Young Men's Mental Health - medium secure

The UK’s only dedicated medium secure transitional service for younger men aged 18 to 25 years old.

Prichard is a bespoke 15 bed ward that usually admits patients from the St Andrew’s Adolescent Pathway once they turn 18 years old or patients can be transferred directly  from prisons and other Medium Secure and High Secure Hospitals/ facilities. Patients are admitted who have a diagnosis of either mental illness, emerging personality disorder or comorbid conditions, who may pose a significant  risk of harming  themselves or others

The ward uses the Good Lives model and Dialect Behaviour Therapy to address underlying causes of trauma and offending behaviour and to provide strategies to support patients in coping in daily lives.

Due to the age restriction and challenging behaviour of patients this is a service that is in high demand.

The ward is situated in the modern facility of William Wake House which is supported by an onsite MDT team. The team work closely with the patients through the transition from CAHMS to adult services

Admissions criteria

Males aged between 18 and 25 years old with a diagnosis of:

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

Treatment and care

Prichard uses a multi-disciplinary approach, placing emphasis on an active rehabilitation treatment programme; supporting the transition from adolescence to adulthood. Occupational therapists offer the opportunity to develop individual and meaningful treatment programmes in conjunction with the MDT, as well as specifically focusing on delivering interventions supporting improved functioning and risk reduction in a variety of environments. Key approaches include sensory strategies and the engagement in a variety of occupational pathways. Some of which include: activities of daily living, vocational, community integration, self-management and leisure.

Patients are assessed and offered a range of psychological interventions depending on needs. These range from CBT informed therapies for Psychosis (including psycho education, Metacognitive therapy and CBT for psychosis) to DBT and Schema informed therapy for those presenting with Personality Disorder. Patients with offending histories can engage in CBT groups designed for Sex Offending, Fire Setting, Violence and Substance Misuse.

Next steps

Discharge is considered at admission and our clinical and social work teams work with appropriate case managers to support a transition.

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