We use a recovery model and support each service user to achieve realistic goals by accessing meaningful assessment and treatment.

Transcription

1 Cygnet PICU and Hospital Acute Bury Services Psychiatric Mental Health Intensive and Deafness Care and Services Acute services

2 We use a recovery model and support each service user to achieve realistic goals by accessing meaningful assessment and treatment.

3 Introduction Cygnet Hospital Bury is a purpose built environment offering a wide range of specialist mental health services for men and women as well as CAMHS provision. Security levels range between medium secure to locked rehabilitation. Specialisms available at the hospital include national Mental Health and Deafness services for people affected by deafness and mental illness. The Mental Health and Deafness services are provided in both low secure and medium secure settings. Mental Health and Deafness Cygnet Hospital Bury has highly specialised services for men and women who are deaf and require low or medium secure care providing mental health services for Deaf people with complex care and communication needs. The Deaf service for men provides assessment and treatment in a low secure setting, and the service for Deaf women, which is the only Deaf service of this kind for women available in the UK, is provided for people from the age of 18 years in both medium and low secure environments. The services are highly specialised and offer culturally sensitive treatment for Deaf service users with mental disorders. Staff are highly skilled in British Sign Language (BSL) and the services are well known for innovation and development within the field. The services can provide specific therapies, including sex offender treatment programmes, which are delivered in a culturally and communicatively appropriate way for each individual s needs. Our philosophy balances recovery with security. Our specialist services provide expertise and resources to enable service users with complex communication needs who may have a mental illness, learning disability or personality disorder to participate safely and as fully as possible in their care and achieve outcomes to support their discharge from hospital. We use a recovery model and support each service user to achieve realistic goals by accessing meaningful assessment and treatment.

4 We believe that placement in a secure setting should last only as long as a person needs that level of care

5 Who we can support The Mental Health and Deafness services at Cygnet Hospital Bury can support people who: Are deafened or hard of hearing (all language preferences are catered for) Have complex communication needs which may relate to deafness and /or to mental illness, personality disorder, learning disability or other developmental disorders such as an autistic spectrum condition Are over 18 Are detained under the Mental Health Act 1983 as amended 2007 and require assessment and/or treatment in a medium or low secure setting. We are able to accommodate people who may require intensive care as a result of significant risk of aggression, absconding with associated serious risk, and serious risk of self-harm, suicide or vulnerability May or may not have a forensic history Support and outcomes The Mental Health and Deafness services aim to balance recovery with security. The hospital team includes both Deaf and hearing professionals who provide expertise and resources to enable service users with complex communication needs who may have a mental illness, learning disability or personality disorder to participate safely and as fully as possible in their care and achieve outcomes to support their discharge from hospital. Cygnet Hospital Bury s Mental Health and Deafness services provide meaningful assessment and treatment. The wards use a recovery model and support each service user to achieve realistic goals by: Establishing their preferred mode of communication Understanding how their communication style has developed within the context of their life experiences and identify the factors which are likely to have impacted upon it Determining the range and level of language the person can understand and use expressively Gauging the effectiveness and appropriateness of a person s communication with a view to better understanding any behaviours which may be challenging Determining what potential a person has to improve communication and identify strategies Supporting the differential diagnosis of disorders e.g. Autistic Spectrum Conditions Monitoring the progress of a mental illness as manifested in a person s communication We offer a specialist interpreter service to facilitate communication between service users who are Deaf, and other hearing members of their extended care team Diagnosis of disorders impacting on communication can be difficult as a result of the complex and multiple issues which affect some service users. Therapy on an individual or group basis may be recommended to support a service user to develop his/her communication skills further alongside the provision of advice for significant others on how to adapt communication to an optimal form and level. All About Me Deaf recovery package is used throughout the The Mental Health and Deafness services. We believe that placement in a secure setting should last only as long as a person needs that level of care and we focus interventions towards a service user s future life outside hospital. This work addresses specific questions relating to capacity, risk and safeguarding, relationships, substance misuse issues and the level of support that may be needed on discharge. We seek to engage service users at all levels of care planning and service provision and where possible, service users participate in or chair clinical meetings. Our service has received national recognition for its pioneering work in making recovery and outcome focussed work meaningful and accessible. All staff receive Deaf Awareness Training and are supported to access British Sign Language (BSL) classes. The Communication Policy provides the structure for meeting a service user s identified needs through their care pathway journey from within our Multi- Disciplinary Team s diverse skill mix. All therapeutic programmes are adapted and delivered to make them meaningful and accessible based on individual language need. Service users have won national awards for service user involvement projects and co-produced the award-winning All About Me Deaf recovery package. Cygnet Hospital Bury is a major employer of Deaf staff which is vital to providing accessible and quality services. Our highly experienced and skilled interpreting team alongside a Deaf communication and translation specialist, support high quality care.

6 The Care Pathway Pre-admission: Early multidisciplinary team assessment, risk formulation, determination. Assessment phase: Comprehensive assessment using CANFOR, HCR20, RSVP, SAPROF, Start, MOHOST, neurological and language assessment, introduction of recovery tools and prediction of length of stay. Active treatment phase: Adapted psychological therapies to meet individual communication needs utilised including Life Minus Violence, sex offender treatment programmes and dialectical behavioural therapies. Service users are empowered to understand their diagnoses and address mental disorder issues. Recovery, rehabilitation and pre-discharge phase: Focus on preparation for life in the community or next phase of care. Intensive occupational and social therapy, close liaison with community mental health teams and NHS gatekeepers to support the next phase or discharge.

7 Facilities Cygnet Hospital Bury is a modern hospital complex located in Bury, Greater Manchester and can provide medium and low secure services. There are a range of communal spaces including a gym, occupational therapy kitchen, therapy garden and woodland walkways down to the Elton Reservoir. Each service user has their own individual bedroom with en suite facilities.

8 To find out more contact Cygnet Hospital Bury, Buller Street, Bury, Lancashire, BL8 2BS Tel: