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Recovery & Rehabilitation Team

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The Recovery & Rehabilitation team support patients suffering with a severe mental illness, who require intensive treatment and interventions.

Our Assertive Community Treatment takes a flexible approach to recovery from mental illness that maximises an individual's quality of life by rebuilding self-esteem, encouraging life skills , promoting independence and autonomy leading to successful community living.

  • Service Objectives

    • The service consists of Psychiatrists, Psychologists, Social Workers, Occupational Therapists, Mental Health Nurses and Support Workers.  Here the service aims to:
      • Work collaboratively with service users and their carer within a framework of the Care Programme Approach
      • Offer time unlimited treatment and interventions
      • Work within a multi-disciplinary specialist service providing treatments for people experiencing severe and enduring mental health problems
      • Reduce the frequency of hospital admissions and length of stay; reduce/minimise symptoms of mental illness and increase independence and social inclusion
      • Following the recovery and social inclusion model of care, to support patients to access education, employment, housing, benefits and community-based social activities
      • Increase daily living skills
      • Increase coping strategies
      • Provide relevant information to service users and their carers including psycho-education and signposting to other services
      • Provide carers assessment where necessary
      • Provide support and integrated care planning during in-patient admissions (Crevichon Ward/Off-island placements)
  • Referral

    • Service users who are already receiving care and treatment from a psychiatrist in specialist mental health services can be referred to the team. At the point of referral, one of the community nurses will make contact with the patient to discuss how we can support their on-going recovery.
    • The minimal information which is required to accompany any referral includes:
      • An internal referral form
      • An up-to-date service user history
      • Current comprehensive assessment (inclusive of contextual risk)
      • Current care and treatment plans
      • An overview of the referrers intended outcomes
      • An indication that the service user is aware of and agrees to the referral
  • Intervention

    • Following a period of assessment, a range of treatment options/interventions may be offered.  The care provided will be tailored to an individual's needs, and will be regularly reviewed and evaluated.  The team will aim to facilitate early discharge of their service users who will, at times, require admission by developing a package of intensive community monitoring of mental state and risk.  Below is a list of interventions that the service use;
      • Medication management and home treatment
      • Mental state assessment and review
      • Anxiety management
      • Decider skills
      • Substance misuse
      • Self-care support
      • Support with benefits
      • Psychological assessment and therapy
      • Occupational assessment and therapy
      • Access to employment, education or voluntary work
      • Access to community based activities
      • Support to attend appointments
      • Access to gym/life fit

For any further information you can contact The Oberlands Centre on 01481 725241 ext: 3561.

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