Neuropsychiatry - acquired/traumatic brain injury

Our Neuropsychiatry brain injury services support people with significant and often challenging neurocognitive, neurobehavioural and physical needs following a recent or long-standing brain injury. We offer acute admission through to step down into transitional housing in a community setting, to support people in their recovery to independent living and prior functioning.

As the first specialist UK neuropsychiatric unit, Kemsley, has pioneered the delivery of person-centred care for over 40 years and our extensive and highly skilled, on-site MDT recognise the importance of treating the neuropsychiatric sequelae, providing neurocognitive, neurobehavioural and physical therapies and rehabilitation.

To find out more about the Neuropsychiatry Brain Injury team, our approach and the commitment we make to deliver personalised care, watch our video, which features Vishelle Kamath, Consultant Psychiatrist. In this video Vishelle explores the mental and physical sequelae of brain injury and describes how our specialist MDT can support patients with behaviours that challenge and complex physical health needs that are overlaid onto significant mental disorders and mental health needs.

Click below to watch the video.

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How we can help with your ABI referral

Our brain injury services accept referrals nationally, but support the healthcare agenda to provide care as close to home as possible for people in the East Midlands.

Many referrals come from acute trauma centres or Intensive Therapy Units (ITUs) where the patient has been sedated or intubated for long periods of time. For Rose ward, patients are often transferred from the criminal justice system or other psychiatric units who have not been able to support or treat a patients complex and often challenging mental health needs.

We work with local Brain Injury Case Managers, Neuro Navigators, Clinical Commissioning Groups and Foundation Trusts to support complex brain injury cases.

 

Who we care for

Our psychiatric neurobehavioural and neurorehabilitation services support people who are often experiencing huge psychological and behavioural sequelae from a brain injury alongside the more obvious physical consequences. 

Many brain injury services tend to prioritise physical rehabilitation, however at St Andrew’s we have the knowledge and expertise within our on-site multi-disciplinary teams to support a person’s complex and individual neurocognitive and neurobehavioural rehabilitation needs alongside their physical deficits following a significant and traumatic brain injury.

Following a brain injury people may also be affected by the way they view others. They may not perceive others as trying to help them, instead they may feel that people are trying to persecute them or harming them, this can manifest itself in agitation and  behaviours that challenge, which in some cases leads them to the criminal justice system.

Often people with significant trauma come from enriched and fulfilling lives, which have been significantly affected by their trauma and brain injury. The loss associated with the inability to walk, speak and make judgements can be significant and is understandably hard to process for many individuals.

Our environment and treatment approach

With a diverse range of environments from medium secure to enhanced inpatient rehabilitation and transitional hospital registered housing in a community setting 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.

Our brain injury services at a glance

We deliver personalised care through a range of specialist interventions for adults with acquired brain injury whose complex behaviour impedes their ability to improve their quality of life, or who present with a risk profile which local acute or rehabilitation services struggle to care for. Our single sex services offer a continuity of care from medium secure to enhanced inpatient rehabilitation and hospital registered housing in the community.

Our gender specific wards consist of:

Rose – Medium Secure admission, assessment and rehabilitation ward for males typically with a forensic background. One of only three medium secure services in the country

Tallis – Admission, assessment and rehabilitation ward for males

Tavener – Assessment and rehabilitation wards and flats for males

Berkeley Close Ground Floor – Admission, assessment and rehabilitation ward for females

Berkeley Close 1st Floor – Rehabilitation and recovery for males

19 The Avenue – Transitional living houses for males and females

37 Berkeley Close – Transitional living houses for males

38 Berkeley Close – Transitional living flats for males and females.

Our treatment aims

Much of the work we do supports individuals to understand what has happened to them, including where they now need support and what their needs will be in the future.

We often see people as they start to process what has happened to them and the impact of this trauma or illness progression. They are often having to come to terms with not being able to care for themselves as they had done beforehand. Some individuals have significant memory loss following a period of incubation. Often their abilities to learn new things is impaired leading to yet more agitation.

Our specialist multi-disciplinary teams (MDT) help patients with significant brain injury, complex and challenging behaviour to process the environment, situation and come to terms with the trauma they have experienced so they can develop coping strategies and a way forward.

Some people may have an evident mental disorder as a consequence of their brain injury. They may become psychotic or depressed. Our teams are skilled and equipped to understand that person, their injury, how they are thinking and how they regulate emotion to design tailored treatment plans with the individual to meet their needs and future goals.

Our aims are to support a person with complex brain injury and trauma to achieve a level of functioning similar to what they had before their injury. Our interventions include holistic neurobehavioural and neurocognitive programmes, which assists patients to compensate for the deficits they have in areas such as communication, volition, motivation or physical abilities, by providing a structure where they can learn to enhance skills that are required for daily life that have been lost due to their brain injury. Patients are offered a broad range of therapeutic and vocational activities based on their interests and goals to help support their rehabilitation needs.

A large part of our service also supports family and loved ones, who themselves are struggling to understand what has happened. Our clinical teams help family, carers and loved ones to understand the pace of recovery, setting realistic expectations to what an individual’s journey may be and what support they will need over the course of this time and their futures.

Our diverse multi-disciplinary teams also help support a person’s social and education needs as they come to terms with their brain injury, adapting skill learning to help a person move forward with their life.