Based on a Therapeutic Community (TC) approach, Thoresby is a specialist medium secure service for men with a learning disability, who have learned to use challenging ways of behaving in order to cope with routine challenges in life.
Thoresby features a unique approach to care by encouraging patient empowerment and involvement through the democratisation of daily decision making, working alongside staff to establish care and treatment plans and participate in all aspects of running and living in an inpatient ward.
Our Therapeutic Community approach is a living, learning environment which combines direct treatments with a residential culture, providing patients with increased opportunities to develop and rehearse new skills whilst simultaneously receiving feedback designed to increase their awareness of their risk factors and criminogenic needs.
People referred will have a history of challenging or risk behaviours, and are detained under the Mental Health Act. These individuals may have identifiable mental health difficulties, in particular affective disorders, adjustment and separation-related disorders, and psychotic illnesses. Thoresby can accept male patients:
The TC approach enables therapeutic opportunities to take place throughout the whole day, rather than within defined treatment sessions, with community members providing feedback to each other, allowing patients to learn about the impact of their behaviour.
By working together to maintain the running of the ward a sense of community is maintained and consideration for each other and positive attachments are promoted.
Patients form part of a structured group setting, which focuses on four key areas of functioning:
The patients are involved in a range of core practices, for example:
The groups and residential setting allow for this work to take place in a validating and nurturing environment that aims to challenge the core schema associated with the trauma of the patients’ early lives.
As a specialist service, the extensive in house multidisciplinary team (MDT) has received training specifically in supporting individuals with learning disability and, as a minimum, will understand:
Our ultimate objective is to help our patients feel safe enough to learn new ways of behaving, develop new skills and reduce risk behaviours to a level where they can move towards community living.
For those requiring bespoke packages of care Winslow may provide a suitable solution.