Recovery and Rehabilitation Pathway for Older Adults

This pathway is for people of midlife and beyond with severe and enduring mental health problems who need long term/slow stream recovery and rehabilitation. People on the pathway will be placed on the unit that can best meet their needs and they may transfer from one unit to another as the person’s abilities change.

The emphasis is on enablement and person-led, person-centred care plans, using a psychosocial intervention framework. Other therapeutic approaches will be considered on an individual basis, eg. psychodynamic psychotherapy, interpersonal therapy, family work, cognitive behaviour therapy, motivational interviewing techniques and concordance work. Therapeutic activities will include activities of daily living, meaningful occupation, social skills and budgeting skills.

The aim is discharge to a community placement, acknowledging that this may take a number of years. People will move on to a community placement through a transition pathway.

Who will benefit from this pathway?

• Male or females with severe or enduring mental health needs.
• Older Adults whose mental and physical health deteriorates without high levels of support.
• People who have spent significant periods in hospital and require a long term pathway back into the community.
• Older Adults with histories of detention under the Mental Health Act who require a new approach (including those with forensic histories).

What are the objectives of the pathway?

• Increase practical and emotional independent living skills.
• Improve the quality of life of individuals using the service.
• Reduce dependence on statutory services of individuals using the service.
• Promote recovery.

Core Components of pathway:

• Access to full multidisciplinary team.
• Strong emphasis on increasing independence through meaningful occupation.
• High support planned therapeutic environment promoting social inclusion.
• Flexible support packages geared to individual needs.
• Ability to manage detained and informal patients in an open least restrictive environment.
• Strong programme of activity, OT, social activities, cooking, gardening, music, art and psychology.
• 24 hour support.

For information about accessing treatment, please click here.