Men's Mental Health - medium secure

Mackaness, Prichard and Robinson wards comprise the Mens Mental Health pathway, within the Medium Secure Division at St Andrews Hospital, Northampton.  Working together they provide a comprehensive assessment and treatment pathway for adult males who require treatment within a medium secure environment.

Mackaness Ward is a 15-bedded medium secure ward for the assessment and stabilisation of service users with a diagnosis of mental illness, personality disorder or co-morbid conditions. Men presenting with acute symptoms, whether in prison or lower levels of security, will initially be admitted to Mackaness for a period of assessment, treatment and stabilisation.  The ward has a Single-Bed Enhanced Support Suite (Extra Care) for nursing of acutely unwell individuals. The Extra Care suite has its own external courtyard so that people being nursed here can access an outside space whilst they are unable to mix with the wider patient group. There is also a seclusion and low stimulus room, for people who are acutely disturbed and whose behaviour poses an immediate risk to others or who need de-escalation in a low stimulus environment.

Ward environments and on-site activities

Mackaness Day Area 2

The day area on Mackaness

Mackaness heavy and light industry workshop

On-site heavy and light industry workshop

Mackaness Bedroom 1

Bedroom with a desk and shelving

Mackaness Quiet Room

Mackaness's quiet room

Mackaness Games Room 2

Games area

Mackaness on site swimming pool

On-site swimming pool

Northampton grounds with activity area

Northampton grounds with activity area

Admissions criteria

We support men of working age (18 to 65 years old) who:

  • have a diagnosis of complex mental illness or personality disorder
  • have co-morbid conditions
  • have a significant risk of harming themselves or others 
  • require care within a medium secure environment 
  • may be detained under the Mental Health Act 1983

Treatment and therapies

Our MDT work with patients to create a treatment programme based on individual needs and interests. We aim to provide people with, on average, 25 hours of therapeutic activity a week and our mental illness and offence-related therapies include:

For mental illness needs:

  •  Cognitive Behaviour Therapy (CBT)
  •  Dialectical Behaviour Therapy (DBT)
  •  specific treatments aimed at psychosis
  •  mindfulness for psychosis (group and 1:1)
  •  CBT for psychosis 
  •  metacognitive therapy for psychosis

For criminogenic needs 

  • violence reduction programme (group and 1:1)
  •  sex offender treatment programme
    (group and 1:1)
  • firesetters treatment