OUR MDT
The treatment programme for all our service users begins with a comprehensive multidisciplinary assessment by a team consisting of consultant psychiatrists, clinical psychologists, qualified nurses, speech & language therapist, occupational therapists, specialist teachers and social workers if applicable.
We tailor unique support packages built on individual choice, which enable both social care and community-led activities embracing all opportunities, whether recreational, educational or work-based. People are supported to develop the skills and activities of daily living as need to live as independently as possible.
Our interventions are routinely evaluated for their effectiveness and to show a positive outcome. We emphasize communication and feedback between professionals, carers and service users, and the timely sharing of information as an essential component at all stages of care we provide.
An individual treatment plan helps facilitate the patient's pathway into rehabilitation. These plans are tailored to individual needs and may include:
- Regular Multidisciplinary Team meetings
- Regular psychiatric reviews, risk assessments. Medication review and accentuate healthy life styles through Health Action Plan
- Regular monitoring of physical health in liaison with local GP Services
- Assessment of communication difficulties and appropriate interventions
- Epilepsy management
- cognitive behavior therapy - pharmacotherapy - psychotherapy (individual and group) - specialist offender treatment programmes (sex offending, fire setting, substance misuse and management of emotions) - education and life-skills training - employment and vocational training
- We involve the patient, their families and referring clinical teams throughout the individualized treatment pathway.
- Occupational therapy input, building meaningful social and vocational roles, helping choose and facilitate appropriate leisure activities, sensory processing dysfunction assessments
- Liaison with other mental and physical health services
Pathways
Following a referral to The Service and the receipt of relevant clinical information, the rasident will be assessed by members of the MDT and a bed will be offered if the patient meets the admission criteria. The bed offer will include an assessment report, initial care plan, risk assessment and time line. On immediate admission, staff will put in place a 24 hour care plan, and a full assessment of mental state will be completed by the qualified staff. Within 72 hours a comprehensive needs assessment will be completed working in partnership with the users, and robust care plans will be produced which will guide the treatment/ rehabilitation programme that the staff and users will follow. These will be reviewed by the multi- disciplinary team and the referring team (care co-ordinator) on a regular basis. Registration will also be made with a local GP (where the patient is not already registered) and a full medical examination completed.
Discharge plans are devised and agreed by the patient and these are monitored and reviewed regularly. A joint decision to discharge is made by the multi-disciplinary team in conjunction with the referring team when they feel the patient is ready.
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