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.

Thomas Edward Mitton House is a neurobehavioural centre for people with an acquired brain injury (ABI) and complex needs run by the Brain Injury Rehabilitation Trust (BIRT). In addition to our General Admission Criteria many service users are admitted to our neurobehavioural centres directly from NHS hospitals and, after a period of intensive rehabilitation, are discharged home or to more independent living environment, sometimes with part time support.

Who is it for?

Our 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?

Using a neurobehavioural approach we deliver in depth assessment, rehabilitation and discharge planning from admission. These are carried out by our in-house interdisciplinary teams. Assessment includes, 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.

Rehabilitation planning is focused on behaviour, cognition and mobility needs; goal planning is carried out with the service user and their family/carers. When a service user is admitted to Thomas Edward Mitton House they undergo a 12 week 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.

The neurobehavioural assessment

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 also 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. The average length of a residential placement varies depending on an individual's needs, with many of our service users moving on to live in a more independent supported environment in the community.

Clinical team

Service user Martin with support worker in TEM House

The clinical team at Thomas Edward Mitton 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 acquired brain injury (ABI). The team is led by a consultant in neuropsychology and rehabilitation and includes clinical psychologists, a speech and language therapist, 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 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 Thomas Edward Mitton 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 download and 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 Thomas Edward Mitton House, please contact us.

The Brain Injury Rehabilitation Trust 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 Thomas Edward Mitton House varies, depending on the service user's level of need and their potential for rehabilitation.


In 2019/2020, Thomas Edward Mitton House admitted 59 individuals following an acquired brain injury (ABI).

service user Meg in the corridoors in TEM House

  • 49% were male.

  • 68% had a stroke, 24% had sustained a traumatic brain injury and 8% had other forms of ABI.

  • The average time since injury was 1 month.

Thomas Edward Mitton House discharged 54 people. The average length of stay was 2 months. On discharge:

  • 81% needed only part time or no supervision.

  • 63% moved on to supported or independent living.

View our bed availability page.

FREE Roadshows for healthcare professionals

Aimed at health and social care professionals, our Brain Injury Roadshow is presented
by management and clinical staff from Thomas Edward Mitton House. Delivered at a time and place to suit you, our Roadshows are easier to make time for in your busy schedule. Presentations usually last 40 minutes and can include:

  • Brain anatomy
  • Behaviour management
  • The neurobehavioural approach to rehabilitation
  • Social skills development and community integration
  • Outcome measures for individuals, families and commissioning bodies
  • Vocational support
  • Causes and impact of brain injury
  • Using structured feedback in brain injury rehabilitation
  • Working with families and outside agencies in the early acute stages
  • Antecedents, behaviours and consequences resulting from an ABI

Download the TEM House Roadshow flier

For more information: