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Mental Health Rehabilitation and Recovery Services > High Dependency Inpatient Rehabilitation > Community Rehabilitation Next
Welcome Click the buttons to find out more about our Mental Health Rehabilitation and Recovery Services Cygnet Health Care was established in 1988. Since then we have developed a Introduction wide range of services for individuals with Our expert and highly dedicated care We maintain a good relationship with our mental health needs, autism, and learning team of 10,000 employees empower quality regulators and undergo regular Our Model of Care disabilities within the UK. We have built 2,864 individuals across 150 services inspections, with 82% of our services rated Our myPath Care Model a reputation for delivering pioneering to consistently make a positive difference ‘Good’ or ‘Outstanding’. We also operate Global Assessment of Progress services and outstanding outcomes for to their lives, through service user focused an internal system of quality care, (GAP) Outcomes the individuals in our care. care and rehabilitation. treatment and positive outcomes. Our Service User Pathways Our Discharge to Assess Programme High Dependency Inpatient Rehabilitation Community Rehabilitation Case Study Contents Map How to Make a Referral Introduction 3 Cygnet Lodge Woking, Surrey 25 Our Model of Care 6 Cygnet Oaks, South Yorkshire 26 Our myPath Care Model 7 Cygnet Raglan House, West Midlands 27 Global Assessment of Progress (GAP) Outcomes 9 Cygnet Sedgley House & Our Service User Pathways 10 Cygnet Sedgley Lodge, West Midlands 28 Our Discharge to Assess Programme 11 Cygnet Sherwood House, Nottinghamshire 29 High Dependency Inpatient Rehabilitation Cygnet St Augustine’s, Staffordshire 30 Cygnet Aspen House, South Yorkshire 12 Cygnet St Teilo House, South Wales 31 Cygnet Churchill, London 13 Cygnet Storthfield House, Derbyshire 32 Cygnet Delfryn House, North Wales 14 Community Rehabilitation Cygnet Delfryn Lodge, North Wales 15 1 Vincent Court, Lancashire 33 Cygnet Fountains, Lancashire 16 15 The Sycamores, Derbyshire 34 Cygnet Hospital Colchester, Essex 17 12 Woodcross Street, West Midlands 35 Cygnet Hospital Derby, Derbyshire 18 20A & 20B Turls Hill Road, West Midlands 36 Cygnet Hospital Maidstone, Kent 19 45 Portland Road, West Midlands 37 Cygnet Lodge Brighouse, West Yorkshire 20 Gledholt Mews and Coach House, West Yorkshire 38 Cygnet Lodge Kenton, London 21 Malborn and Teroan, Nottinghamshire 39 Cygnet Lodge Kewstoke, Somerset 22 Rhyd Alyn, North Wales 40 Cygnet Lodge Lewisham, London 23 Case Study 41-42 Cygnet Lodge Salford, Greater Manchester 24 Map 43 How to Make a Referral 44 2 | www.cygnethealth.co.uk Back Next
Click the buttons to find out more about our Mental Health Rehabilitation and Recovery Services Introduction Our Model of Care Our myPath Care Model Global Assessment of Progress (GAP) Outcomes Our Service User Pathways Our Discharge to Assess Programme High Dependency Inpatient Rehabilitation Community Rehabilitation Case Study Map How to Make a Referral Introduction T he main aim within our mental health rehabilitation and recovery services is to make a positive difference to the lives of our service users by building essential community links and All our environments offer high staffing ratios, skill development opportunities and vocational development in a welcoming and nurturing environment, enabling each individual to flourish on strategies that support re-integration into the wider community their journey. through working in partnership with each individual. When the time is right, we also provide community rehabilitation, Our model of care is based on an integrated approach whereby which provides increased independence, and a more family, service users, commissioners and carers are all involved in outward-looking community based programme for those the rehabilitation and recovery of the individual. requiring additional support before full social reintegration. Our services support those who are experiencing complex mental health difficulties and may require specialist treatment programmes for areas such as behaviours that may challenge, offending, self-harm, substance, drug and alcohol misuse, addiction, trauma and anger management. 3 | Mental Health Rehabilitation and Recovery Services Back Next
Our service user profile: Click the buttons to find out more about our Mental Health Rehabilitation > Primary diagnosis of mental illness with: and Recovery Services • Complex comorbidities • Substance, drug and alcohol abuse Introduction • Treatment resistance 18+ years Our Model of Care • Behaviours that may challenge Our myPath Care Model > Aiming for a return to community or community-based care Global Assessment of Progress (GAP) Outcomes > History of sexual abuse or domestic violence Our Service User Pathways > Typical diagnoses: schizophrenia, schizoaffective disorder, bipolar affective disorder Our Discharge to Assess Programme or depression High Dependency > May have secondary diagnoses of mild learning disability, autism spectrum disorder Inpatient Rehabilitation or personality disorder Community Rehabilitation > May have a forensic history and/or be stepping down from secure services Male & Female Case Study > May have a history of repeated acute admissions Map How to Make a Referral Our services at a glance: > High staffing ratios > Daily living skills Mental Health Act Status: > Specialist treatment programmes: > Employment support and vocational Detained or Informal /educational development • Treatment for offenders including forensic psychology > Psychology and occupational • Self-harm, addictions, personality therapy led disorder, anger and > In-house integrated anxiety management multi-disciplinary teams Our multi-disciplinary teams: > Psychiatry > Substance misuse workers > Psychology > Sessional therapists including art > Occupational therapy therapy, music therapy and holistic therapies > Nursing > Specialist trained support workers 4 | www.cygnethealth.co.uk Back Next
Our outcome Our specialist interventions Click the buttons to find out more measurement tools: and approach: about our Mental Health Rehabilitation and Recovery Services In addition to our psychiatry and nursing interventions we offer: > START > Vocational qualifications Introduction > HCR20 > Family, social and Occupational therapy-led interventions: Our Model of Care > HoNOS community reintegration > GAP > Medication management > Daily living skills Our myPath Care Model > BPRS, LUNSERS > Assessments and measures > Targeted occupational therapy sessions according to Global Assessment of Progress are tailored to individual (GAP) Outcomes > Recovery Star needs and selected to individual need Our Service User Pathways > MOHOST address change of specific > Financial management training Our Discharge to Assess Programme > Self-harm risk assessment toll difficulties, e.g.: > Education and vocational programmes High Dependency and immediate revision • Beck inventories of of START anxiety and depression > Therapeutic earnings focusing on career and job Inpatient Rehabilitation skill development Community Rehabilitation > Improved communication (BAI & BDI) and social understanding • Clinical Outcomes > Development of social skills and interests Case Study > Acquisition of coping skills in Routine > Activities to improve self-esteem including self-image Map and self-regulations Examination (CORE) How to Make a Referral > DLSOS • Warwick-Edinburgh > Creative activities > PHATT Mental Wellbeing > Cultural and spiritual needs Scale (WEMWBS) > Improvements in > Social family integration (where appropriate) metabolic profile • Brief PSI Inventory (BSI) > Community activities > Our approach: Sensory profiling and sensory strategies > Encourages hope, > Dovetailing with Psychology-led interventions: empowerment and wellness existing pathways > Supports development of > Innovation around > Cognitive Behavioural > Mindfulness > Mental Health relapse personal responsibility outreach Therapy (CBT) prevention > Is community-focused > Co-production culture: > Alternatives to self-harm > Dialectical Behaviour Therapy > > Offence-focused interventions > Is person-centred building engagement (DBT) Behaviour analysis and > Development of internal through meaningful activity informed approach problem-solving approaches > Emotional Management progression ethos > Social inclusion > Psychometric assessments interventions including anxiety through service > Recovery > Schema informed approach and anger > > Cognitive functioning > > Optimism Brief Solution Focused therapy assessments Motivational enhancement > Eye Movement Desensitisation > Drug and alcohol awareness > Self-esteem enhancement and Reprocessing therapy (EMDR) and > Individual risk assessments Average expected length of stay in our high relapse prevention including HCR-20, PCL-R and dependency inpatient rehabilitation services is > The Wellness Recovery Action > Cognitive skills SARA Plan (WRAP®) 12-18 months 5 | Mental Health Rehabilitation and Recovery Services Back Next
Our Model of Care Click the buttons to find out more about our Mental Health Rehabilitation and Recovery Services At Cygnet Health Care we are doing all we can to make a positive difference. To help guide us & ensure we are working together to achieve this we have collaboratively developed our model of care for our high dependency Introduction rehabilitation services. A guide that shows what we do as an organisation to Our Model of Care N support individuals with mental health needs on their road to recovery. The service will provide a therapeutic setting and will e Our myPath Care Model My Past w have achieved or be working towards AIMS accreditation B Staff supporting individuals in our care will be provided with continuing My Future Global Assessment of Progress e training, development & supervision relevant to the service user needs (GAP) Outcomes g i The effectiveness of the service will be measured using standardised Our Service User Pathways n outcome measures and the quality of life of individuals in our care Our Discharge to Assess Programme n i A specific model of care will be provided which offers a flexible Stage Four High Dependency n and person centred approach in line with best practice g Transition & Discharge Inpatient Rehabilitation My Future s Community Rehabilitation >Medical >Nursing • Final • Completion of Case Study Stage Two Stage Three pharmacological self-medication Map review stages Recovery Consolidation • Discharge • Transfer to local How to Make a Referral My Skills My Independence summary GP/dentist >Medical • Educational >Medical >Nursing • Formulation of • Coordinate • Physical activities >Final titration >Self-medication physical and discharge Stage One health review • Vocational skills of medication >Discharge liaison mental well-being • Liaison with • Review • Social skills >Review of capacity with family >Psychology care coordinator Assessment & Engagement • Pre-discharge >Multi-Disciplinary Understanding Me of detention • Sensory Strategies >Review of detention >Self-management • Clarifying diagnosis support Team >Nursing >Progression of of physical health >Medical • DLSOS • Pharmacological unescorted leave >Liaison with • Update relevant • Service user • Stages of • Physical health • MOHOST risk assessments review meetings formulation medication >Psychology care coordinator screening • Sensory Screening >Psychology >Relapse Prevention >Multi-Disciplinary • Review of (including CPA) • Family liaison work & examination • MOHO Case Team relapse plans • Placement visits, • Direct and • Well man work (WRAP) • Capacity Formulation indirect >Developing >Service user • Ending of family/community /woman clinic support to treatment therapeutic >Nursing interventions • Communication confidence with review meetings • Comorbidity (including CPA) relationships • Handover to • Physical health • Individual and/or with care skills generalisation screening group therapy >Skills testing >Psychoeducation >Occupational community team • Religious needs coordinator Therapy • 5 Ways to • Leave review using evidence >Evaluation >Risk formulation and • Orientation to • Insight >Psychology based approaches of progress positive risk taking • Placement Wellbeing the unit development • Assessment of • Intervention to >Family support assessment • WRAP & PBS • Baseline >Multi-Disciplinary >Occupational intervention reduce distress Therapy >5 Ways to Wellbeing • Orientation to (or equivalent) assessments Team review need using set and/or risk future placement >Multi-Disciplinary • Service user >Community >WRAP & PBS • Risk formulation assessments and • Development focused activities (or equivalent) • Referral to Team review meetings and positive those driven of insight community by case >Service user (including CPA) >Review of review organisations risk taking /self-awareness review meetings • Psychoeducation functional specific needs • Psychoeducation assessments • Establishing • Case formulation (including CPA) • PBS (or equivalent) community links work >Family links plan review >Vocational activities • Readiness for • Offence • Risk formulation & >Independent change assessment > Sleep scales focused work >PBS (or equivalent) positive risk taking implementation >Occupational >Occupational of learnt skills Therapy Plan development • 5 Ways to Therapy >5 Ways to Wellbeing Wellbeing • Baseline • Functional functional >Baseline assessment >On-going risk skill building assessments of risk assessment • Therapeutic and management programme Enabling and Nurturing Environment 6 | www.cygnethealth.co.uk Back Next
