Highly Specialist MBT Therapist and Supervisor

A Vacancy at South West London and St George's Mental Health NHS Trust.

The Richmond PDITT service provides a NICE guidance-led MBT Intensive Treatment Programme and a step-down phase back to the GP, for patients primarily diagnosed with EUPD.

The post holder will hold a caseload of individual patients to maintain their core skills of MBT provision within a specialist Tier 3 Personality Disorder Intensive Treatment Service, along with co-facilitation of assigned MBT groups.

This post is open to professionals from a range of disciplines, and their core professional validation requirements will be retained.

The post holder is expected to

• Be committed to effective and cohesive team working, and to the adherence-based delivery of the treatment model of Mentalization Based Therapy (MBT).
• To co-facilitate MBT groups and hold a small caseload of weekly patients.
• To promote and maintain a high standard of patient care.

About our location

Livingston House, Teddington

Livingston House serves as base for Richmond Adult Community Mental Health Services, close to the vibrant high street and the river Thames with a range of shops, cafés and restaurants. Livingston House is a ten minute walk from Teddington station and is served by local bus routes.

• To facilitate group and individual clinical supervision for MBT provision and modality.
• To provide highly specialised psychological interventions (MBT) to patients in Personality Disorder Teams.
• To co-facilitate MBT groups and hold a caseload of weekly patients.
• To hold a senior lead role for the Richmond CEN Referrals Pathway processes
• Provide specialist MBT Assessments for patients initially screened for MBT. Assessment processes are based upon clinical appropriateness, interpretation and integration of complex data from a variety of sources, and as required for EUPD screening set at approved Trust level. This includes clinical history taking, SCID ll, self-reporting measures (DIALOG), DERS rating scales, alongside direct clinical observations.
• To supervise and support the psychological assessment and therapy provided by other clinical members of the teams who provide psychologically informed care and treatment, and be responsible for the governance of MBT provision, and broader care planning.
• Work alongside the team, and senior clinicians within the borough, to ensure the MBT Intensive Treatment Programme is delivered, monitored and evaluated, and to take a lead on evidencing outcome measures for senior management.

We are Proud to Belong at South West London and St George’s Mental Health NHS Trust.

We have expert services, a rich history and a clear commitment to providing the best quality care for those with mental ill-health. The Care Quality Commission already rates our services as ‘good’ - we aspire to be ‘outstanding’.

This is a great time to join us. We are transforming the way we care for our communities to support our mission of Making Life Better Together. We have built two brand new mental health facilities at Springfield University Hospital, which are amongst the best in the world. More developments are planned across our sites and services as we invest a further £120m to upgrade and modernise our estate by 2027.

We are inclusive and diverse and strive to be actively anti racist. We want to attract people from all backgrounds and experiences to enrich the work we do together. We are proud to co-produce and involve our local communities in all that we do.

We offer flexible working, career development and a variety of benefits to enable a positive, welcoming environment in which our people and their careers can thrive.

Come and join our inclusive teams and help our patients on their recovery journey.

Unless expressly stated in the job advert the role is not subject to sponsorship, please be advised that all offers of employment are subject to evidence of right to work in the UK.

• To provide scheduled specialist MBT clinical supervision for the team – both group and individual, to enhance containment within the team, along with providing, as required, a consultative role for teams within the service line, who may also require both guidance and containment when working with those with a diagnosis of EUPD.
• To hold a senior lead role for the Richmond CEN Referrals Pathway processes and provide specialist MBT Assessments for patients initially screened for MBT. Assessment processes are based upon clinical appropriateness, interpretation and integration of complex data from a variety of sources, and as required for EUPD screening set at approved Trust level. This includes clinical history taking, SCID ll, self-reporting measures (DIALOG), DERS rating scales, alongside direct clinical observations.
• To evaluate and make evidence-based decisions about the most clinically appropriate treatment options for those with a diagnosis of EUPD within the assessment and engagement phase, and in line with the treatment modalities provided within the Trust, along with identifying co-morbidities that might need to take precedence, or be co-worked with, holding the MBT lens, and alongside highly complex factors concerning historical and developmental processes that have shaped the individual.
• Within the MBT assessment processes, to gather information about psycho-pharmacological treatment and to liaise with IRH medical colleagues to formulate a plan to review and manage psychotropic medication whilst the patient is in the assessment and engagement phase. Medical reviews are then led by the PDITT consultant once the patient is under the sole care of PDITT.
• To play a key role in the twice daily team Zoning Meetings and in the weekly Team Meeting which focuses on clinical work, governance, and Trust wide/service needs business items.
• To formulate and implement care plans for the formal treatment of MBT and the management of a patient’s presenting mental health needs and identifiable social care needs, with full involvement with the patient. This includes MBT Formulations (known as ‘My Relational Passport’), Genograms, and Collaborative Crisis and Contingency Planning.

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This advert closes on Wednesday 23 Sep 2026