Brain injury - locked transitional

A 6-bed locked unit for adult males who are recovering from an acquired / traumatic brain injury and require on-going programmes of care to reintegrate in to community.

37 Berkeley Close is a Transitional Living unit for adult males, located in a quiet residential area close to Northampton town centre. We provide continuous support and interventions to address a range of behavioural and cognitive issues, and test people’s recovery in a community setting, in a group environment.

Our patients develop a framework of skills that allows them to re-integrate with their community

From the moment of admission our team focus on individual goal-planning with each patient, and agree on specific behaviours to develop or reduce.

Our community-based structure further supports patient progress by testing and consolidating their daily living skills, cognition and behavioural management in a safe environment, with the support of a full MDT. They can then continue their recovery back in their local area.

Admissions criteria

We support men who are aged over 18 and have:
• a formal psychiatric or neurological diagnosis
• a history of acquired brain injury
• co-morbid physical or mental health needs
• a history of emotional and behavioural difficulties including aggression tounits others and who are considered a risk to themselves or others
• difficulties with self-regulation and control
• problems in interpersonal relationships
• a history of treatment resistance
• a history of non-compliance with prescribed medication
• been detained under either civil or criminal provisions of the Mental Health Act 1983 (amended 2007).

Treatment and care

Our therapeutic programme is designed to create a reinforcing environment where individuals experience success through achievable goals and regular opportunities for learning. Within the 37 Berkeley Close the emphasis is on experiencing community-based living to test recovery.

In partnership with patients our MDT construct programmes of enablement that allow progress through our system of units to a place of least restriction, and utilise a full range of psychological and occupational therapy programmes which:

• are highly structured and tailored to the individual
• provide constant guidance and support to reinforce appropriate behaviour and skills
• cater for those with intensive, complex acute needs, as well as those further along their neurobehavioural recovery journey
• are delivered by an extensive full-time team
• offer individual and group therapy experiences
• address functional and behavioural issues such as communication, movement, self-care, dis-inhibition and aggression

The goals of interventions at 37 Berkeley Close are to help patients prepare for community re-integration and greater independence, and to:

• ensure the safety of the patient and others
• provide a multi-disciplinary assessment of the patient’s strengths and needs
• provide a formulation of the patient’s presenting needs that will inform both risk management and care planning
• create an environment and culture that will offer the maximum opportunities for positive behaviour and optimal achievement of skills
• offer individual and group therapies that will ensure skill development and an enhanced quality of life
• ultimately effect the changes necessary to help the patient move to a less secure setting, through the Care Pathway and where possible, to progress to an environment closer to their own home

Next steps

Our Discharge Co-ordinators begins discharge planning from the point of admission. Working with our clinical and social work teams they formulate plans and liaise with appropriate case managers to support a smooth transition.

Typically patients will spend 9-18 months on 37 Berkeley Close before moving along our care pathway to a less-restrictive environment or returning to their home area.

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