A 17-bed medium secure admission ward for adult males with a mental health diagnosis.
Robinson admit challenging patients who present with a primary diagnosis of mental illness which can include significant level of comorbidity for bipolar disorder, paranoid schizophrenia and psychosis.
Patients are primarily admitted from external placements of prisons, other mediums secure unit or as a step down for high secure hospitals.Length of stay is dependent on the individual although average stay is between 12 – 36 months.
Patients have full access to an experienced on site MDT including a designated Responsible clinician, Social worker, Occupational Therapy team, designated psychologist and assistant, full established nursing team, nurse manager and an activity co-ordinator.
Due to the robust nature of the ward staff have to work closely with each patient and undertake rehabilitation programmes that work with any index offences violence offences including sex offenders and fire setters. The nursing team have been trained in the following techniques RAID, MAPA / PMAV, use of hand cuff’s and basic awareness training in to the VdT Model of Creative Ability.
The ward have also recently implemented ‘SafeWards’ including the following interventions, which are having a positive impact;
Light and spacious living area
Males of working age (18 to 65 years old) with a mental illness with a co-morbidity of:
We exceed the recommended 25 hours of meaningful activity, however also acknowledge that some patients are not able to engage in this amount of therapy therefore provide bespoke treatment programmes to maximise their engagement.
The ward offers a range of Psychological therapies which include:-
- Cognitive Behaviour Therapies for clinical conditions including Psychosis
- Dialect Behaviour Therapy
- Offence related interventions,
- Supportive Psychological Interventions:
Robinson was awarded a Centre of Excellence title in 2015 for the use of the Vona Du Toit Model of Creative Ability (VdTMoCA). The VdTMoCA is a recovery focused model which assists Occupational Therapist’s in identifying an individual’s level of ability. It then provides clear treatment priorities as a focus for intervention, with treatment principles to be applied in therapy sessions. The aim is to enable the individual to engage to their maximum potential, therefore, gaining the most from therapy. It focuses on what the person can do rather than can’t do.
The model has its own outcome measure, the ‘Activity Participation Outcome Measure’ (APOM) which measures 53 separate items, making it a very comprehensive tool which can detect minor changes in a patients functioning.
There are a wide range of therapy resources within WWH. Access to these resources are actively encouraged by the MDT however a careful assessment of need, functional ability and risk is undertaken before access is granted.
Therapy resources include:
The grounds outside WWH offer wider access to vocational opportunities including Workbridge and leisure opportunities including a music studio and access to the Arts and St.Andrews.
Discharge is considered at admission and our clinical and social work teams work with appropriate case managers to support a transition into low secure services. We have a range of options based in Northampton, Birmingham and Essex.