Our myPath Care Model Click the buttons to find out more about our Mental Health Rehabilitation and Recovery Services Introduction Therapeutic support within our mental health rehabilitation and recovery services is provided Our Model of Care by a specialist multi-disciplinary team who Our myPath Care Model apply our bespoke care model and digital Global Assessment of Progress service user management system, myPath. (GAP) Outcomes myPath has a wide range of functions, but the Our Service User Pathways key deliverable is that it keeps the individual Our Discharge to Assess Programme at the centre of all avenues and enables high High Dependency quality and sustainable care to be delivered in Inpatient Rehabilitation a meaningful and realistic way. Community Rehabilitation Case Study Map How to Make a Referral For each individual we can: “As a clinician working in mental > Deliver transparent care health rehabilitation and recovery > Offer bespoke care pathways services, myPath helps me to evidence collaborative care but also > Monitor engagement levels answer those key questions around > Evidence tangible outcomes when and if a service user is, or will > Predict discharge readiness be ready for discharge.” Cygnet staff member Assessing and managing risk of an individual with a mental illness is pivotal to mental health rehabilitation and recovery. For each individual, a daily risk assessment is completed, which enables dynamic responses to individual presentation within any 24 hour period. Through this process we provide integrated care to make informed choices over positive risk-taking. A further layer is added with robust management plans correlating to presenting risk, so that supportive and therapeutic strategies can be implemented based on presenting need. The daily risk assessment permeates all our mental health rehabilitation and recovery services providing safe and effective care that is proactive to longer term success. 7 | Mental Health Rehabilitation and Recovery Services Back Next
Click the buttons to find out more For most individuals how they spend their time in the day about our Mental Health Rehabilitation is important to their socialisation, self-esteem and financial and Recovery Services situation, but it is also a core focus of mental health care planning. We acknowledge that everyone has different Self Care: needs, interests and engagement abilities, we work to Activities we Introduction develop individualised and bespoke activity programmes to do with the Our Model of Care allow the greatest chance of recovery through activities that purpose of Our myPath Care Model carry individualised meaning. looking after ourselves Global Assessment of Progress Our services link in with mainstream community resources to (GAP) Outcomes support each individual in learning how to manage day to Our Service User Pathways day occurrences and apply their coping strategies in a safe and supportive way. Our Discharge to Assess Programme High Dependency Each individual is offered a minimum of 25 hours meaningful Leisure: Productivity: Inpatient Rehabilitation activity in the categories of self-care, leisure and productivity. Activities we Activities we Community Rehabilitation do for the do for the pleasure of Case Study end outcome doing them Map How to Make a Referral Everyone’s care pathway is reviewed in full by the multi-disciplinary team at least every 4 weeks and guided by a dynamic care plan. This is closely linked to our specialist outcome tool, the Global Assessment of Progress (GAP). In our mental health rehabilitation and In applying myPath, the team around the recovery services, the GAP allows us individual are able to be proactive in their to measure an individual’s progress approach and use myPath to positively throughout their placement, plot the positive combine risk management and longer-term developments, setbacks and changes in rehabilitation and recovery. wellbeing but also identify warning signs of This enables each individual to live their any possible deterioration, whilst informing life as independently as possible with the care planning and being transparent about appropriate support, guidance future risks. and assistance. 8 | www.cygnethealth.co.uk Back Next
Click the buttons to find out more about our Mental Health Rehabilitation and Recovery Services Introduction Our Model of Care Our myPath Care Model Global Assessment of Progress (GAP) Outcomes Our Service User Pathways Our Discharge to Assess Programme Global Assessment of High Dependency Inpatient Rehabilitation Progress (GAP) Outcomes Community Rehabilitation Case Study Map How to Make a Referral The Global Assessment of Progress (GAP) is our specialist outcome tool used within our mental health services. The tool allows us to measure an individual’s progress throughout their placement, plot the positive developments, setbacks and changes in wellbeing but also identify the warning signs of any possible deterioration, whilst informing care planning and being transparent about future risks. 60 n=230 40 10 or 23% 53 43 average increase in score p
Our Service User Pathways Click the buttons to find out more about our Mental Health Rehabilitation and Recovery Services Introduction Acute Transitional Other Mental Our Model of Care Secure Prison Referral Route or PICU Services / Health Our myPath Care Model Services Service Services CAMHS Services Global Assessment of Progress (GAP) Outcomes Our Service User Pathways Our Discharge to Assess Programme High Dependency Inpatient Rehabilitation Intensive Community Rehabilitation Rehabilitation Cygnet High Dependency Inpatient Rehabilitation Services Case Study Services Map How to Make a Referral Cygnet Community Independent / Rehabilitation Services Semi-independent Living Destination Outcomes Community Services 10 | www.cygnethealth.co.uk Back Next
Our Discharge to Assess Programme Click the buttons to find out more about our Mental Health Rehabilitation and Recovery Services We offer a discharge to assess service for individuals who no Our service user profile: longer require acute care but who remain on acute wards as a > Men or women, aged 18+ Introduction delayed discharge due to not being able/ready to transition into the community. The expected length of stay is three months. > Detained under the Mental Health Act Our Model of Care Our myPath Care Model The service is offered at all of our high dependency inpatient > Individuals who no longer require acute care but: Global Assessment of Progress rehabilitation services. • Require some support prior to discharge (GAP) Outcomes to the community As the average length of stay for acutely unwell service users is Our Service User Pathways usually 14 days, each individual who remains on an acute ward • Do not require a long term rehabilitation placement Our Discharge to Assess Programme for 3 months blocks this bed for up to six other service users who do • Need a period of assessment to identify their require acute care. next placement High Dependency Inpatient Rehabilitation • Have a placement identified with no agreed admission date Community Rehabilitation • Have no fixed abode and require housing/benefit support Case Study Map Acute Services How to Make a Referral Delayed Discharge Patients Our service at a glance: > Access to a multidisciplinary team including but not limited to; mental health nurses, clinical and forensic psychologists, occupational therapists, and psychiatrists > Assessment from the whole MDT including physical health Cygnet Discharge to assessments, functional skills assessments, recovery star, lunsers, Hogans etc. Assess Services > Psychological assessment and formulation > Activities of daily living (ADLs) in preparation for discharge > Support to address social issues such as benefits > Engagement in meaningful therapeutic activities Cygnet of choice Community Community Independent Rehabilitation Services Living > Optimisation of medication if appropriate Services > Support to access community services > Future planning regarding discharge Each Discharge to Assess 3 month placement saves NHS Trusts a considerable amount of money 11 | Mental Health Rehabilitation and Recovery Services Back Next
Cygnet Aspen House, South Yorkshire Click the buttons to find out more about our Mental Health Rehabilitation Manvers Road, Mexborough, Doncaster, Yorkshire & Humber S64 9EX and Recovery Services High Dependency Inpatient Rehabilitation Introduction 18+ years Female 20 beds Our Model of Care Our myPath Care Model Global Assessment of Progress C ygnet Aspen House is a 20 bed service specialising in high dependency inpatient rehabilitation for women who have severe and enduring mental illness. Our facilities: (GAP) Outcomes Our Service User Pathways > En-suite bedrooms Our Discharge to Assess Programme The service has been designed to provide a safe and comfortable environment that promotes recovery for women > Beauty salon High Dependency Inpatient Rehabilitation with its focus on space, personal privacy and dignity. The women > Self-modulation room we support at Cygnet Aspen House may be detained under the Cygnet Aspen House, South Yorkshire Mental Health Act. > Therapy kitchen Cygnet Churchill, London Dedicated clinical teams provide a multi-disciplinary input > Horticulture polytunnel Cygnet Delfryn House, North Wales Cygnet Delfryn Lodge, North Wales including occupational therapy, psychology, psychiatry and > Spacious communal garden with outdoor seating Cygnet Fountains, Lancashire vocational training. Person-centred care plans are devised and determined on individual need. Cygnet Hospital Colchester, Essex Cygnet Hospital Derby, Derbyshire Access to the local community is an essential step along the Vocational support is provided to help service users prepare for Cygnet Hospital Maidstone, Kent pathway to mental health rehabilitation. Located in a residential employment and other vocational activities. The women are part of Mexborough, Aspen House has excellent shopping supported to create CVs, apply for jobs, practice for and attend Cygnet Lodge Brighouse, West Yorkshire facilities available close to the hospital, where independence interviews as well as develop other skills necessary in a Cygnet Lodge Kenton, London skills may be practised. Nearby is a leisure centre for swimming work environment. Cygnet Lodge Kewstoke, Somerset and sports activity. We use the local colleges for literacy and Cygnet Lodge Lewisham, London We also offer a range of internal therapeutic earning positions numeracy education and NVQ courses. External activities are Cygnet Lodge Salford, Greater Manchester within Cygnet Aspen House where service users have the tailored to individual needs and wishes. Cygnet Lodge Woking, Surrey opportunity to apply for, be interviewed for and take on the responsibility of a suitable job. The women receive training from Cygnet Oaks, South Yorkshire a staff member that is skilled in the particular job. Cygnet Raglan House, West Midlands Cygnet Sedgley House & Our community links: Cygnet Sedgley Lodge, West Midlands Cygnet Sherwood House, Nottinghamshire > Doncaster College / Adult and Family Community Learning Cygnet St Augustine’s, Staffordshire > Leisure centre Cygnet St Teilo House, South Wales > Local shops, cafes and restaurants Cygnet Storthfield House, Derbyshire > Art galleries and museums Community Rehabilitation > Riding for the Disabled – Volunteering Case Study Map “Cygnet Aspen House has provided a safe therapeutic environment for the service How to Make a Referral user to progress and to begin to express her needs.” Care Coordinator 12 | www.cygnethealth.co.uk Back Next
Cygnet Churchill, London Click the buttons to find out more about our Mental Health Rehabilitation Barkham Terrace, Lambeth Road, London SE1 7PW and Recovery Services High Dependency Inpatient Rehabilitation Introduction 18+ years Male 40 beds in 3 wards Our Model of Care Our myPath Care Model Global Assessment of Progress C ygnet Churchill is a 40 bed high dependency inpatient rehabilitation service for men who have severe and enduring mental illness and who may have been detained under the Mental We offer more than just specialists and treatments: We value service users as individuals, help enhance their interests, abilities and self-knowledge, encourage them to find their voice, support (GAP) Outcomes Our Service User Pathways Health Act. Men often come to this service following multiple them to rebuild their lives. We deliver high-quality care with Our Discharge to Assess Programme placement breakdowns, failed treatment programmes or stepping specialist interventions, but never lose sight of the goal of High Dependency down from secure settings. personal recovery. Inpatient Rehabilitation By combining a collaborative, multi-disciplinary approach and We offer a range of internal therapeutic earning positions where Cygnet Aspen House, South Yorkshire state-of-the-art facilities, Maple Court and Mulberry Court in service users have the opportunity to apply for, be interviewed for Cygnet Churchill, London Cygnet Churchill deliver high-quality care within a community and take on the responsibility of a suitable job. The men receive Cygnet Delfryn House, North Wales atmosphere, while focusing on discharge planning from the training from a staff member who is skilled in the particular job. Cygnet Delfryn Lodge, North Wales moment service users arrive. In addition, we offer a four bed step Cygnet Fountains, Lancashire down service called Elm Court. Cygnet Hospital Colchester, Essex Our recovery programme is delivered in a culture that balances Cygnet Hospital Derby, Derbyshire risk management with therapeutic optimism, where men have “My son is doing well and is not as angry as he used Cygnet Hospital Maidstone, Kent the opportunity to learn and practice the skills they will need in a to be. Staff are looking after him well and things are Cygnet Lodge Brighouse, West Yorkshire completely safe environment. fantastic! I am pleased as I will have my son back!” Cygnet Lodge Kenton, London Cygnet Churchill is a service built on recovery principles around Parent Cygnet Lodge Kewstoke, Somerset hope, empowerment, wellness, personal responsibility, community Cygnet Lodge Lewisham, London focus and connectedness. Throughout the many years that Cygnet Lodge Salford, Greater Manchester Cygnet Churchill has been open we have achieved excellent Service users are supported to attend Cygnet Lodge Woking, Surrey outcomes for service users, and we are committed to constantly Mosaic Clubhouse for a unique Cygnet Oaks, South Yorkshire improving their experience and clinical outcomes further. transitional employment programme, Cygnet Raglan House, West Midlands enabling them to experience entry level Cygnet Sedgley House & Our facilities: employment opportunities Cygnet Sedgley Lodge, West Midlands Cygnet Sherwood House, Nottinghamshire > En-suite bedrooms Cygnet St Augustine’s, Staffordshire > Beauty salon Individuals supported to attend Cygnet St Teilo House, South Wales local vocational courses including, > Self-modulation room literacy, numeracy and IT skills Cygnet Storthfield House, Derbyshire Community Rehabilitation > Therapy kitchen Case Study > Horticulture polytunnel 95% of individuals discharged in last 2 years Map have stepped down along their care > Spacious communal pathway to a more community facing setting How to Make a Referral garden with outdoor seating 13 | Mental Health Rehabilitation and Recovery Services Back Next
Cygnet Delfryn House, North Wales Click the buttons to find out more about our Mental Health Rehabilitation Argoed Hall Lane, Mold, Flintshire, North Wales CH7 6FQ and Recovery Services High Dependency Inpatient Rehabilitation Introduction 18+ years Male 28 beds CCAPS Part of the Welsh Hospital Framework Our Model of Care Our myPath Care Model Global Assessment of Progress S et amid the rolling hills of Flintshire, Cygnet Delfryn House is our 28 bed high dependency inpatient rehabilitation service for men who have severe and enduring mental illness and who may have Our facilities: (GAP) Outcomes Our Service User Pathways been detained under the Mental Health Act. Men placed with us > En-suite bedrooms > Activities room Our Discharge to Assess Programme often come from multiple placement breakdowns, failed treatment > Learning centre > Therapy kitchen High Dependency programmes or are stepping down from secure settings. with library & laundry room Inpatient Rehabilitation Cygnet Aspen House, South Yorkshire Our state-of-the-art service has been designed with wellness in > Multi-faith room > Spacious communal mind, providing a safe and comfortable environment that garden with Cygnet Churchill, London promotes efficient rehabilitation and recovery. We are dedicated > Gym outdoor seating Cygnet Delfryn House, North Wales to understand, stabilise and break the traumatic cycles of relapse Cygnet Delfryn Lodge, North Wales that can impact individual’s lives. Cygnet Fountains, Lancashire Our psychology and occupational therapy led interventions Cygnet Hospital Colchester, Essex effectively tackle the challenges of mental health and alongside Cygnet Hospital Derby, Derbyshire our clinical interventions, we help men enhance their personal skills Cygnet Hospital Maidstone, Kent to rebuild their lives. Cygnet Lodge Brighouse, West Yorkshire When the time is right, access to the local community is an essential Cygnet Lodge Kenton, London step along the pathway to independence, for both leisure pursuits Cygnet Lodge Kewstoke, Somerset and for social training such as shopping and using public transport. Cygnet Lodge Lewisham, London External activities are tailored to individual needs and wishes. Cygnet Lodge Salford, Greater Manchester Vocational support is provided to help service users prepare for Positive People’s Council Cygnet Lodge Woking, Surrey employment and other vocational activities. The men are supported Healthcare meetings Cygnet Oaks, South Yorkshire to create CVs, apply for jobs, practice for and attend interviews as Inspectorate Cygnet Raglan House, West Midlands held monthly well as develop other skills necessary in a work environment. Wales (HIW) report Cygnet Sedgley House & We also offer a range of internal therapeutic earning positions within Cygnet Sedgley Lodge, West Midlands Cygnet Delfryn House where service users have the opportunity Cygnet Sherwood House, Nottinghamshire to apply for, be interviewed for and take on the responsibility of a “Thank you for your support and OT encouragement Cygnet St Augustine’s, Staffordshire suitable job. The men receive training from a staff member who is and facilitating groups at the weekend. “ Cygnet St Teilo House, South Wales skilled in the particular job. Service user Cygnet Storthfield House, Derbyshire Community Rehabilitation Our community links: Strong external links with Cyfle Cymru providing: Case Study > Learndirect / Deeside College > Photography and walking > Mentorship Map > Flintshire Local groups at local > Qualifications and training How to Make a Referral country parks Volunteer Centre > Real life work experience > Sport facilities at > Local beaches > Help to search and apply for jobs Northop College > Local market 14 | www.cygnethealth.co.uk Back Next
Cygnet Delfryn Lodge, North Wales Click the buttons to find out more about our Mental Health Rehabilitation Argoed Hall Lane, Mold, Flintshire, North Wales CH7 6FQ and Recovery Services High Dependency Inpatient Rehabilitation Introduction 18+ years Female 24 beds CCAPS Part of the Welsh Hospital Framework Our Model of Care Our myPath Care Model Global Assessment of Progress S et amid the rolling hills of Flintshire, Cygnet Delfryn Lodge is a 24 bed service specialising in high dependency inpatient rehabilitation for women who have severe and enduring mental When the time is right, access to the local community is an essential step along the pathway to independence, for both leisure pursuits and for social training such as shopping and using public transport. (GAP) Outcomes Our Service User Pathways illness and who may have been detained under the Mental Health External activities are tailored to individual needs and wishes. Our Discharge to Assess Programme Act. Women admitted to the service often come from multiple High Dependency Vocational support is provided to help service users prepare placement breakdowns, failed treatment programmes or are Inpatient Rehabilitation for employment and other vocational activities. The women stepping down from secure settings. Cygnet Aspen House, South Yorkshire are supported to create CVs, apply for jobs, practice for and Our state-of-the-art service has been designed with wellness attend interviews as well as develop other skills necessary in a Cygnet Churchill, London in mind, providing a safe and comfortable environment that work environment. We also offer a range of internal therapeutic Cygnet Delfryn House, North Wales promotes efficient rehabilitation and recovery. We are dedicated to earning positions within Cygnet Delfryn Lodge where service users Cygnet Delfryn Lodge, North Wales understand, stabilise and break the traumatic cycles of relapse that have the opportunity to apply for, be interviewed for and take Cygnet Fountains, Lancashire can impact individual’s lives. on the responsibility of a suitable job. The women receive training Cygnet Hospital Colchester, Essex by a staff member who is skilled in the particular job. Cygnet Hospital Derby, Derbyshire Our psychology and occupational therapy led interventions effectively tackle the challenges of mental health and alongside Cygnet Hospital Maidstone, Kent our clinical interventions we help women enhance their personal Cygnet Lodge Brighouse, West Yorkshire skills to rebuild their lives. Cygnet Lodge Kenton, London Our community links: Cygnet Lodge Kewstoke, Somerset Cygnet Lodge Lewisham, London > Flintshire Local > Mostyn Estate Project Cygnet Lodge Salford, Greater Manchester Voluntary Council > Learndirect/ Cygnet Lodge Woking, Surrey > Trelogan Animal Deeside College Cygnet Oaks, South Yorkshire Rescue Centre > Local churches and libraries Cygnet Raglan House, West Midlands Cygnet Sedgley House & Our facilities: “Thank you for teaching me the skills to live independently.” Cygnet Sedgley Lodge, West Midlands > En-suite bedrooms > Sensory room Service user upon discharge Cygnet Sherwood House, Nottinghamshire Cygnet St Augustine’s, Staffordshire > Beauty salon > Snooker and Cygnet St Teilo House, South Wales communal lounges Positive Support and guidance > Gym and external Healthcare with exploring vocational Cygnet Storthfield House, Derbyshire personal trainer > Spacious garden Community Rehabilitation with outdoor seating Inspectorate opportunities online and > Learning centre overlooking Wales in the community Case Study with library (HIW) report Map Welsh landscapes > IT café > Therapy and Extensive on-site MDT How to Make a Referral > Therapy kitchen and sensory garden providing a wide range of laundry room person-centred therapies 15 | Mental Health Rehabilitation and Recovery Services Back Next
Cygnet Fountains, Lancashire Click the buttons to find out more about our Mental Health Rehabilitation Pleasington Close, Blackburn, Lancashire, North West BB2 1TU and Recovery Services High Dependency Inpatient Rehabilitation Introduction 18+ years Male 27 beds + 5 self contained flats Our Model of Care Our myPath Care Model Global Assessment of Progress C ygnet Fountains is a high dependency inpatient rehabilitation service for men who have severe and enduring mental illness and who may have been detained under the Mental Health Our facilities: (GAP) Outcomes Our Service User Pathways Act. The individuals we support come to us following multiple > En-suite bedrooms > Therapy kitchens Our Discharge to Assess Programme placement breakdowns, failed treatment programmes or stepping > Private visitors room > IT café High Dependency down from secure settings. Inpatient Rehabilitation > Two large communal > Three garden areas and Cygnet Aspen House, South Yorkshire Located in the heart of the community in Blackburn, Cygnet living rooms an allotment Fountains we have a number of different options to help support Cygnet Churchill, London individuals to move on. We have 5 self-contained flats within > Activities room Cygnet Delfryn House, North Wales the service to enable service users to build their individual Cygnet Delfryn Lodge, North Wales skills before discharge while still having the full support of the Cygnet Fountains, Lancashire multi-disciplinary team. We also provide a service just 2 miles Our community links: Cygnet Hospital Colchester, Essex away from Cygnet Fountains called Vincent Court. This five bed > Learndirect/ > Samlesbury Hall Cygnet Hospital Derby, Derbyshire community rehabilitation service is for the men who have been Blackburn College > Local cinemas & Cygnet Hospital Maidstone, Kent able to progress through the hospital pathway who are working > Waves Community Gym 10-pin bowling towards independent living. Cygnet Lodge Brighouse, West Yorkshire > Witton Park for cycling > Blackpool Zoo Cygnet Lodge Kenton, London Our psychology and occupational therapy led interventions Cygnet Lodge Kewstoke, Somerset effectively tackle the challenges of mental health and alongside Cygnet Lodge Lewisham, London our clinical interventions we help men enhance their personal skills “The words ‘Thank You’ don’t begin to cover the to rebuild their lives. Cygnet Lodge Salford, Greater Manchester gratitude our family feels towards you and every Cygnet Lodge Woking, Surrey Our care embraces a balanced approach to risk management member of your amazing staff for the way you Cygnet Oaks, South Yorkshire and therapeutic optimism. Service users have access to a range of help and support our loved one. I would like to go Cygnet Raglan House, West Midlands therapies and opportunities and care plans on record and say you are all amazing and very Cygnet Sedgley House & are individualised. special people to want to help the most Cygnet Sedgley Lodge, West Midlands When the time is right, access to the local community is an vulnerable of society.” Family member Cygnet Sherwood House, Nottinghamshire essential step along the pathway to independence, for both Cygnet St Augustine’s, Staffordshire leisure pursuits and social training such as shopping and using Cygnet St Teilo House, South Wales public transport. External activities are tailored to individual needs Overall ‘Outstanding’ rating Cygnet Storthfield House, Derbyshire and wishes. with the CQC, including Community Rehabilitation External activities are tailored to individual needs and wishes. Outstanding in safe, caring and well-led Case Study Vocational support is provided to help service users prepare for employment and other vocational activities. The men are Map supported to create CVs, apply for jobs, practice for and attend How to Make a Referral 5 self-contained flats to enable individuals interviews, as well as develop other skills necessary in a work environment. to build on their living skills before discharge into the community 16 | www.cygnethealth.co.uk Back Next
Cygnet Hospital Colchester, Essex Click the buttons to find out more about our Mental Health Rehabilitation Boxted Road, Mile End, Colchester, Essex, East CO4 5HF and Recovery Services High Dependency Inpatient Rehabilitation Introduction 18+ years Male 21 beds Our Model of Care Our myPath Care Model Global Assessment of Progress R amsey Unit is our high dependency inpatient rehabilitation service for men based at Cygnet Hospital Colchester. The service is delivered in a purpose-built therapeutic environment, Our specialist interventions and approach: (GAP) Outcomes Our Service User Pathways where the focus is on maximising positive outcomes and recovery. In addition to our psychiatry and nursing interventions we offer: Our Discharge to Assess Programme Occupational therapy-led interventions: High Dependency By combining a collaborative, multi-disciplinary approach, we Inpatient Rehabilitation deliver high-quality care within a community atmosphere, while > Daily living skills Cygnet Aspen House, South Yorkshire focusing on discharge planning from the moment service users > Targeted occupational therapy sessions according to Cygnet Churchill, London arrive. Within the service there are four complex care beds for service user needs Cygnet Delfryn House, North Wales individuals who also have additional complex needs such > Financial management training as autism. Cygnet Delfryn Lodge, North Wales > Education and vocational programmes Cygnet Fountains, Lancashire Our in-house multi-disciplinary teams include psychiatry, > Therapeutic earnings focusing on career and job psychology, occupational therapy, nursing, support workers, skill development Cygnet Hospital Colchester, Essex and sessional therapists. > Development of social skills and interests Cygnet Hospital Derby, Derbyshire > Activities to improve self-esteem including self-image Cygnet Hospital Maidstone, Kent Our recovery programme is delivered in a culture that balances risk management with therapeutic optimism, where the men we > Creative activities Cygnet Lodge Brighouse, West Yorkshire support have the opportunity to learn and practice the skills they > Cultural and spiritual needs Cygnet Lodge Kenton, London will need in a safe environment. Alongside our clinical > Social family integration (where appropriate) Cygnet Lodge Kewstoke, Somerset interventions, our aim is to help the men in our care to regain > Community activities Cygnet Lodge Lewisham, London their place in the community and to rebuild relationships. Cygnet Lodge Salford, Greater Manchester Psychology-led interventions: Cygnet Lodge Woking, Surrey > Cognitive Behavioural Therapy (CBT) Cygnet Oaks, South Yorkshire 100% of service users feel that the > Dialectical Behaviour Therapy (DBT) informed approaches Cygnet Raglan House, West Midlands care and treatment they are receiving > The Wellness Recovery Action Plan (WRAP®) Cygnet Sedgley House & is helping them progress towards discharge > Mindfulness Cygnet Sedgley Lodge, West Midlands > Coping and emotional regulation skills Cygnet Sherwood House, Nottinghamshire 83% of of individuals discharged > Functional assessment of behaviour Cygnet St Augustine’s, Staffordshire from Ramsey Unit in 2020 were able to > Problem solving approaches Cygnet St Teilo House, South Wales move closer to home, or step down along > Psychometric assessments Cygnet Storthfield House, Derbyshire their care pathway into the community > Cognitive functioning assessments Community Rehabilitation > Psychoeducation Case Study > Substance misuse awareness and relapse prevention Map “Thank you very much for all you are doing. It is very > Offence-focused interventions How to Make a Referral much appreciated. Sounds like you have a good > Interventions to increase motivation measure of him and he enjoys working with staff.” Family member > Interventions to increase self-esteem > Individual risk assessments including HCR-20, SVR-20, PCL-R and SARA 17 | Mental Health Rehabilitation and Recovery Services Back Next
Cygnet Hospital Derby, Derbyshire Click the buttons to find out more about our Mental Health Rehabilitation 100 City Gate, London Road, Derby, Derbyshire, East Midlands DE24 8WZ and Recovery Services High Dependency Inpatient Rehabilitation Introduction 18+ years Male 19 beds in 2 wards Our Model of Care Our myPath Care Model Global Assessment of Progress W yvern Ward is part of Cygnet Hospital Derby and supports men in a high dependency inpatient rehabilitation environment who have severe and enduring mental illness and Wyvern Court is a 3-bed apartment extension to the Wyvern Ward. This supports the care pathway at Cygnet Hospital Derby by enabling service users to experience a form of supported (GAP) Outcomes Our Service User Pathways who may have been detained under the Mental Health Act. Men accommodation before they are discharged, which can help Our Discharge to Assess Programme often come to us following multiple placement breakdowns, failed reduce re-admission rates. Wyvern Court helps to encourage High Dependency treatment programmes or stepping down from secure settings. independence prior to discharge to allow consolidation of the Inpatient Rehabilitation treatment programme. The service we provide in Wyvern Court Cygnet Aspen House, South Yorkshire Wyvern Ward can support up to 16 men, including those with a can be a motivating factor for others within Wyvern Ward itself, Cygnet Churchill, London history of absconding. This is due to the enhanced levels of security as there is more independence and it is a step closer to the Cygnet Delfryn House, North Wales we can put in place, both physically and relational, and can be community. It is also suitable for those with physical disabilities. seen as an alternative to low secure provision. Cygnet Delfryn Lodge, North Wales Activities are not just available during the week on Wyvern, we Cygnet Fountains, Lancashire The focus on Wyvern Ward is increasing individual’s life skills to have weekend therapists who organise recreational activities. Cygnet Hospital Colchester, Essex prepare them effectively for life outside a hospital environment. These can include walking, going to the cinema, going out for Cygnet Hospital Derby, Derbyshire It provides a supportive environment and can be effective for meals and playing football – real life activities that are meaningful those who may need a longer period of rehabilitation. Cygnet Hospital Maidstone, Kent and enjoyable. Cygnet Lodge Brighouse, West Yorkshire Cygnet Lodge Kenton, London Our facilities: 100% of individuals discharged in 2020 were stepping down along their Cygnet Lodge Kewstoke, Somerset Cygnet Lodge Lewisham, London > En-suite bedrooms > Living / games room care pathway to the community Cygnet Lodge Salford, Greater Manchester Cygnet Lodge Woking, Surrey > Therapy kitchen > Gym Cygnet Oaks, South Yorkshire Thank you everyone on Wyvern Ward, a challenging service > Variety of activity rooms > IT café user was turned around and successfully discharged back to Cygnet Raglan House, West Midlands his home town where is doing well. Thank you. Cygnet Sedgley House & > Courtyard with > Multi-faith room Cygnet Sedgley Lodge, West Midlands outdoor seating NHS Commissioner > Recovery Academy Cygnet Sherwood House, Nottinghamshire > Dining room Cygnet St Augustine’s, Staffordshire Educational Cygnet St Teilo House, South Wales Coordinator providing Cygnet Storthfield House, Derbyshire Range of psychology treatments available including: regular learning and Community Rehabilitation > Schema therapy > Compassion Focused Substance misuse workshops vocational support Case Study > Dialectical Behaviour Therapy (CFT) including, reading & Map Therapy (DBT) > Trauma Therapy Individuals are supported with writing, GCSE’s and diplomas How to Make a Referral > Cognitive Behavioural > Eye Movement menu planning, budgeting, Therapy (CBT) Desensitization and shopping and cooking Reprocessing (EMDR) for themselves 18 | www.cygnethealth.co.uk Back Next
