The Retreat: 01904 412551 The Tuke Centre: 01904 430370

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The Kemp Unit

 

The Kemp Unit is for female patients aged 18+ with severe and complex Personality Disorder with a focus on Borderline Personality Disorder and associated presentations. Treatment will include the management of co-morbid conditions such as addictions, eating disorders (BMI >=15 with demonstrated medical stability) and for identified patients recommendations around and preparation for specific trauma therapy.

Services to be offered

  • Assessment, formulation and complex care planning
  • Specialist individualised bespoke inpatient approaches with Tier 3/4 level of need in conjuction with the patient's local services
  • Family and carer intervention and support

Our Approach

The underpinning approach of the unit is Structured Clinical Management (SCM) in an enabling clinical environment with the unit Psychiatrist being their SCM Manager.

Other features include:

  • Care on the unit will be delivered in an individualised treatment pathway as part of a wider stepped care pathway for Personality Disorder available within The Retreat. Discharge from the unit may be to services within The Retreat or within the patient's home environment.
  • At the point of referral the referrer will be contacted by a member of the team to discuss the case and asked to forward specific referral information pertinent to the patient and the admission request.
  • Prior to admission each patient will have a comprehensive assessment completed by members of the staff team in their home area, including meeting with the referrer and a carer, to ensure the ability to understand risk, needs, goals and purpose of admission and be able to agree the appropriateness for admission, and to create and agree an outlined initial care plan with associated interventions. All patients will be required on admission to have an outlined plan for discharge, both planned and precipitous, indications of how leave will be supported and a "step up" to locked ward options for those patients where this is identified as a possibility.
  • The journey through the unit care pathway, entrance and exit points will be individual to each patient and dependant on levels of need and risk, readiness to change, engagement and service availability in the patient's home area.
  • Patients may be referred for one specific step of the pathway.
  • The discharge phase duration will reflect where appropriate the need for positive home based testing and consolidation of recovery/skills learnt during the period of admission.
  • Weekly contact will be continued with the referrer and key home staff to ensure ongoing engagement and "active nature" of the plans.

The Team

  • Consultant Psychiatrist
  • Psychologist
  • Team Manager
  • Nursing staff and Support Workers
  • Occupational Therapists
  • Social Workers
  • Art Therapist

Interventions

The following specific therapeutic approaches in addition to, and complimenting the SCM components, will be used and available for patients to engage in within the unit:

  • Dialetical Behavioural Therapy (DBT) Skills Training
  • Emotion Regulation and Management (Radically Open DBT/ CBT) - Specifically Fear and Anxiety, Anger, Sadness
  • IPT-Borderline Personality Disorder Interpersonal Skills
  • EMDR Based Ego Strengthening Resources and Coaching
  • Understanding and Coping with Dissociation
  • Compassion Focused Therapy Group - Compassionate Mind & Shame focused Group
  • Art and Creative Therapies - Open and closed groups, movement, drama, music

These will be delivered in groups and 1:1 coaching formats as appropriate to the patient. The groups will in the main be manualised where possible. Delivery of the groups will be based on staff from the unit and The Tuke Centre.

Outcomes

  • Improved quality of life
  • Reduction in self harm
  • Reduction in inpatient admissions
  • Reduction in dissociation
  • Improved ability to manage emotions
  • Improved healthy relationships

For further information or to make a referral, please call Amy Bedingham on 01904 420910 or email info@theretreatyork.org.uk.

Unit Information

Team Manager

Matt Gilligan

Lead Clinician

Dr Mel Temple

Number of Beds

8 Beds

Eligibility Criteria

  • Meet the diagnostic criteria for either:
    • Borderline Personality Disorder
    • Complex Post Traumatic Stress Disorder
    • Dissociative Identity Disorder
  • Working age females.
  • Motivation to change; willingness to engage in group programme and therapy.
  • Has a Care Co-ordinator from the Community Mental Health Team (CMHT).

Exclusion Criteria

  • Antisocial Personality Disorder
  • Current history of violence or aggression to others
  • BMI below 15

Referrals considered on a case by case basis:

  • Patients with comorbid mild LD/Autism will be considered on a case by case basis to ensure the unit can meet their needs.
  • Patients with historical forensic sections may be considered on a case by case basis.