A specialist medium secure admission, stabilisation and treatment service for men with autism, a forensic history and challenging behaviour.
Supported by a comprehensive and experienced ASD team, we’re able to manage a range of complex co-morbid conditions, including mental illness, emotional and challenging behaviour.
Mackaness caters for men aged 18 years and over with Asperger’s Syndrome or a suspected ASD diagnosis;
Our ASD pathway adopts a biopsychosocial treatment approach, using a blend of well-established tools and assessment methods with in-house developed specialisms to assess each patient individually. These assessments explore the complexity of co-morbid conditions and pay attention to environmental, sensory and communication issues. This approach ensures the subsequent care and treatment programmes have the maximum amount of personalisation.
Our goal is to deliver meaningful outcomes, and provide care in the least restrictive environment, with the ultimate aim of supporting a patient to make a lasting community transition.
Our Autistic Spectrum Disorder pathway is underpinned by the SPELL (Structure, Positive, Empathy, Low Arousal, Links) framework.
We utilise a range of dedicated, evidence based diagnostic ASD tools, recommended in the NICE guidelines, to produce a multi-disciplinary formulation of needs.
A range of communication and psychiatric assessments take place, for example:
During this initial stage of treatment, we assess distressing symptoms, stabilise risk behaviours, reduce anxiety and promote engagement with therapy.
We address patient needs, and improve quality of life, by ensuring we provide a holistic approach to ASD, mental and physical health and vocational needs.
Our person-centred programmes are focussed on reducing risk and addressing offending behaviour, whilst supporting the development of new skills. Therapeutic activities and interventions include:
We promote resilience and recovery, whilst preventing relapse, with the ultimate aim of supporting a transition to a lower level of security and, where appropriate, community living.
Discharge is always considered at the point of admission.
We utilise well established outcome measures to track a patient’s progress against their care programme. At the point of planned discharge, patients will have gained a range of skills in order to make a successful step-down to a less secure service or transition back to the community.