The information on this page is designed for healthcare professionals including GPs, hospitals, medico-legal clients and CCGs. To help you make an informed decision, you may also wish to view our admission criteria.

Who is it for?

The Brain Injury Rehabilitation Trust (BIRT)'s independent hospitals specialise in the rehabilitation of people with behavioural disorders following an acquired brain injury (ABI). We can accept referrals for people detained under the Mental Health Act.

In addition to our general admission criteria our service users may also have any of the following:

  • severe verbal and / or physical aggression
  • neuropsychiatric symptoms
  • impaired social functioning
  • disinhibited and / or very challenging behaviours
  • pre-existing mental ill health
  • substance misuse problems and high risk profiles

What do we offer?

We use a neurobehavioural approach to deliver in-depth assessment, rehabilitation and discharge planning from admission. These are carried out by our in-house interdisciplinary teams.

Assessment includes: cognitive skills, the nature and frequency of any challenging behaviour and the service user's ability to engage with the community and complete functional daily tasks.

Rehabilitation planning is focused on behaviour, cognition and mobility needs. Goal planning is carried out with the service user and their family or carers.

Rehabilitation involves an individually tailored treatment programme. This includes: learning and therapeutic sessions, personal social and domestic skills, guided leisure time, access to community activities, behavioural management and vocational training and support.

We hold regular review meetings where family, funders and other involved parties can join the clinical team to discuss progress and agree next steps. Our outcome measurement system enables us to measure service users' progress. It is also a valuable tool for individual goal setting during the rehabilitation programme, informing the ongoing care pathway.

The neurobehavioural assessment

When a service user is admitted to Graham Anderson House they undergo a neurobehavioural assessment to determine their potential for social reintegration and increased independence. This includes assessments of, for example, cognitive skills, the nature and frequency of any challenging behaviour and the service user's ability to engage with the community and complete functional daily tasks.

I have totally turned my life around, and I am a changed man from when I first came to Graham Anderson House.

At the end of the assessment period, a meeting is held at which family, funders and other involved parties join the team to discuss the results. This enables the team to identify any barriers to recovery and link these with a course of rehabilitation and support, while taking into account the aspirations of the service user and family members. If a formal course of rehabilitation is recommended, the service user begins an individualised treatment programme.

This includes learning and therapeutic sessions, personal, social and domestic skills, guided leisure time, community access, behavioural management and vocational training and support. Service users are actively involved in reviewing their progress against pre-agreed outcomes. Rehabilitation goals take into account short, medium and long-term aims, such as transfer to a more independent environment for on going rehabilitation. The average length of a residential placement varies depending on an individual's needs. A continuing support service is also available within at a lower fee level.

The clinical team

support worker overseeing service users hand to eye coordination at Graham Anderson House

The clinical team at Graham Anderson House comprises professionals from a wide range of disciplines, all of whom are recognised in their field as having special expertise in the management of brain injury. The team is led by a consultant in neuropsychology and rehabilitation and includes clinical psychologists, nurses, speech and language therapists, physiotherapists, occupational therapists and rehabilitation support workers.

Clinical practice is based on a neurobehavioural approach and focuses on a combination of social and behavioural interventions to aid recovery of independence. The emphasis of assessment is on a systematic and structured observation of behaviour and skills in everyday situations and tasks.

Clinical governance is promoted through BIRT's Clinical Executive, a national forum comprising consultants in neuropsychology and rehabilitation from across the Brain Injury Rehabilitation Trust's (BIRT) services. Led by Dr Sue Copstick, the Clinical Executive is committed to promoting clinical governance, training and research, as well as developing and reviewing clinical policies and procedures.


Referrals should be made directly to Graham Anderson House. We accept referrals from a wide range of agencies including health, social services, medico-legal and other specialist providers. To seek an admission, please complete our referral form.

Please include all relevant information about your client such as medical reports and records, as well as an indication of their needs and current situation. If you would like an informal discussion with the Service Manager and / or Consultant in Neuropsychology and Rehabilitation at Graham Anderson House, please contact us on the number above.

The Brain Injury Rehabilitation Trust (BIRT) offers a nationwide continuum of services for people with acquired brain injury (ABI) including post-acute hospital-based rehabilitation, assessment and rehabilitation, continuing rehabilitation and community support services. The duration of placements at Graham Anderson House varies, depending on the service user's level of need and their potential for rehabilitation.We collect satisfaction questionnaires from service users, family members, funders and commissioners. View our most recent Satisfaction Ratings.

Occupational Therapy Workshops

Graham Anderson House will host BIRT's Neurobehavioural Skills Training workshop for occupational therapists in November. Read more about the workshops and how to book.

For more information: