Female brain injury

A 12-bed service for adult women who have an acquired/traumatic brain injury and require programmes of care that enhance recovery and community reintegration.

Elgar is a female admission service where we are able to 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. 

We support 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). After treatment and care from the ward, patients are supported to progress to less restrictive environments at St Andrew's, or back in their local area.

Elgar dining area

Clean and spacious dining area

Elgar art room

Creative spaces in Elgar

Elgar bedroom

Elgar bedroom example with en-suite

Elgar sitting room

Light and comfortable sitting room

Admission criteria

We support women 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. 

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
>  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.

Interventions used on Elgar are aimed at helping patients to prepare for community re-integration and greater independence, and 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.

More information

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 Elgar before moving along our care pathway to a less-restrictive environment or returning to their home area.

Our location in the heart of Northampton