A 17-bed locked unit providing slow-stream rehabilitation for adult men with acquired / traumatic brain injury, whose improving complex behavioural, psychiatric and emotional difficulties requires extended support.

Althorp provides rehabilitation for men whose challenging behaviour or cognitive deficit requires continued levels of intervention and support that typically cannot be provided in a less-restricted environment.

Slow stream services, with a deep pool of therapy support

We recognise the potential for every patient to make gains in functional ability and daily living, and understand that further gains in independence can require extended care. Key to a successful outcome is the ability to supplement the care programme with a deep resource of therapies and specialists, to tailor the most appropriate treatment.

From the moment of admission our extensive MDT focus on individual goal-planning with each patient, and agree on specific behaviours to develop or reduce.
In addition the range of Occupational Therapy (OT) sessions helps to develop their daily living skills in a safe environment. They can then continue their recovery via one of our community settings in the Berkeley’s, or back in their local area.

Admission criteria

We support men who are aged over 18 and have: 

  • a formal psychiatric or neurological diagnosis
  • a history of acquired brain injury
  • co-morbid physical or mental health needs
  • emotional and behavioural difficulties including aggression tounits others and who are considered a high risk to themselves or others
  • difficulties with self-regulation and control
  • problems in interpersonal relationships
  • a history of treatment resistance
  • a history of non-compliance with prescribed medication
  • been detained under either civil or criminal provisions of the Mental Health Act 1983 (amended 2007)

Treatment and care

Our therapeutic programme is designed to create a reinforcing environment where individuals experience success through achievable goals and regular opportunities for learning.

In partnership with patients our MDT construct programmes of enablement that allow progress through our pathways to a place of least restriction, and 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, as well as those further along their neurobehavioural recovery journey
  • are delivered by an extensive full-time team
  • offer individual and group therapy experiences
  • address functional and behavioural issues such as communication, movement, self-care, dis-inhibition and aggression

The goals of interventions on Althorp are to:

  • ensure the safety of the patient and others
  • provide a multi-disciplinary assessment of the patient’s strengths and needs
  • provide a formulation of the patient’s presenting needs that will inform both risk management and care planning
  • create an environment and culture that will offer the maximum opportunities for positive behaviour and optimal achievement of skills
  • offer individual and group therapies that will ensure skill development and an enhanced quality of life
  • ultimately effect the changes necessary to help the patient move to a less secure setting, through the Care Pathway and where possible, to progress to an environment closer to their own home

More information

NBIC pathway brochure

Our facilities

Our unit environment is designed to support the therapeutic and social needs of our patients, and includes;

  • 14 bedrooms, including one with disabled access
  • de-escalation facilities
  • dedicated areas to support Occupational Therapy, including a training kitchen and laundry room
  • a gym and therapy room including exercise machines which are accessible for patients with physical disabilities and sensory impairments
  • an accessible garden, separate courtyard and lawn area
  • leisure and games room including pool table
  • a computer suite
  • a lounge area with satellite TV, DVD and stereo

 Across our 140-acre campus patients also have access to;

  • indoor and outdoor gyms
  • a number of patient café’s
  • 2 x swimming pools
  • access to Workbridge vocational services (find out more here)
  • library
  • extensive primary healthcare facilities, including an on-site GP, dental services and podiatry service, supported by a Practice Nurse team
  • A chapel and multi-faith facilities
  • hairdresser
  • extensive landscaped grounds

Next steps

Our Althorp Discharge Co-ordinator 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.

Typically patients will spend 12-24 months on Althorp before moving along our care pathway to a less-restrictive environment such as Berkeley Close, or returning to their home area.

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