Male brain injury - medium secure

A purpose built 17-bed medium secure unit for adult men with a range of neurological and general mental health conditions who require neurobehavioural rehabilitation in a forensic environment.

Experts in forensic neurobehavioural and cognitive rehabilitation

Rose is a specialist ward for men aged 18-65 with a formal psychiatric or neurological diagnosis, including Acquired or Traumatic Brain Injury, early onset dementia, stroke, epilepsy, Huntington’s disease (HD) and Parkinsons.

Based within a purpose built, medium secure environment, our service offers innovative therapy and treatment from the UK’s leading provider of neuropsychiatry services and the only service of its kind south of Birmingham.  Patients will typically present with cognitive deficits or behavioural changes, that in turn require neurobehavioural treatment in an in-patient setting.

Bespoke therapies

Bespoke therapies for cognitive defects

We use a BioPsychoSocial approach focusing on medical and psychological treatment, environmental management, behavioural and cognitive rehabilitation and vocational opportunities.

We pride ourselves on managing the most complex cases and jointly treat the neurological condition and any co-morbid mental issues.

Delivered by a full time, on-site multidisciplinary team (MDT), patients will benefit from our therapy programmes and assessment tools, specially adapted for patients with cognitive defects:

  • Dialectical behaviour therapy (DBT)
  • Adapted Sex Offender Treatment Group (SOTG)
  • Violence reduction programme
  • St Andrew’s Swansea Neurobehavioural Outcomes Scale (SASNOS)
  • St Andrew’s Sexual Behaviour Assessment Scale (SASBA)
  • Overt Aggression Scale – modified for neurorehabilitation (OAS-MNR)
  • HoNOS Secure – The Health of the Nation Outcome for secure mental health
  • HoNOS ABI – adapted for brain injury
  • Functional Independence Measure + Functional Assessment Measure (FIM+FAM)

We exceed the recommended 25 hours of meaningful activity each week.

Assessment tools





Admission criteria

We support men 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
  • high emotional and behavioural difficulties including aggression and who are considered a high 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 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 to reinforce appropriate behaviour and skills
  • cater for those with intensive, complex acute needs, as well as those further along their neurobehavioural recovery journey
  • are delivered by an extensive full-time team
  • offer individual and group therapy experiences
  • address functional and behavioural issues such as communication, movement, self-care, dis-inhibition and aggression

 The goals of interventions on Rose are to:

  • ensure the safety of the patient and others
  • provide a multi-disciplinary assessment of the patient’s strengths and needs
  • provide a formulation of the patient’s presenting needs that will inform both risk management and care planning
  • create an environment and culture that will offer the maximum opportunities for positive behaviour and optimal achievement of skills
  • offer individual and group therapies that will ensure skill development and an enhanced quality of life
  • ultimately effect the changes necessary to help the patient move to a less secure setting, through the Care Pathway and where possible, to progress to an environment closer to their own home

Our facilities

Our unit environment is designed to support the therapeutic and social needs of our patients, and includes;

  • modern bedrooms with en-suite bathrooms
  • therapy areas e.g. crafts, information technology (IT) skills, kitchens and vocational rehabilitation
  • a fitness suite, which incorporates a large gym, multi-gym and a physiotherapy treatment area
  • a large enclosed courtyard and garden
  • a child and family visitor room
  • a multi-faith room
  • swimming pool
  • cafe with outside seating area

 Across our 140-acre campus patients also have access to;

  •  indoor and outdoor gyms
  • a number of patient café’s
  • 2 x swimming pools
  • access to Workbridge vocational services (find out more here)
  • library
  • extensive primary healthcare facilities, including an on-site GP, dental services and podiatry service, supported by a Practice Nurse team
  • A chapel and multi-faith facilities
  • hairdresser
  • extensive grounds

Next steps

Our Rose Discharge Co-ordinators begin 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.