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. The Brain Injury Rehabilitation Trust (BIRT)'s neurobehavioural centres are for people with an acquired brain injury (ABI) and complex needs. In addition to our General Admission Criteria many service users are admitted to our neurobehavioural centres directly from NHS hospitals. They are discharged home or to a more independent living environment after a period of intensive rehabilitation. Sometimes this includes part time support.

View our bed availability page.

Who is it for?

Kerwin Court is a neurobehavioural centre for people with an acquired brain injury (ABI) and complex needs run by the Brain Injury Rehabilitation Trust.

Our brain injury rehabilitation services are for people who experience some / any of the following symptoms:

  • Cognitive problems including thinking, memory, problem solving, learning, awareness and perception
  • Physical impairments that affect mobility, posture or dexterity
  • Physical and verbal aggression
  • Communication difficulties
  • Challenging behaviour

Some service users have other conditions, for example a history of mental health issues, substance misuse (drugs, alcohol), epilepsy, or diabetes. These are addressed in assessment and rehabilitation, with support from external agencies where appropriate.

What do we offer?

We use a neurobehavioural approach to deliver in-depth assessment, rehabilitation and discharge planning from admission. This is 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.

When a service user is admitted to Kerwin Court they undergo a comprehensive 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. Initial goals are identified with the service user and the first phase of the rehabilitation programme is established.

The neurobehavioural assessment

During the initial rehabilitation period, a meeting is held at which family, funders and other involved parties join our team to discuss the progress and plan the next steps in the individual's rehabilitation. This is based around the goals set with the service user. In some cases the focus is on discharge planning and liaison with social services. For others, a further period of rehabilitation may be involved in order to met the service user's goals before an appropriate discharge plan can be put in place.

If a further period of rehabilitation is recommended, the service user will continue to work on their agreed goals. Their personalised treatment programme may include group or individual learning and therapy session, behavioural management and training in social and domestic skills. Service users are supported to structure their leisure time, to access the community and educational and vocational training and placements. Treatment is based on the specific foals of the service user. Progress is discussed at regular review meetings, with a view to discharge home or to a more independent environment, for example, one of the Trust’s community houses.

The clinical team

service user in lounge at Kerwin Court, with support worker

The clinical team at Kerwin Court 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 Dr Camilla Herbert, Consultant Clinical Neuropsychologist, and includes clinical psychologists, a speech and language therapist, physiotherapists, occupational therapists, a recreational and vocational coordinator 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 is on a systematic and structured observation of behaviour and skills in everyday situations and tasks.

Clinical governance is promoted through the Brain Injury Rehabilitation Trust's (BIRT) Clinical Executive, a national forum comprising consultants in neuropsychology and rehabilitation from across BIRT's 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 Kerwin Court. 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 Kerwin Court, please contact us.


In 2017, Kerwin Court admitted 28 individuals following an acquired brain injury (ABI).

service user playing Guess Who with support worker at Kerwin Court

  • 57% were male.
  • 58% had a stroke, 21% had sustained a traumatic brain injury and 21% had other forms of ABI.
  • The average time since injury was 3 months.

Kerwin Court discharged 32 people. The average length of stay was 4 months. On discharge:

  • 71% needed only part time or no supervision.
  • 77% moved on to supported or independent living.

View our bed availability page.

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