Comprehensive DBT programmes under one roof

Offering a Comprehensive Dialectical Behavioural Therapy (DBT) programme for adult women with complex personality disorders, Ashby, formerly Spring Hill House, offers a modern environment for DBT rehabilitation. Ashby is located within Isham House on our Northampton site, and brings together our other relocated DBT services, now called Naseby and Upper Harlestone, under one roof allowing patients to benefit from a consolidated clinical approach in one specialist DBT hub

For 25 years we have provided specialist care for women with borderline personality disorder and complex mental health needs. We were among the first to have therapists accredited by the Society for DBT and our MDT consists of established, specialist DBT therapists.

Our Female Personality Disorder service at a glance

Newly located, our specialist Comprehensive Dialectical Behavioural Therapy (DBT) hub supports women to develop community living skills with the aim of enhancing independent living and achieving a sustainable discharge at the earliest opportunity.

Our services for Women with Personality Disorders now consists of:

Naseby – 12 beds - Comprehensive DBT programme, assessment, rehabilitation and recovery

Ashby – 16 beds - Comprehensive DBT programme, assessment, rehabilitation and recovery

Upper Harlestone – 10 beds - Comprehensive DBT programme, for PD and associated eating disorders

Admission criteria on Ashby

Women over the age of 18 who have:

  • severe emotional and behavioural difficulties but with a primary diagnosis of borderline personality disorder
  • problem behaviours that are likely to include: self- harm, suicidal behaviour, violence towards others, problems in interpersonal relationships, substance misuse, self- neglect, fire setting and non-compliance with prescribed medication
  • treatment resistance
  • been detained under either civil or criminal provisions of the Mental Health Act 1983 (amended 2007)
  • a high risk to themselves or others.

Treatment and care

Our comprehensive DBT programme was one of the first DBT programmes to be used in an inpatient setting in the UK.

DBT is cognitive behavioural therapy (CBT) designed for individuals with complex needs. It integrates strategies from CBT with strategies of accepting reality as it is ‘in the moment’ (mindfulness).

Our treatment programme includes all five functions of a comprehensive DBT programme:
• enhancing capabilities - twice weekly skills training groups
• enhancing motivation - weekly individual therapy sessions
• ensuring generalisation - skills coaching
• structuring the environment - homework groups community meetings and staff training
• DBT consultation - (with peer group supervision) for the DBT therapists delivering treatment.

Ashby in Isham House benefits from being embedded within the local community of Northampton, and is close enough to utilise all the facilities that the Northampton main site has to offer including our Workbridge vocational pathway.

Next steps

Discharge is considered from admission and our clinical and social work teams work with appropriate case managers to support safe and successful transition.

At the point of discharge, patients at Ashby will have successfully gained skills through the structured DBT programme. This enables them to address the cycle of behaviours and suffering associated with BPD in order to make a successful transition back into the community.

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