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Psychological wellbeing practitioner

Psychological wellbeing practitioner

Health and science

Level 6 - Professional Occupation

Helping people with mild to moderate anxiety and depression manage their conditions.

Reference: OCC0568

Status: assignment_turned_inApproved occupation

Average (median) salary: £29,008 per year

SOC 2020 code: 2229 Therapy professionals n.e.c.

SOC 2020 sub unit groups:

  • 2229/09 Psychological wellbeing practitioners
  • 2224/01 Cognitive behavioural therapists
  • 2226/01 Counselling psychologists
  • 2226/02 Educational psychologists
  • 2226/04 Health psychologists
  • 2226/05 Occupational psychologists
  • 2226/07 Sports psychologists

Technical Education Products

ST0568:

Psychological wellbeing practitioner

(Level 6)

Approved for delivery

Employers involved in creating the standard:

Avon & Wiltshire MH Trust, Berkshire Healthcare NHS Trust, ELFT, Essex Partnership Trust, MHM, Warrington Primary Care Psychological Service, Norfolk and Suffolk FT, Nottinghamshire Healthcare NHS Trust, Oxfordshire Health NHS Trust, Salford, Sunderland Counselling.

Summary

This occupation is found in the public sector within the NHS England Improving Access to Psychological Therapies (IAPT) initiative, which is a world leading programme in psychological healthcare. This is an exciting role where practitioners make a difference to people’s lives. Psychological Wellbeing Practitioners (PWP) deliver the service from different venues for example GP surgeries, community healthcare settings and other community based venues, such as job centres.

The broad purpose of the occupation is for PWPs to interact with adult patients in primary care, across a number of different services and variety of environments including being able to practice in diverse cultures. PWPs offer assessments for mild to severe common mental health problems, undertaking assessment of risk and making of safeguarding referrals. They offer evidence based interventions to patients with mild to moderate anxiety and depression as well as other common mental health problems determined by National Institute for Health and Care Excellence (NICE)*1, the Improving Access to Psychological Therapies (IAPT)*2 manual. PWPs operate within a stepped care service delivery model which operates on the principle of offering the least intrusive effective psychological treatment in the first instance, patients can then be ‘stepped up’ to a more intensive treatment if required. The treatment aids clinical improvement and social inclusion, such as a return to work, meaningful activity or physical wellbeing and is delivered through a variety of methods including individual work courses and group work, which can be via face-to-face, telephone, email or other contact methods including digital platforms.They work alongside existing psychological practitioners such as High Intensity Improving Access to Psychological Therapies Cognitive Behaviour Therapy practitioners. PWPs undertake assessments mainly for moderate anxiety and depression protocols with referral to senior professionals for complex problems.

*1 https://www.nice.org.uk/guidance

*2 https://www.england.nhs.uk/wp-content/uploads/2018/06/the-iapt-manual.pdf


In their daily work, an employee in this occupation interacts with a wider psychological therapies team which may include other health professionals such as psychologists, therapists, counsellors, employment specialists, community nurses and administrative staff. They will liaise across a number of different services including general practitioners (GPs), community physical health teams and charitable organisations that provide related support services, for example the mental health charity, Mind. An employee in this occupation will be responsible and accountable for safe, compassionate, patient-centred evidence based care. PWPs are autonomous practitioners who work within their scope of practice.

A PWP is responsible for managing a high volume caseload of people with common mental health problems efficiently and safely utilising clinical skills and case management weekly supervision and other forms of supervision identified as appropriate, e.g. line management. PWPs take responsibility for their own learning and development using reflection and feedback to analyse their own capabilities, appraise alternatives and plan and implement actions.

Employers involved in creating the standard:

Avon & Wiltshire MH Trust, Berkshire Healthcare NHS Trust, ELFT, Essex Partnership Trust, MHM, Warrington Primary Care Psychological Service, Norfolk and Suffolk FT, Nottinghamshire Healthcare NHS Trust, Oxfordshire Health NHS Trust, Salford, Sunderland Counselling.

