Neuropsychiatry - acquired/traumatic brain injury

For nearly 40 years we have refined our approach and developed innovative neurobehavioural therapies and assessment tools to deliver hope, recovery and independence for people in our care.

For some patients following brain injury their social skills and behavioural management can fragment, resulting in complex and challenging behaviour and limited or inappropriate social interaction. Many patients will also have co-morbid physical and mental health needs that require management in parallel to their primary diagnosis.

At the National Brain Injury Centre (NBIC), Kemsley, we have developed a range of unique therapies and environments, from medium secure to community-based transitional living. During their time with us we help patients to re-tether social and interpersonal skills while also supporting a wide range of medical and physical healthcare needs, to assist their return to community living.

Find out more about our ABI study focusing on patients whose behaviour is challenging.


Our treatment approach

With 107 beds across a dozen environments dedicated to people with brain injury we can personalise care according to the unique physical, psychological, emotional and social needs of each patient (including those detained under the Mental Health Act) with a focus on neurobehavioural rehab.

Our Multi-disciplinary Team (MDT) construct programmes of enablement that support patients as they progress through our service to a place of least restriction, and utilise a full range of psychological and occupational therapy programmes.

We accept patients at all stages of recovery, from initial assessment and stabilisation, to those further along their rehab journey who require greater integration to community living.

Features of our ABI service

  • Level 2 equivalent specialist rehabilitation services
  • Mental Health Hospital of the Year 2016
  • Specialist environments
  • Medium secure to community transitional living
  • Specialist brain injury, dementia and Huntington's disease units
  • Extensive inter-disciplinary team based full-time on site
  • Access to neuro-imaging and assessments facilities (MRI and CT)
  • CQC rated good
  • Dedicated dysphagia kitchen
  • Winner of 2016 Healthcare Caterer of the Year
  • Two swimming pools and gyms
  • On-site vocational services
  • 140-acre landscaped campus
  • Excellent transport links

Suitable for patients detained under the Mental Health Act 1983 (2007) or on a Deprivation of Liberty Safeguard Order (DoLS).

My Shared Pathway (MSP)

MSP places choice and responsibility in the hands of individual service users, so that they can make informed decisions about their healthcare. MSP can be described as the Care Programme Approach (CPA) ‘done well’, and starts in a one-to-one meeting between a patient and their key-worker.

Together they work through individual steps to enable them to come to a shared understanding of what the individual wants to get out of their care. The eight MSP domains are:

1.  Getting Insight: Risks
2.  'Stopping my problem behaviours'
3.  Recovery from drug and alcohol problems: substance misuse
4.  Making Feasible Plans: Legal / Detention, Leave, Discharge Planning
5.  Staying Healthy: Physical Health
6.  My life skills: Living Skills, Activity (Work and Leisure), Finances, Education, Communication
7.  My Relationships: Relationships, Safeguarding, Childcare
8.  Unmet needs

Staff and patients explore goals using a recovery approach, and utilise two key documents throughout the recovery journey; My Shared Understanding, and My Outcomes, Plans and Progress.

Each person’s agreed approach and outcomes are also discussed within rounds, MDT meetings, care planning and the CPA process to ensure the team fully understand their individual needs and support them in decision-making around their care.

Positive Contingencies

"Psychological methods of change are firmly embedded in the treatment culture of our service and are delivered by all members of the MDT.  This ensures that positive contingencies are routinely available to encourage appropriate social behaviour."

Clinical Director, St Andrew's Healthcare

SAH NBIC pathway 1