Male brain injury

A 11-bed inpatient care and rehabilitation unit for adult men who have an acquired/traumatic brain injury and who experience complex behavioural, psychiatric and emotional difficulties.

Tallis unit is a specialist admission and stabilisation unit for adult men with a formal psychiatric or neurological diagnosis of brain injury that may have resulted in cognitive deficits or behavioural changes that in turn require neurobehavioural treatment in an in-patient setting.

We support patients with the most complex needs and behaviours that challenge, and engage them in their journey of recovery

The staff on Tallis are expert at de-escalating verbal and physical aggression while increasing engagement to improve daily-living and independence. Their objective is to move patients to a placement of least restriction, and optimise their ability to re-integrate to community.

St Andrews Healthcare 250516 0477

Heavy and light industry workshop

St Andrews Wards 070617 Panorama 020

Ward based games and activity room

St Andrews Wards 070617 Panorama 23 v2

Tallis ward garden

Admissions 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
  • severe emotional and behavioural difficulties including aggression tounits others 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)

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

• dedicated areas to support Occupational Therapy, including a training kitchen and laundry room
• a gym and therapy room including exercise machines which are accessible for patients with physical disabilities and sensory impairments
• an accessible garden and separate courtyard
• leisure and games room including pool table
• a lounge area with satellite TV, DVD and stereo

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
  • reinforce appropriate behaviour and skills
  • cater for those with intensive, complex acute needs
  • support patients towards the end of their recovery journey
  • are delivered by an extensive full-time team
  • offer individual and group therapy experiences
  • address functional and behavioural issues
  • support communication, movement, self-care, dis-inhibition and aggression


The goals of interventions on Tallis are to:

  • ensure the safety of the patient and others
  • provide a MDT assessment of strengths and needs
  • provide a formulation plan that will inform risk management and care planning
  • offer the optimal opportunities for positive behaviour and achievement of skills
  • offer individual and group therapies
  • ensure skill development and an enhanced quality of life
  • support a move to a less secure setting / closer to their own home

Our Campus

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
• library and music suite
• on-site GP, dental services and podiatry service
• Practice Nurse team
• A chapel and multi-faith facilities
• hairdresser
• extensive grounds

More information

Agression Outcomes

Next steps

Our Tallis unit 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.

Typically patients will spend 9-15 months on Tallis before moving along our care pathway to a less-restrictive environment, or returning to their home area.

Our location