Male brain injury - locked

A community based 15-bed locked unit for adult men who have an acquired / traumatic brain injury and require recovery and reintegration programmes of care.

Berkeley Close is a community-based admission unit, 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, including inappropriate social behaviour and risk of self-harm.

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 Multi-disciplinary Team (MDT). They can then continue their recovery in one of our other Berkeley’s settings, or 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 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 pathways 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 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 Berkeley Close before moving along our care pathway to a less-restrictive environment such as Berkeley Lodge, or returning to their home area.

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