Typical job titles include:

Psychological wellbeing practitioner

Keywords:

Health And Science
Healthcare
Nhs England
Psychological Therapies
Psychological Wellbeing Practitioner

Knowledge, skills and behaviours (KSBs)

K1: The significance of effective communication within the workplace setting.
K2: How to establish and maintain complex partnerships and therapeutic relationships that take into account individual differences and needs including language preferences.
K3: The policies and guidelines that relate to the management of confidential information, including data protection legislation e.g.The General Data Protection Regulation (GDPR) 2016, the importance of recording accurate patient records securely and how to escalate matters if data protection breaches occur.
K4: How to adapt and use communication skills to deliver low-intensity treatments using a range of methods including face-to-face, telephone, presentations and other electronic communication.
K5: The importance of signposting patients, with informed consent, to other services and the services that are available locally.
K6: The principles, purposes and different types of assessments, undertaken with people with common mental health problems.
K7: Complex patterns of symptoms consistent with diagnostic categories and psychological models.
K8: The principles and process of ongoing risk assessment, safeguarding and any policies that support this.
K9: The principles of patient-centred care and support, and why it makes a difference to how people feel.
K10: The significance of actively involving people in their own care.
K11: How to establish and maintain a therapeutic alliance with patients during their treatment programme, including managing issues and events that interfere with the therapeutic relationship that threaten the alliance.
K12: How to competently select, use and evaluate the efficacy of behaviour change models and strategies in the delivery of low-intensity psychological interventions.
K13: The stepped care model in IAPT services and NICE guidelines for depression and anxiety disorders.
K14: The principles and practices of medication management.
K15: The principles and processes involved in caseload management.
K16: The concepts and structure of both clinical skills and case management supervision and the difference between the two forms of supervision.
K17: The concepts and models of critical reflection, self-reflection, and use of feedback, to enhance the quality of patient care you provide personally and as part of the team.
K18: A range of codes of conduct and employers’ policies relevant to the role.
K19: Understand how to respond to people’s need sensitively with regards to individual differences.
K20: The boundaries of the role and how low intensity interventions differ from other methods of psychological treatment.
K21: How to work within a team and with other agencies with additional specific roles in the wider health and social care system which cannot be fulfilled by the PWP alone.
K22: How to practice in a non-judgemental, caring and sensitive manner.
K23: The concept of ‘risk’ and how to manage risk and promote health and well-being while aiming to empower choices that promote self-care and safety.
K24: The significance of gaining informed consent appropriate to the individual’s capacity.
K25: The significance of timely record keeping.

S1: Communicate effectively with individuals verbally and in writing to build successful caring relationships with patients and colleagues, whilst also keeping information confidential.
S2: Evaluate and respond to peoples’ needs sensitively with regards to all aspects of diversity.
S3: Manage personal and sensitive information, in line with local and national policies and legislation. Keep information secure and ensure that any information audits are compliant with such policies and legislation.
S4: Accurately record interviews and questionnaire assessments using paper and electronic recording keeping systems in a timely manner.
S5: Communicate using a range of methods including face-to-face, telephone, presentations and electronic mediums.
S6: Communicate effectively with and signpost to other agencies with informed consent. For example, employment, occupational and other advice services.
S7: Select and deploy a range of assessments to aid problem recognition and definition e.g. psychometric assessment, problem focused assessment and intervention planning assessment.
S8: Recognise and analyse patterns of symptoms of conditions such as anxiety disorders and depression and evaluate patient need and level of ongoing risk to themselves and others.
S9: Enable shared decision making and promote empowerment by working collaboratively with patients to provide patient-centred care.
S10: Build and sustain a therapeutic alliance with patients to manage emotional distress in sessions and understand patients' perspectives.
S11: Collaboratively use behaviour change models to help identify and evaluate patient goals and choice of low-intensity intervention.
S12: Formulate and deliver evidenced based low-intensity psychological treatments. For example, supporting patients undertaking recommended treatments for problem solving, panic and sleep management and to review treatment plans continually.
S13: Support patients using medication to optimise medication use and minimise adverse effects in liaison with the patient’s GP.
S14: Manage a caseload of patients with common mental health problems efficiently and safely, including the assessment of risk and vulnerability.
S15: Actively engage in clinical skills supervision to assist the delivery of low-intensity interventions and case management supervision for individual case discussion and skills development.
S16: Reflect on and evaluate your practice, keeping your knowledge and skills updated and respond to appraisal/feedback appropriately.
S17: Respond professionally to supervisor feedback and initiate change in a timely manner to ensure high quality patient care.
S18: Adhere to employers ethical local and national policies and procedures.
S19: Recognise, respect and engage with people from a diverse demographic that includes personal, family, social and spiritual values held by communities served by the service.
S20: Practice autonomously within your scope of practice and be responsible and accountable for safe, compassionate, patient-centred, evidence based practice.
S21: Work within your own practice boundaries and levels of competence.
S22: Establish consent appropriate to the patient’s capacity and determine the optimal course of action when consent cannot be secured
S23: Establish and maintain appropriate professional and personal boundaries with patients.
S24: Recognise the limitations to your competence and role and direct people to resources appropriate to their needs, including step-up to high-intensity therapy and onward referral.

B1: You will treat people with dignity, respecting diversity, beliefs, culture, needs, values, privacy and preferences.
B2: You will show respect and empathy for those you will work with, have the courage to challenge areas of concern and work to evidence based best practice.
B3: You will be adaptable, reliable and consistent, demonstrate competence, resilience and responsibility.

Duties

Duty D1

Provide assessments to identify the common mental health problems of anxiety disorders and depression, including the assessment of risk and safeguarding issues and appropriate onward referral.

Duty D2

Provide NICE recommended treatments to patients with mild to moderate symptoms of the common mental health problems of anxiety disorders and depression.

Duty D3

Select and deliver treatment to aid recovery, promote social inclusion, and support an appropriate return to work, supporting overall wellbeing that helps with physical and psychological health.

Duty D4

Provide guided self-help treatment informed by cognitive-behavioural principles, which are patient-centred psychological treatments with an emphasis on self-management and are designed to be less intensive than other psychological treatments.

Duty D5

Provide support that enables patients to optimise their use of self-management / recovery information, which is delivered through a variety of methods such as face to face, telephone, or email, as well as other contact methods including digital platforms and group workshops.

Duty D6

Provide information on common medication prescribed for symptoms of anxiety/depression and support patients to optimise their use of such treatments.

Duty D7

Delivering within a “stepped care service delivery model”, to treat patients at the lowest appropriate level in the first instance, only 'stepping up' to intensive/specialist services as clinically required. The level of input is increased or decreased until satisfactory health status is achieved. The outcomes from sessions are routinely collected for clinical, social and employment results as part of a national outcome monitoring system.

Duty D8

Communicate effectively with and signpost to other agencies e.g. employment, occupational and other advice services.

Duty D9

Accurately record interviews and questionnaire assessments using paper and electronic record keeping systems in a timely manner.

Duty D10

Manage a caseload of people with common mental health problems efficiently and safely.

Duty D11

Handle personal and sensitive information in line with local and national policies.

Duty D12

Use a range of assessments to aid problem recognition and definition e.g. psychometric assessment, problem focused assessment and intervention planning assessment.

Duty D13

Use both clinical skills and case management supervision meetings to assist the delivery of low-intensity interventions.

Duty D14

Adhere to the employer’s code of conduct and policies, including values and standards.

Occupational Progression

This occupational progression map shows technical occupations that have transferable knowledge and skills.

In this map, the focused occupation is highlighted in yellow. The arrows indicate where transferable knowledge and skills exist between two occupations. This map shows some of the strongest progression links between the focused occupation and other occupations.

It is anticipated that individuals would be required to undertake further learning or training to progress to and from occupations. To find out more about an occupation featured in the progression map, including the learning options available, click the occupation.

Progression decisions have been reached by comparing the knowledge and skills statements between occupational standards, combined with individualised learner movement data.

Technical Occupations

Levels 2-3

Higher Technical Occupations

Levels 4-5

Professional Occupations

Levels 6-7

This is the focused occupation.
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Level 6

Progression link from focused occupation.
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Level 7

Health and science