An 13-bed locked unit for older males with progressive neurological conditions resulting in cognitive decline / high dependency needs.
Daniel Rambaut provides cognitive, physical and behavioural management of patients with a progressive neurological condition (including those with a forensic history).
Our team use specialist assessment and psychiatric treatments, in line with Royal College of Psychiatry Old Age recommendations, to help ensure that patient dignity is at the heart of our care and to guide us in our therapies and interventions.
We support men who are aged over 55 and have:
Our comprehensive multi-disciplinary team (MDT) is expert in the management of challenging behaviour, including agitation, overt aggression, sexual dis-inhibition and self-harm, as well as those with a forensic history.
In addition our MDT also manage co-morbid physical health conditions, supported by GP, podiatry and practice nurses based on our campus. The therapeutic environment on Daniel Rambaut unit is designed to create a welcoming and reinforcing experience for patients in our care. In partnership with patients and their family our MDT construct programmes that utilise a full range of psychological and occupational therapy programmes which:
> are highly structured and tailored to the individual
> provide constant guidance and support
> reinforce appropriate behaviour and skills
> cater for those with intensive, complex acute needs
> support patients towards the end of their recovery journey
> are delivered by an extensive full-time team
> offer individual and group therapy experiences
> address functional and behavioural issues
> support communication, movement, self-care, dis-inhibition and aggression
The goals of interventions on Daniel Rambaut are to:
> ensure the safety of the patient and others
> provide a MDT assessment strengths and needs
> provide a formulation plan that will inform risk management and care planning
> offer the optimal opportunities for positive behaviour and achievement of skills
> offer individual and group therapies
> ensure skill development and an enhanced quality of life
> support a move to a less secure setting / closer to their own home
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 Daniel Rambaut before moving along our care pathway to a less restrictive environment or returning to their home area.