Cygnet Hospital Maidstone, Kent Click the buttons to find out more about our Mental Health Rehabilitation Gidds Pond Way, off Newnham Court Way, Weavering, Maidstone ME14 5FY and Recovery Services High Dependency Inpatient Rehabilitation Introduction 18+ years Male 16 beds Our Model of Care Our myPath Care Model Global Assessment of Progress K ingswood Ward is our 16 bed high dependency inpatient rehabilitation service at Cygnet Hospital Maidstone, situated in the Kent Medical Campus. The service is delivered in Treatment is offered in a safe, calm and therapeutic environment where service users develop skills for maximising their independence, self-confidence and knowledge of how to manage their mental (GAP) Outcomes Our Service User Pathways a purpose-built therapeutic environment, where the focus is on wellbeing. We work compassionately and collaboratively with the Our Discharge to Assess Programme maximising positive outcomes, recovery and reintegration into service users and their families (where appropriate), using recovery High Dependency the community. based and person-centred approaches. The average expected Inpatient Rehabilitation length of stay in Kingswood Ward is between 9 and 18 months. Cygnet Aspen House, South Yorkshire By combining a collaborative, multi-disciplinary approach and state-of-the-art facilities, we deliver high-quality care within a Our facilities: Cygnet Churchill, London community atmosphere, while focusing on discharge planning from Cygnet Delfryn House, North Wales the moment individuals arrive. > En-suite bedrooms > On-ward IT / Cygnet Delfryn Lodge, North Wales > Outdoor areas including computer room Cygnet Fountains, Lancashire Our recovery programme is delivered in a culture that balances ward garden and > Games room Cygnet Hospital Colchester, Essex risk management with therapeutic optimism, where men have the opportunity to learn and practice the skills they will need in a communal roof terrace > Separate laundry room Cygnet Hospital Derby, Derbyshire completely safe environment. > On-ward therapy kitchen > Extensive therapy space Cygnet Hospital Maidstone, Kent > Dining room including Recovery Cygnet Lodge Brighouse, West Yorkshire Kingswood Ward provides a high level of therapeutic care and support that is underpinned by knowledge and practice of > Quiet room College classrooms Cygnet Lodge Kenton, London evidence-based interventions, delivered by a highly experienced > Gym and outdoor > Service user café Cygnet Lodge Kewstoke, Somerset multi-disciplinary team. Our individualised and group treatment exercise area Cygnet Lodge Lewisham, London programmes have clearly defined goals and outcomes for our Cygnet Lodge Salford, Greater Manchester service users. Our recovery principles are built around hope, Our therapies and treatments: Cygnet Lodge Woking, Surrey empowerment, wellness, personal responsibility, community focus and connectedness. > Recovery focused care > Anger and anxiety Cygnet Oaks, South Yorkshire planning management Cygnet Raglan House, West Midlands We aim to integrate the hospital into local and regional care Cygnet Sedgley House & pathways and community services, with the focus on care close to > Cognitive Behavioural > Offence related work Cygnet Sedgley Lodge, West Midlands Therapy (CBT) (where applicable) families and friends, lowest length of hospital stay, and reducing the Cygnet Sherwood House, Nottinghamshire chances of re-admission. > Mindfulness > Physical health care Cygnet St Augustine’s, Staffordshire management > Emotional regulation Cygnet St Teilo House, South Wales > Self-harming reduction > Behaviour analysis and Cygnet Storthfield House, Derbyshire problem-solving Community Rehabilitation and management > Substance misuse and > Life and social skills Case Study training Map relapse prevention work > Trauma, grief and loss > Educational Support / How to Make a Referral Recovery College > Psychoeducation > Creative activities 19 | Mental Health Rehabilitation and Recovery Services Back Next
Cygnet Lodge Brighouse, West Yorkshire Click the buttons to find out more about our Mental Health Rehabilitation 60 Rastrick Common, Brighouse, West Yorkshire HD6 3EL and Recovery Services High Dependency Inpatient Rehabilitation Introduction 18+ years Male 21 beds including a 3 bed step-down apartment Our Model of Care Our myPath Care Model Global Assessment of Progress C ygnet Lodge Brighouse is a high dependency inpatient rehabilitation service for men. The emphasis within the service is on preparing individuals for discharge or to support Our facilities: (GAP) Outcomes Our Service User Pathways with longer term optimal functioning. > En-suite bedrooms Our Discharge to Assess Programme Cygnet Lodge Brighouse can support up to 21 men in a relaxed, > Three bedroom apartment High Dependency Inpatient Rehabilitation calm and friendly environment. The focus is on helping individuals > Variety of activity rooms and an IT café Cygnet Aspen House, South Yorkshire increase their independence wherever possible through work and education, as well as social and leisure facilities, offering a slower > Multi-faith room Cygnet Churchill, London stream rehabilitation service where needed. > Family visiting room Cygnet Delfryn House, North Wales Cygnet Delfryn Lodge, North Wales As part of the service, we also provide a three-bed apartment, > Spacious enclosed garden with allotment area Cygnet Fountains, Lancashire Rastrick View. This helps support service users to prepare effectively for discharge by further encouraging independence, while Cygnet Hospital Colchester, Essex maintaining the inputs of the service and staff support where Our nursing team Cygnet Hospital Derby, Derbyshire needed. It also provides the chance to evaluate what support a have a combined Cygnet Hospital Maidstone, Kent person may need on leaving the service, which can help prevent We are a SMART 166 years’ service Cygnet Lodge Brighouse, West Yorkshire readmissions and support positive discharges. Recovery Partner with the organisation Cygnet Lodge Kenton, London We encourage service users to set their own recovery goals which enables progress to Cygnet Lodge Kewstoke, Somerset and work collaboratively to achieve success. We provide a continue into onward Cygnet Lodge Lewisham, London variety of structured activities, which are led by a wide range community placements Cygnet Lodge Salford, Greater Manchester of experienced, multi-disciplinary professionals. These include Cygnet Lodge Woking, Surrey psychiatrists, associate specialists, mental health nurses, Cygnet Oaks, South Yorkshire psychologists, occupational therapists, an activities co-ordinator Provide a variety of structured activities, Cygnet Raglan House, West Midlands and an art therapist. which are led by a wide range of Cygnet Sedgley House & At Cygnet Lodge Brighouse, we understand that having a history Cygnet Sedgley Lodge, West Midlands of substance misuse is common and requires assessment and experienced multi-disciplinary professionals Cygnet Sherwood House, Nottinghamshire intervention. To support this we have a fully integrated substance Cygnet St Augustine’s, Staffordshire misuse service, facilitating 1:1 and group sessions and encouraging Cygnet St Teilo House, South Wales the men we support to attend SMART Recovery Meetings. We are We encourage the men we support to set their own goals and work Cygnet Storthfield House, Derbyshire also a SMART Recovery partner. collaboratively to achieve success. Community Rehabilitation We employ our own in-house substance misuse practitioner who Case Study provides individual and group support to service users with needs associated with substance misuse. The substance misuse team are so down to earth and Map support me without judging me. All of the staff care and How to Make a Referral everyone have been really nice to me since I arrived. Service user 20 | www.cygnethealth.co.uk Back Next
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