Rehabilitation is defined as a whole systems approach to recovery from mental illness that maximises an individuals quality of life and social inclusion by encouraging their skills, promoting independence and autonomy in order to give them hope for the future and leads to successful community living through appropriate support.
Within AWP there are 6 rehabilitation units. One of these wards * also offers a dedicated re-ablement / rehab service:
- Larch Ward Campus based inpatient unit at Callington Road
- Alder Ward Campus based inpatient unit at Callington Road*
- Windswept Campus based inpatient unit in Sandalwood Court, Swindon
- Whittucks Road Community based inpatient unit in Hanham, South Gloucestershire
- Blaise View Community based inpatient unit in Brentry, Bristol
- Elmham Way Community based inpatient unit in Worle, North Somerset
The rehabilitation services work with a client group who experience long-term complex mental health problems, therefore the services are structured to offer an extended period of engagement to help individuals maximise their potential.
The service is delivered in accordance with the trust care programme approach policy with care coordination responsibilities for people admitted to the inpatient beds remaining with the community-based care coordinator.
The care we provide:
The service aims to use a recovery framework of care, alongside other therapeutic approaches and in response to individual need. We aim to provide service users with opportunities to develop their understanding of their unique histories, thoughts, feelings and behaviours, in order to achieve their personal goals.
The service aims to promote emotional, social, psychological, physical and spiritual well-being. We aim to offer a service user-centred service, working with service users / residents unique strengths and needs.
The service user, their family, carers and other support networks are central, and we aim to engage them in collaborative and effective partnership working, both for their own care and the ongoing development of the service unit.
We value people as individuals and the service aims to promote and respect diversity.
Complex needs are best served by a multi-disciplinary team approach, working in partnership with service users, carers, and different professionals and agencies. The emphasis of the services is on individual care pathways, using the trusts CPA processes, within a safe and therapeutic environment.
We believe that social integration and inclusion are central to providing service users with skills necessary for living in less restrictive environments. The rehabilitation service is designed to facilitate access to mainstream health, social, employment and education services.
The rehabilitation service aims to provide care and treatment which uses the least level of restriction as clinically possible, whilst seeking to minimise distress and provide safety for the service user and others. Positive risk taking is encouraged through thorough and regular risk assessments, at a pace which is appropriate to the individual service users needs.
The rehabilitation service aims to be transparent, whilst maintaining confidentiality. It encourages external visitors and is open to examination of its practice.
Client groups served:
The rehabilitation service offers care and support to male and female service users, aged 18 years and over. They may be detained under the Mental Health Act 1983 (revised 2007) and have:
- A severe and enduring mental illness. Most clients have treatment resistant psychosis
- A considerable degree of functional impairment which results in an inability to perform their activities of daily living. Assessment of need has identified there is a reasonable indication that a structured rehabilitative programme will positively affect this.
- Other complex needs, for example, history of drug and / or alcohol misuse, personality difficulties, or cognitive impairment
- A history of previously requiring frequent admissions or substantial service intervention.
This service is campus-based and provides facilities within single units. The service is aimed at being able to repatriate service users who are currently placed with the independent rehabilitation sector, often at a geographical distance from Bristol.
The aim is to allow them to return to the service, which will support the work already undertaken in their previous placement and to engage them with local services, to be able to facilitate a move into a community settings.