Women's Personality Disorder - medium secure

Seacole is a medium secure service for women aged over 18 with personality disorder, complex mental health needs, and challenging behaviour.

Seacole is a recovery-oriented service, providing bespoke psychosocial packages of care aimed at increasing skills to manage distress and psychotic symptoms, minimise risk, and enable individuals to work towards realistic and achievable goals.

The philosophy of care on Seacole is based on a recognition that an individual has strengths as well as needs, and a right to support, treatment and care from multi-disciplinary teams able to assist recovery.

St Andrews Wards 080517 Panorama 19

Comfortable single bedrooms

St Andrews Wards 080517 Panorama 025

Ward courtyard

Pool12 1

On site swimming pool

Admissions criteria

Women we can help:

  • are over 18
  • have emotional and behavioural difficulties but with a primary diagnosis of personality disorder
  • have problem behaviours that are likely to include self- harm, suicidal behaviour, violence towards others, problems in interpersonal relationships, substance misuse, self- neglect, fire setting and non-compliance with prescribed medication
  • are treatment resistant
  • are detained under either civil or criminal provisions of the Mental Health Act 1983 (amended 2007)
  • are high risk to themselves or others

Treatment and care

Our psychological treatment combines a range of group and individual interventions across two stages, all underlined by the principal of understanding core needs:

Stage 1 - Psychological treatment

We have developed a unique Psychosocial Manualised Treatment Programme in response to the complex treatment needs of our women.
The programme utilises Cognitive Behavioral Therapy (CBT) and our Dialectical Behavioral Therapy (DBT) principles are gender sensitive and gender specific.
Our in-house trained CBT Therapists and Psychologists run our groups with co-facilitation from the fully CBT trained MDT. 

Groups include:

  • understanding personality disorder
  • distress tolerance
  • dealing with feelings
  • interpersonal effectiveness
  • substance misuse.

Stage 2 - Effective self-management

Our MDT work towards finding the right approach for our women. Our interventions include:

  • individual CBT
  • schema therapy
  • trauma work
  • offence related work

We exceed the recommended 25 hours of meaningful activity.

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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