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DBT Therapist

Job Title: DBT Therapist
Contract Type: Full Time, Permanent
Responsible to: Registered Manager
Location: East Lancashire
Salary: Band 7


The DBT Therapist at the Providence Unit, Aaban Partnership Ltd. works closely with the people who use our services, their families, carers and external professionals. They will offer a specific model of psychotherapy – Dialectic Behaviour Therapy (DBT). DBT is an empirically evidence-based therapy for personality disorder, in particular borderline personality disorder. The DBT Therapist will offer an important contribution to how people experience our service and is kind and responsive but professional and informative; contributing to the quality of the services we provide by:

  • Keeping the people who use our services as safe as possible through the application of sound psychological therapy skills and effective risk assessments
  • Ensuring the best possible clinical outcomes by using up-to-date skills and adhering to evidence-based policies and procedures
  • Ensuring the people using our services have a good experience by respecting, empowering and working collaboratively with people throughout the care planning process

We believe that optimal care and treatment is delivered by multi-disciplinary teams working well together and in close partnership with other teams and services to provide seamless care. The DBT Therapist works as part of a team and contributes to the success of the team by being an effective role model and supervising Band 6 RMN’s, support workers and students.


Key Responsibilities-

The DBT Therapist ensures they are working to the standards that the people using our services deserve and the standards that the people commissioning our service expect. Aaban Partnership Ltd. requires the DBT Therapist to act in a way that shows understanding of our core values of Safe, Committed, Compassionate, Innovative Care that is delivered Authentically with Respect and Optimism. Aaban Partnership Ltd. expects all staff to live these values with service users, their friends, family and carers and also other staff members. We expect all staff, including the DBT Therapist, to model these values and help ensure that they are embedded in the practice of the team. We require our staff to deliver individualised care that empowers our service users to use resources to make their own decisions and meet their owns needs wherever possible. Aaban Partnership Ltd. is committed to providing safe, effective services for women with a primary diagnosis of personality disorder. We expect all staff to work in partnership with all internal and external stakeholders and behave in a way that shows recognition that the commissioners and users of our services are the people who generate and pay for our work.

Clinical Outcomes and Patient Experience-

The DBT Therapist will work with people who have complex needs and contribute to the effectiveness of services by:

  • Being a confident, autonomous practitioner who takes responsibility for both the care they give to service users and for overseeing the work of others in the team including RMNs and staff without a professional qualification.
  • Providing skilled, evidence-based psychological care which adheres to agreed policies, procedures, client-centred formulations and is consistent with recognised empirical therapeutic models.
  • Working with service users and their families in all stages of the care planning process including assessing risks and needs to promote good risk management and harm minimisation.
  • Supporting service users to advocate for themselves in the multi-disciplinary team and overseeing the work of others to ensure that they are also responding to the needs of service users to promote independence.
  • Working as an autonomous practitioner and taking responsibility for the interventions they offer to patients but also working as team members providing clinically effective care.
  • Communicating effectively with all members of the team.
  • Understanding how the role of the DBT Therapist fits into the team and how they help the team achieve its’ objectives and service values.
  • Reflecting on their own practice regularly and encouraging the whole team to reflect on their practices in handovers and team meetings
  • Encouraging the team to learn from adverse events or respond to data analysis from audits and implement initiatives which improve clinical outcomes.
  • Promoting psychological interventions and therapy (in particular Dialectical Behaviour Therapy) and contribute to the development of psychological formulations as a means to achieve long term, sustainable recovery.
  • Working as a co-facilitator to plan, obtain supplies for and co-facilitate weekly DBT skills groups that adhere to recognised DBT standards.
  • Routinely support the manager and the team to oversee implementation of a DBT programme by planning; promoting engagement with; and providing support for daily and weekly practice assignments – such as mindfulness practice.
  • Regularly implementing relevant progress and outcome measures.
  • Meeting regularly with the Principal Psychologist to engage in consult that addresses issues such as such as clinical progress, therapeutic milieu, risk issues and therapeutic drift

The DBT Therapist will contribute to the people using our services feeling respected and empowered to make decisions about their health and wellbeing by:

  • Supporting the process of gathering and recording evidence that demonstrates CQC and locally agreed standards are being met; assessing the performance of the whole team by using audit; and contributing to the implementation of quality improvement initiatives
  • Contributing to the performance management of teams and creating a positive culture in which the team can learn from mistakes and is enthusiastic to improve
  • Engaging staff by providing formal and informal supervision and giving constructive, regular feedback which helps those individuals reflect on their work, understand their objectives and how those objectives fit with the CQC standards
  • Participating constructively in their own supervision and annual appraisal processes
  • Maintaining relevant professional registrations (e.g. HCPC/BPS/BABCP/SoDBT); adhering to the relevant codes of conduct; and continuing professional development requirements set out by those organisations. Professional bodies play an important role in safeguarding the public and ensuring evidence-based practice by regulating therapists, the DBT Therapist is expected to be accredited with, or working towards accreditation, with an appropriate regulatory body

Patient Safety-

The DBT Therapist contributes to the provision of safe and effective services by:

  • Using clinical judgement and risk assessments to keep the people using our services as safe as possible
  • Safeguarding people by recognising and responding when an adult or child might be at risk from abuse but also recognising their own limits and asking for help and escalate concerns when necessary
  • Escalating safety concerns and acting as an effective advocate for those who use our services
  • Being open and transparent about their own practice and recognising personal limits
  • Supervising the work of others and reflecting on everyday practice to identify areas where improvements in safety or quality can be made
  • Working with others to create a culture of continuous improvement and innovative, psychologically driven care
  • Maintaining accurate, legible, comprehensive records in line with relevant legislation and the best practice guidance
  • Maintaining compliance with their mandatory training requirements.
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