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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