ABI Medium Secure Service
St Mary's Hospital provides specialist neurorehabilitation for men with acquired or degenerative brain injuries who due to their behaviour have a forensic history or complex and challenging needs.
ABI Service Ethos
We offer individualised neurorehabilitation programmes within a multi disciplinary team framework in medium and low secure conditions, combining positive behavioural support as part of the My Shared Pathway approach. Patients are cared for in different wards based on the level of security required, their level of cognitive functioning, physical healthcare needs and peer group.
Details of the ABI Medium Secure Service
St Mary's provides medium secure assessment and treatment beds for patients with Acquired or degenerative Brain Injuries, detained under the Mental Health Act. Patients are admitted to Adam's ward following a detailed pre admission Multi Disciplinary assessment. Patients are usually referred from the courts, prisons, high secure hospitals, other secure and non-secure psychiatric hospitals.
Patients typically present with marked dysexecutive features, with impaired functioning in domains such as impulse control, planning, foresight, empathy, emotional regulation, behavioural self-monitoring, problem solving, mental flexibility, self awareness and social interaction. Adams Ward caters for individuals representing higher levels of risk. This may be reflected in serious or frequent behavioural disturbances, a significant potential for aggression and interpersonal violence, unpredictability or subversive behaviours
All patients have an initial 12 week multidisciplinary assessment of their cognitive, psychological, mental health, occupational, social and physical health needs in formulating care plans to promote treatment and rehabilitation. A comprehensive risk assessment is also completed. An enhanced Care Programme Approach (CPA) meeting is held following the initial assessment followed by regular 6 monthly CPA meetings where the patients' progress is discussed and future carepathway agreed.
Within Medium Secure services, we are constantly developing a consistent Care Pathway that provides a structured process to ensure the delivery of high quality care and evidence-based practice throughout the Medium Secure service. Our aim is to promote optimisation of the patients' cognitive and functional abilities and reduce attendant risks so that the pathway from medium to low secure services is facilitated.
All patients across the medium and low secure service are managed within a Neurorehabilitation framework with a balance between restorative (remedial) and compensatory (adaptive) approaches. Our treatment and rehabilitation program includes:
Specific psychological and occupational therapies
The specific psychological and occupational therapies provided includes:
All of the above can be facilitated in group or 1:1 sessions dependent on need. Increased access to the community allows for patients to progress by attending college and carrying out voluntary work, when and where appropriate.
Location of the ABI Medium Secure Service
This service is located at St Mary's Hospital in Warrington.