Mental health services for older people

St Andrew’s provides dedicated services for men and women with enduring mental health problems and challenging behaviour.

With an age-appropriate environment and atmosphere, these services focus on progress and recovery.

We offer the only dedicated medium secure older adult mental health service in the country.


Individualised care and treatment

Individualised treatment programmes incorporate the principles of the RAID (Reinforce Appropriate and Implode Disruptive) model – positive, meaningful engagement and reinforcement.

We use specialist age-appropriate interventions and tools, which address psychiatric symptoms, risk and offending behaviour.

Structured professional judgement tools, such as HCR-20 and RSVP, are used to assess risk on a regular basis. Comprehensive neuropsychological assessments, such as Dementia Care Mapping, complement our holistic approach.

Our older age adult service was the first to be awarded the RAID Centre of Excellence, recognising our environment of positive engagement.

Achieving positive engagement

We provide a holistic approach to the assessment, treatment and rehabilitation of mental illness and physical health problems.

With input from over ten disciplines, our approach provides a range of individual and group therapies including index offence work, problematic alcohol and drug use, emotional coping skills and strategies, and cognitive stimulation therapy.

Specialist occupational therapy interventions develop important community skills prior to re-integration. In addition to psychology, psychiatry and physiotherapy inputs, individualised treatment aims to maintain and improve functional independence:

  • activities of daily living: personal hygiene, laundry, budgeting skills, cooking and preparing meals.
  • on-site vocational pathway: activities include woodwork, horticulture, catering, ceramics and office skills
  • individual education sessions: literacy, mathematics and IT skills
  • arts and crafts
  • body image therapy to promote self-care and self-image
  • spiritual support
  • physical health and wellbeing - crucial to our comprehensive care programmes.

We offer dual-trained adult and mental health professionals who work alongside our dedicated physical health team with access to General Practitioner (GP), a geriatrician, a Practice Nurse, dental and podiatry services.

Ongoing Support

Discharge is considered at admission and our clinical and social work teams will work with local area teams to manage transition into appropriate settings.

St Andrew’s offers highly bespoke community care packages to support very complex patients. This would be discussed and agreed with the commissioner in advance.