi-faith setting
- making recommendations for improving draft policies and strategies where they may
adversely affect service users
- advising managers to improve mental health services.
- advocating and supporting the development and implementation of ''Trust values'' and
production of value statements.
Evaluating own and other's work
- becoming aware of local and national initiatives/ policies/ targets and discussing their
implications for service delivery with the multi-faith team
- observing and feeding back on how Trust value statements has become embedded in the
culture of service delivery
Further action
- publicising Trust developments
Dimension and
Indicators
Examples of application
5
level
Dimension 5
Quality
Level 3
Contribute to
improving quality
FGW
Omit
indicators
b, e
Legislation, policies and procedures
- observing and implementing the National Standards set for the effective working of the
Chaplaincy Service
- following the College of Healthcare Chaplains Code of Conduct
- abiding by the guidelines of own faith community e.g. the Church of England Guidelines
for the Professional Conduct of Clergy
- following the Psychotherapy Code of Guidance
- following Chaplaincy service policies
Working effectively in own team and as part of the whole organisation
- leading discussions on the spiritual care of patients with the multi-disciplinary team
- representing chaplains in mental health by attending meetings both within the Trust and
locally.
- developing groups of volunteers
- initiating and taking responsibility for own work pattern
- respecting the views of others and their professional roles
- working collaboratively with all other members of the Chaplaincy Team
- collaborating with other faith leaders
- promoting effective working relationships with colleagues, other professionals and
voluntary agencies
Risks to quality
- highlighting where equality and diversity policies and procedures are failing to achieve
the desired effect
- addressing service user dissatisfaction with the chaplaincy service e.g. approach of
clergy trying to impose personal beliefs
Dimension and
level
Indicators
Examples of application
6
Dimension 6
Equality and
diversity
Level 3
Promote equality
and value
diversity
FGW
Omit
indicator
c
Legislation, policies and procedures
- respecting individual’s rights in expressing spirituality through all faiths and none
- following Healthcare Chaplains Code of Conduct
- promoting equality of opportunity and good relations as outlined in the Trust's Equality
and Diversity Policy
- modeling a link between Trust value statements and essential aspects of Equality and
Diversity Policy
Actively promoting equality and diversity
- ministering with integrity to others who have a different philosophy, belief and value
system
- supporting staff who have complaints as a consequence of unfair and discriminatory
practice.
- using Trust methods and processes to resolve complaints
- protecting patients from unwanted visits from faith groups/religious representatives
Dimension and
Indicators
Examples of application
level
People will be
Dimension HWB3
- service users who have been identified as neglecting themselves or likely to harm
Protection of
themselves
health and
- service users who put others at risk
wellbeing
Level 2
Contribute to
Protective interventions will include
- working with other members of the team e.g. social workers, nurses, psychologists, other
7
protecting people
at risk
-
health care professionals
assessment and monitoring of the people concerned
on-going contact and follow-up
recording and reporting work undertaken
Dimension and
Indicators
Examples of application
level
Health and wellbeing needs
Dimension HWB4
- enabling service users and their families/carers to understand the interface between
Enablement to
mental health and spirituality
address health
- enabling service users and their families/carers/friends to overcome the fear and stigma
and wellbeing
associated with mental health problems
needs
Level 4
Empower people
to realise and
maintain their
potential in
relation to health
and wellbeing
FGW Level 3
Enable people to
address specific
needs in relation
to health and
wellbeing
Risks to health and wellbeing will include
- actual or potential self-harm
- rapid deterioration of mental health or social support networks
- the complexity and range of factors contributing to breakdown of mental health
Enable people to realise and maintain their potential will include
- counselling
- providing spiritual support
- enabling people to come to terms with large scale life changes e.g. death
- empowering service users to manage their behaviour
- providing psychological support
- enabling service users to become expert in managing their mental illness
8
Dimension and
level
Dimension HWB6
Assessment and
treatment
planning
Indicators
Level 3
Assess
psychological
functioning and
develop, monitor
and review
related treatment
plans
FGW
Level 2
Contribute to the
assessment of
physiological
and/or
psychological
functioning
Dimension and
Indicators
level
Dimension HWB7
Interventions and
Treatments
Level 3
Plan, deliver and
Examples of application
Assessments will include
- a spiritual assessment as part of the patient journey
- contributing to the development of a psychological profile of the patient
- assisting and advising healthcare staff undertaking spiritual assessments
- multi-disciplinary case reviews
Assessment may result in
- a treatment plan that includes counselling
- spiritual support
- referrals to other healthcare practitioners
- referrals to other faith communities
- advice and support of carers
Examples of application
Mental health and its relationship to spiritual-emotional-psychological responses constitutes
a complex environment for serious illness. Interventions will relate to psychological and
psychospiritual functioning and may be
- assessment
- counselling
9
evaluate
interventions
and/or treatments
FGW Level 2
Contribute to the
planning,
delivering and
monitoring
interventions and
or treatments
- spiritual direction
- spiritual practices e.g. body related techniques for self management; meditation; rituals
pastoral accompanying and moral support
10