St Mary’s Hospital provides specialist rehabilitation following the Giles-Clarke model of neurorehabilitation which has been adapted for a forensic population.

The Multi Disciplinary Team assesses each person’s needs: physical, psychological, social, emotional and occupational. The Multi Disciplinary Teams (MDT) plans are developed during the initial 12 week assessment period. Many of our patients are admitted with undesirable behaviour that are often unhelpful to them and present a risk to others. It is our aim to modify such behaviours using a combination of environmental control/structure, formalised cognitive rehabilitation utilising a relentlessly positive neurobehavioral approach. Our baseline outcome measures are completed during the assessment phase and repeated at appropriate intervals to inform treatment efficacy and inform further rehabilitation objectives.

All patients upon admission are allocated a key worker/named nurse based on our unique neurorehabilitation model and a nominated member of the Neurorehabilitation Service will also be central to the patients care to ensure consistency in the implementation of individualised programmes.

Patients have access to a range of Occupational Therapy facilities and services which contain a detailed daily and weekly planner for each patient.

The planning and integration of daily activities and events into a personal daily planner is central to the rehabilitation model as are other compensatory systems.

All patients have access to an independent specialist professional advocacy service as part of the overall care package.