Assertive Outreach Occupational Therapist | Central and North West London NHS Foundation Trust

Band 6 Full Time Assertive Outreach Occupational Therapist

Make engagement happen. Prevent crisis. Change trajectories. We’re building a focused Assertive Outreach (AO)offer within our Community Mental Health Hub to reach adults who are at risk of disengaging from care. If you thrive on meaningful relationship-building, rapid decision-making, and real-world impact, this role is for you.

About the role As an Assertive Outreach Worker, you’ll be the consistent, trusted keyworker for a small caseload, delivering time‑limited, intensive support over a stepped 6‑month model. You’ll combine clinical skill with creativity and persistence—meeting people where they are, in homes and community spaces across Brent —to stabilise engagement, reduce risk, and prevent crisis.

The

Assertive Outreach Occupational Therapist will

• Provide assertive, flexible, and persistent outreach, including home visits, community‑based contacts, and phone/text engagement
• Act as a consistent keyworker, building therapeutic relationships with individuals who find it difficult to engage with services
• Work within a stepped 6‑month model of intensive support, transition, and reintegration into routine CMHH care.
• Conduct comprehensive occupational therapy assessments to identify service users' strengths, needs, risks, and goals, supporting recovery and independence.
• Develop and deliver person-centred intensive intervention plans that promote engagement in meaningful occupations, daily living skills, and community participation.
• Work collaboratively within a multidisciplinary team (MDT), providing specialist occupational therapy expertise to inform care planning and positive outcomes.This role requires strong clinical skills, excellent risk management, and the ability to work autonomously in the community.

You will be in a friendly and supportive environment, where we encourage personal and professional development.

You will be based within the Community Mental Health Hub within a large multi-disciplinary team.

There is access to inhouse and Trust wide training to support you in developing clinical and leaderships skills.

The Occupational Therapy structures within the trust are robust. The in house training plan, as well as great links with local universities, provides ample opportunity for CPD

We have community mental health hubs based in Park Royal and Kingsbury. The team will work across both sites dependent on need.

• Provide intensive outreach and occupational therapy intervention in line with the

SOP

•

First 3 months

minimum 3 contact attempts per week, aiming for 1–2 successful contacts.

•

Next 3 months

minimum 2 contact attempts per week.

• Deliver flexible contact through home visits, community meetings, phone calls, texts, and occasional evening/weekend availability.
• Maintain a“no discharge for DNA”approach, using persistent and creative engagement strategies.
• Build strong therapeutic relationships through empathy, reliability, and trauma‑informed practice.
• Provide continuity and consistency as the allocated AO keyworker.
• Complete and updatecare plans,risk assessments, andsafety plansin line with Trust policy.
• Conduct frequent dynamic risk assessments and escalate concerns promptly.
• Lead on transition planning back to routine CMHH care.
• Ensure timely documentation of all contact attempts, outcomes, and risk assessments.
• Work collaboratively with the CMHH key worker where this is a separate role.
• Deliver meaningful intervention
• Use therapeutic engagement to support patients to engage.
• Supervision of band 4 support staff

This advert closes on Sunday 2 Aug 2026