Male brain injury rehabilitation - medium secure

A forensic medium secure neuropsychiatric service for adult men with a brain injury or neurological condition.

Rose is a UK leading service offering specialist neuro-behavioural and cognitive clinical interventions for people with complex neuropsychiatric conditions, including acquired brain injury, traumatic brain injury, early onset dementia, stroke, epilepsy, Huntington’s disease (HD) or Parkinson's disease and associated co-morbid physical or mental health needs.

It provides a safe environment in which expert staff can help people with neuropsychiatric brain injuries, associated cognitive deficits and behavioural changes, to understand and start to manage their brain injuries in a positive way. This includes helping the person to find 'hope' and enabling them to see a life worth living. It also allows safe and supported spaces for people with a brain injury to learn new skills as part of their rehabilitations towards leaving hospital and living in the community.

Bespoke brain injury rehabilitation therapies

Bespoke brain injury rehabilitation therapies for cognitive defects

On Rose ward we use a BioPsychoSocial approach focusing on medical and psychological treatment, environmental management, behavioural and cognitive rehabilitation and vocational opportunities.

We are able to support the most complex brain injury cases, where neurological conditions present alongside co-morbid mental health issues. 

Our service is delivered by a full time, on-site multidisciplinary team (MDT). Patients benefit from our therapy programmes and assessment tools, specially adapted for patients with cognitive defects, such as an acquired brain injury, traumatic brain injury, early onset dementia, stroke, epilepsy, Huntington’s disease (HD) or Parkinson's disease:

• 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).

Treatment and care

On Rose ward, 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 ward 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.