The information on this page is designed for the families, carers and friends of service users atKerwin Court. It will give you an insight into what we do, together with an overview of the assessment andrehabilitationprocess. At theBrain Injury Rehabilitation Trust(BIRT) we aim to 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.

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. Kerwin Court provides education and emotional support to individual families as required and has a wide range of family information and resources available.

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.

support worker sits with service user in the dining area of Kerwin Court

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 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.

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. Duration of placements at Kerwin Court vary, depending on the service users' level of need and their potential for rehabilitation. A service for those with longer term rehabilitation needs is also available.