Forensic secure services

We believe in a culture of safety, excellence and compassion. We take a holistic approach, integrating physical and mental healthcare, whilst focusing on reducing risk and offence-related behaviour.

St Andrew’s provides a comprehensive range of medium and low secure services, through innovative care pathways, to help support some of the most complex, challenging patients.


We have dedicated, gender-specific services for men, women, and age-specific services for older adults and adolescents.

Comprehensive care pathways, including locked and open rehabilitation services, enable us to provide clear direction and progress for patients whilst testing coping strategies and risk.

Often patients suffer from combinations of multiple disabilities, including mental illness, personality problems, adverse family backgrounds, limited life skills and histories of alcohol and substance misuse. Many have histories of offending and non-compliance, repeated failed attempts at community integration and movement between mental health and criminal justice services. This can lead to a cycle of escalating social exclusion, loss of meaningful social roles and continued offending behaviour.

Forensic secure services

Secure mental health services
men women
Secure personality disorder (PD) services
men women
Secure autistic spectrum disorder (ASD) services
Secure learning disability (LD) services
men women

Addressing risk behaviours

We use nationally recognised and accepted structured professional judgement risk assessment tools including:

  • HCR-20: Risk Assessment for Violence.
  • RSVP: Risk Assessment for Sexual Offending
  • START: The Short-Term Assessment of Risk and Treatability
  • MOAS (Modified Overt Aggression Scale).

In addition to a number of tools developed at St Andrew’s:

  • HoNOS- Secure
  • SASBA: St Andrew’s Sexual Behaviour Assessment Scale
  • SAFARI: St Andrew’s Fire and Risk Instrument
  • SASKI: St Andrew’s Sexual Knowledge and Attitudes Instrument.

We also use full diagnostic assessments for specific conditions such as Autism Diagnostic Interview, Revised (ADI-R) and Dementia Care Mapping.


A therapeutic culture

We engage patients in their own treatment, empowering them to develop increasing responsibility for their care and behaviours. We put the patient at the centre of their recovery, so personalised care programmes are developed for each individual with their specific needs in mind.

We pride ourselves on quality of care and our extensive range of therapeutic interventions which are tailored for our very distinct patient group. We support patients by providing:

  • a full time on-site multidisciplinary team (MDT)
  • a clear treatment programme
  • an understanding of the treatment process
  • a culture of enquiry and learning
  • an awareness of boundaries and containment
  • physical resources and interventions.



St Andrew’s has invested heavily in providing some of the most up-to-date and modern facilities in which to provide care. Often within the secure perimeter, we provide a range of facilities which enable continuation and consistency of care.

William Wake House image


Referring to St Andrew’s

All referrals for secure care must be made through NHS England local area teams. Find out more...