Learning Disability - medium secure

Thoresby is a specialist medium secure service for men with a learning disability, who may exhibit behaviours that challenge and struggle to cope with routine challenges in life. 

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.

Admissions criteria

Thoresby can accept male patients:

  • aged between 18 and 60 years
  • who have a primary learning disability (sub-average general intellectual functioning; difficulties in functioning in two or more specified areas)
  • who have an intellectual disability and co-morbid mental illness
  • significant challenging behaviours which are not manageable in lower levels of security
  • a forensic history of index offence which requires a medium secure environment.

A flexible environment

Patients are focused on four key areas of functioning:

  • recognising and managing feelings
  • learning about behaviour
  • understanding thoughts and thinking
  • developing healthy relationships.

Core practices include;

  • morning meetings: an opportunity to plan the day and discuss management of risky behaviours
  • safe ‘ME’ programme: a rolling offender behaviour programme based on the treatment needs matrix
  • interpersonal groups: focussing on trauma, offending and day to day behaviours.

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:

  • the nature, development and cause of learning disability
  • its impact on personal, social, educational and occupational functioning
  • interaction with the social and physical environment
  • the impact of other coexisting mental and physical disorders and their management
  • the potential discrepancy between intellectual functioning, as measured by IQ, and adaptive functioning, e.g. difficulties in planning and performing activities of daily living including education or employment.

Next steps

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.

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