| |  | | | | Treatment | | | | | | | | | Treatment Approach
Clare House has a treatment approach that is underpinned by the philosophy that individuals who experience mental distress should have access to resources that will maintain, develop or restore their quality of life.
 The staff at Clare House aim to provide access to such treatment within the framework of the Care Programme Approach (CPA), through a multi professional inter disciplinary approach to treatment and therapeutic intervention. Each programme being based upon the unique needs of each patient aimed at improving the individual health and social functioning, to prevent relapse, with the eventual goal of returning them to a less restrictive environment.
Treatment Programme
Each programme is based upon the unique needs of each patient, strengths based and provided within a bio-psycho-social model of care.
Within this process the multi-disciplinary team continuously assess the patient?s rehabilitation progress and facilitate liaison with the appropriate community team and family members.
Risk is also continuously monitored and assessed within a standardised framework. The patient's care plan is updated to reflect appropriate management needs in response to changes in risk profile.
Treatments include but are not limited to:
 Counselling
Cognitive behavioural therapy
Psychotherapy
Vocational training
Family work
Group therapy
Medication
A major factor in the treatment programme is the development of independent living skills.
At Clare House such activities include:
Domestic (ADL) skills
Personal hygiene and self care
Social skills
Sports and recreation
Hobbies and leisure pursuits
Community living skills
Adult education and current affairs
IT skills
Copies of CPA and S117 reviews are provided to purchasers as well as all relevant clinical parties.
Prior to admission patients undergo a pre-admission assessment in their current setting which allows the inter-disciplinary team to consider the most appropriate ward within Clare House for their immediate needs. This assessment includes tests such as HoNOS, Symptom Rating Scale, Culture Free Self-esteem Test and Social Functioning Scale.
In all cases it is hoped that patients initially placed within the high dependency ward will progress from there to the residential wards. Upon discharge from Clare House, patients will move either back to the community or to other low dependency accommodation.
Discharge Planning
For all detained patients discharge planning starts upon admission and this is covered by the statutory requirements of S117 of the Mental Health Act 1983.
Upon admission Clare House will arrange the patient's first external CPA/S117 meeting for 6 months hence. Further external reviews are conducted thereafter at 6 month intervals. Invitations for these reviews will be sent to all parties involved in the future care of the patient. This is likely to include as a minimum the patient?s RMO or CRMO, social/community worker or CPN and person with funding responsibility.
Clare House will also undertake its initial CPA-based review of each patient within two months of admission to which the RMO and appropriate Social Worker are invited. Clare House provides a copy of the CPA or CPA/S117 care plan to each invitee within 5 working days of the date of the meeting.
If a placement breaks down or there is evidence to suggest that it might or the patient cannot be safely contained within the security levels afforded by Clare House a meeting is normally sought within 2 weeks to discuss the case and agree a way forward.
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