Step-Down Rehabilitation Services

Partnerships in Care (PiC) follow the recovery model designed to empower patients by providing opportunity and hope through active rehabilitation programmes. Our recovery units all share the following principles of care:

Encouraging empowerment

We encourage individuals to take increasing responsibility for their own mental health and ultimately their own decisions and goals in life. Our step-down services encourage the empowerment an individual needs before returning to living and engaging fully in the community.

Pathways to recovery

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Promoting recovery

Engaging with men and women to enable them to assist in planning their care with hope and optimism and work towards independence and autonomy even when long term support may be required.

Whole-systems approach

Recovery offers a whole-systems approach in that it takes into account a person's whole experience and seeks to regain and enhance it following a period of illness.

Therapy & activities based

A wide range of therapies and activities are offered within our units which also aim to assist individuals in utilising community resources.

Multidisciplinary teams

Psychiatrists, psychologists, registered mental health nurses, occupational therapists, support workers and care workers are key members of the clinical teams at each service. They work collaboratively to help each person achieve their own potential.

Outcomes-focussed

At the point of admission we would aim to share with commissioners and the individual, the likely duration of their stay in PiC step-down services. We believe our services have been successful when the next step in an individual's pathway is visible and achievable. Whilst our step-down services provide long stay environments for some men and women, most will move on to supported living or independent life in the community.

Recovery programmes

The fundamental philosophies of PiC recovery programmes are individualised self determination and autonomous decision making. For many men and women the transition to a service where they are responsible for the management of their lives is traumatic.

With more than 25 years experience of providing specialist psychiatric care and treatment, PiC Clinicians have developed a range of skills and interventions that acknowledge the difficulties of change and reduce the possibility of placement breakdown.

The proximity of PiC recovery facilities to a PiC hospital allow, where appropriate, a gradual transition to an open setting and a reassuring safety net in the event of a crisis.

Risk

Working with men and women, many of whom have significant forensic histories, the management of risk is a key element of work in recovery services.

Working with skilled staff, individuals are helped to understand the changing nature of risk and the need for personal management strategies.

Where individuals have histories of substance abuse, counselling from PiC staff is offered and contact with local community services, i.e. Alcoholics Anonymous, encouraged.

PiC Brain Injury Services are nationally recognised for the excellence of their clinical programmes. Brain injury specific recovery services build on the work of in-patient units and meet the unique needs of men and women with acquired brain injuries.

Relapse management

Many men and women in recovery services will have experienced multiple hospital admissions associated with relapse.

Individuals are encouraged to understand the relationships between mood, situation and the potential for relapse of illness. Relapse management strategies will be tailored to the needs of the individual and utilise a range of community supports.

PiC is uniquely positioned to provide this response.