The information on this page is designed for the families, carers and friends of service users at Thomas Edward Mitton House. It will give you an insight into what we do, together with an overview of the assessment and rehabilitation process. At the Brain Injury Rehabilitation Trust 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. Thomas Edward Mitton House offers education and emotional support to relatives of service users and has a range of family information and resources available. This is offered individually, informally and as part of the review process. Family members are also invited to social gatherings and events.

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:

service user in physical therapy session with support worker in TEM House

  • cognitive skills,
  • their ability to engage with the community
  • the ability to complete functional daily tasks
  • the nature and frequency of challenging behaviour

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.

Our clinical team 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. 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.

Legal & Welfare Service (LAWS)

LAWS is a free, no-obligation legal and welfare service for service users and their families which BIRT is currently offering at Thomas Edward Mitton House, with a view to rolling it out across BIRT’s services. Delivered by law firm members of the Brain Injury Group, with support from specialist financial and welfare advisors, LAWS usually involves solicitors from local law firms visiting the BIRT centre to provide advice and information on a range of legal, financial and welfare issues.

The advice and information is provided both on a confidential basis to individual service users and/or their family at private appointments and in open sessions on legal topics relevant to those affected by brain injury which everyone is welcome to attend.

BIRT offers a nationwide continuum of services for people with an 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.