Huntington's Disease - locked

A 14-bed unit for adult males with HD, providing specialist admission and assessment for patients with a high level of cognitive, behavioural and physical needs.

Walton provides a dedicated environment supporting the cognitive, physical and behavioural management of patients with Huntington’s disease (including those with a forensic history). 

Admissions Criteria

We care for informal and detained adult and older-adult males with: 

  • a formal psychiatric or neurological HD diagnosis
  • co-morbid physical or mental health needs
  • a history of emotional and behavioural difficulties including aggression to others and who are considered a risk to themselves or others
  • a forensic or absconding risk requiring a managed locked environment
  • difficulties with self-regulation and control
  • problems in interpersonal relationships
  • a history of treatment resistance
  • a history of non-compliance with prescribed medication
Including patients who have been detained under either civil or criminal provisions of the Mental Health Act 1983 (amended 2007)

 Walton ward at a glance:

  • 14 beds with 8 en-suite
  • extensive MDT with specialist input including Dieticians, GP and podiatry
  •  visitors room
  • 2 lounge areas
  • HD garden (designed by Alan Gardner)
  • 2 courtyards
  • disability access shower and bath rooms
  • Therapy Kitchen
  • easy access to physio room.

On-site MDT and tailored environments

Our on-site MDT is expert in the assessment, treatment and management of HD and is permanently based on-site to meet the daily needs of patients, including those who present with challenging behaviour, overt aggression, sexual disinhibition and self-harm, as well as those with a forensic history.

Our therapeutic environment is designed to create a welcoming and reinforcing experience for patients in our care.  In partnership with patients and their family our MDT construct programmes that 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
  • are delivered by an extensive full-time team
  • address functional and behavioural issues such as communication, movement, self-care, dis-inhibition and aggression
  • carry out expert management of dysphagia and PEG feeding
  • address, monitor and maintain optimal physical health

Person-centred assessment guides our treatment

Our staff has extensive experience in supporting patients with HD.  Their goal is to facilitate and maximise function and quality of life, whilst ensuring the best possible support for individual autonomy.

Each patient is provided with a tailored treatment programme that is designed in conjunction with the multidisciplinary team (MDT) and in line with our treatment aims, to maximise functional independence and good physical and mental health. 

To support our care planning we routinely use: 

  • RAID®   (Reinforce Appropriate: Implode Disruptive)
  • Dementia Care Mapping   (DCM)
  • Overt-Aggression Scale – modified for Neurorehabilitation    (OAS-MNR)
  • HoNOS secure
  • START 
Our facilities

Wide corridors, door-frames and wet-rooms ensure that therapy and living areas are fully accessible for those requiring disabled access.   Patients also have access to our 140-acre campus, which provides interesting venues to explore during family visits, and a range of other activities, including; 

  • indoor and outdoor gyms
  • patient café’s
  • 2 x swimming pools
  • access to Workbridge vocational services (find out more here)
  • patient library
  • A chapel and multi-faith facilities
  • Hairdresser
  • garden centre and cafés
  • beautician
  • patient recreation centre
Next steps

Our Discharge Co-ordinators begins 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.

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