The Retreat: 01904 412551 The Tuke Centre: 01904 430370

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Older Adult Mental Health Rehabilitation Service

The service is for men and women who require a period of recovery and rehabilitation before discharge from inpatient mental health services to the community with an appropriate level of support. The rehabilitation pathway has step-down and step-up facilities, so that people can move within the pathway as their needs change. Step-down facilities include bungalows within the grounds of one unit, allowing people to develop full independence in a safe environment. The 24-hour staffed service promotes person-centered and person-led, individualised care using a recovery model of care.

A multidisciplinary team includes a Consultant Psychiatrist, qualified nurses with specialist therapeutic skills, skilled and experienced support workers, a Clinical Psychologist and Assistant Psychologist, an Occupational Therapist, Social Worker, Dietitian, GP and Physiotherapist.  Advocacy and involvement services also contribute.  The team is supported by a variety of volunteers and befrienders.  The service benefits from onsite catering and the provision of home cooked food. There is the option of self- catering as part of a person’s overall care package.

We treat everyone as an individual, ensuring that we make each person’s care reflect their own individual needs and goals and that individuals are supported in a way that enables them to be fully involved in leading their own care.  All individuals within the service are involved fully in the creation of their own Recovery Plan, which is developed within the framework of the Care Programme Approach.

Our service offers support to family and friends through our Friends, Family and Carers’ Forum.

Interventions that may be provided

  • Occupational Therapy
  • Psychological formulation
  • Cognitive Analytic Informed Therapy and a focus on relationships
  • Skilled nursing and psychological interventions
  • Social work interventions
  • Life story work
  • Creative therapies, including music, reminiscence, art therapy, pet therapy and horticulture
  • Social inclusion
  • Collaborative involvement work with the person, their family and friends
  • Concordance therapy
  • Dietetics
  • Physiotherapy
  • Physical health care

Outcomes

  • Personally identified goals that are most meaningful to each person and their family.
  • Improved quality of life.
  • Reduced reliance on medication.
  • Improvement/stability of emotional and behavioural symptoms.
  • Reduced level of risk.
  • Ability to live within the least restrictive environment.
  • Increased ability to cope using cognitive, behavioural and motor skills and emotional stability.
  • Increased ability to be involved in the community.
  • Application of personal history to develop person centred interventions.
  • Supporting people to maintain family and social relationships.

The Retreat Strensall is currently closed to referrals.

Eligibility Criteria

  • Age over 50 years, although people under 50 years will be considered if they have needs that can be met within the service.
  • Men or women who are suitable for a mixed gender therapeutic environment.
  • Confirmed mental health diagnosis, including personality disorder and people in forensic or secure services, with a  need for long-term rehabilitation and multi-professional treatment.
  • Aim is for discharge to community placement, including own home, supported accommodation, residential or nursing home.
  • Rehabilitation is expected to take a minimum of six months.
  • Aims and goals of admission are agreed with the person, their funder and referrer at the time of admission.

Exclusion Criteria

  • Cognitive impairment that is severe enough to affect ability to engage with rehabilitation.
  • No mental health diagnosis.
  • Physical health needs outweighing mental health needs.

Discharge Criteria

  • Aims and goals agreed at time of admission are met to the extent that the person’s needs could be met in a community placement, including the use a Community Treatment Order.
  • Physical needs outweigh mental health needs, unless end of life care is indicated.
  • Acute phase of illness to the extent that the symptoms and/or risks are impairing the ability to engage in the rehabilitation programme and cannot be managed within the step up facilities in the pathway.

Useful Documents