The information on this page is for the families, carers and friends of service users at Graham Anderson House and will give an insight into what we do, together with an overview of the assessment and rehabilitation process.

At the Brain Injury Rehabilitation Trust (BIRT) we understand that head injury and acquired brain injury can affect the whole family; we guide service users through the entire process of rehabilitation, as well as offering support, education and continuing help to their families, carers and friends. We actively promote the involvement of families in the rehabilitation process, and home leave is encouraged wherever possible.

About Graham Anderson House

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 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.

At the end of the assessment period, a meeting is held where 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.

About brain injury rehabilitation

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 ongoing rehabilitation. The average length of a residential placement varies depending on an individual's needs. Continuing support service is also available at a lower fee level.

The Clinical Team

Our clinical team comprises professionals from a wide range of disciplines. They are all 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.

service user and support worker in the sensory room at Graham Anderson House

Activities and environment

We operate a family support group for relatives once every six weeks, usually Tuesday, 6.30-8.00pm. The meetings are led by the clinical psychologist and head of care, and are open to families of current and former service users. The groups is an open forum, with opportunities for questions, answers, discussion and mutual and professional support.

We also run family / service user rehabilitation afternoons every fortnight. In addition, families are invited to and involved in social gatherings and events.

The duration of placements at Graham Anderson House varies, depending on the service user's level of need and their potential for rehabilitation.

About BIRT

BIRT offers a nationwide continuum of services for people with acquired brain injury 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.

If you would like to find out more, we have a wide range of literature available which provides helpful information to those experiencing the physical and emotional trauma of brain injury, as well as support and guidance for their families, friends and loved ones.

The Disabilities Trust is committed to developing person centred plans to maximise service users' independence and encourage them to attain their full potential. We operate a family support group for relatives of service users to provide education and emotional support, both individually and within a group setting, and has a range of family information and resources available.

Funding rehabilitation at BIRT services

The professional who makes the referral to our service may not be responsible for arranging or authorising the funding. Rehabilitation in Brain Injury Rehabilitation Trust (BIRT) services can be funded from a combination of the following sources:

  • The NHS usually funds the services delivered in our hospitals or the intensive assessment and rehabilitation in our neurobehavioural centres.
  • Social services funds are used solely, or in conjunction with, NHS funding for our continuing rehabilitation services. transitional living services or our community services.
  • Medico-legal / compensation claims (or other private sources) can fund any of our services

We are happy to provide any fee information that might be needed by the professionals involved in the referral or funding.

support worker playing cards with service users in Graham Anderson House

Useful books

Advice and support

If you would like advice and support about an aspect of living with brain injury, you may wish to contact Headway. Headway’s Freephone Helpline 0808 800 2244 is run by a team of trained nurses and non-clinical staff. They have a network of support groups across the country, for people with brain injury and their families and carers.

For more information: