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 independent hospitals specialise in the rehabilitation of people with behavioural disorders following an acquired brain injury (ABI). We can accept referrals for people detained under the Mental Health Act. In addition to our general admission criteria our service users may also have any of the following.

Our high ratio of nursing staff to service users also enables us to manage more complex medical conditions.

  • severe verbal and / or physical aggression
  • neuropsychiatric symptoms
  • impaired social functioning
  • disinhibited and / or very challenging behaviours
  • pre-existing mental ill health
  • substance misuse problems and high risk profiles


Referrals should be made directly to York 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 complete our secure online 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 York House, please contact us.

What do we offer?

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

York House Service user Patricia posing with goggles that show visual impairment

Rehabilitation involves an individually tailored treatment programme. This includes: learning and therapeutic sessions, personal social and domestic skills, guided leisure time, access to community activities, behavioural management and vocational training and support.

We hold regular review meetings where family, funders and other involved parties can join the clinical team to discuss progress and agree next steps. Our outcome measurement system enables us to measure service users' progress. It is also a valuable tool for individual goal setting during the rehabilitation programme, informing the ongoing care pathway.

When a service user is admitted they undergo a comprehensive week neurobehavioural assessment to determine their potential for social reintegration. This includes assessments of cognitive skills, the nature and frequency of any challenging behaviour and the ability to engage with the community and undertake functional daily tasks. Initial goals are identified with the service user and the first phase of the rehabilitation programme is established.

During the assessment period, a meeting is held at which the family, funders and other involved parties join our team to discuss the assessment results and plan the next steps in the individual’s rehabilitation. This takes into account the aspirations of both the service user and family members and may involve a further period of rehabilitation to a more independent environment, either at York House or elsewhere.

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 sessions, behavioural management, personal social and domestic skills training, support to structure leisure time, community access and vocational training and support. Treatment is focused on the specific goals of the programme, and progress is discussed at review meetings held every 12 weeks, with a view to transfer to a more independent environment where possible.

The rehabilitation model at York House is based on a neurobehavioural approach. Programmes are interdisciplinary and focus on a combination of social and behavioural interventions to aid recovery of independence including mobility and cognition skills. Our high ratio of nursing staff to service users also enables us to manage more complex medical conditions such as unstable diabetes and epilepsy, or dual diagnosis with mental health.

Rehabilitation programmes are supervised by 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).​

Front cover tn.jpg

Download our latest Outcomes Report
  • All were male.
  • 83% had sustained a traumatic brain injury and 17% had a hypoxic brain injury.
  • The average time since injury was 15 months.

York House discharged 4 people. The average length of stay was 12 months. On discharge:

  • 50% progressed towards a more independent living setting.
  • 75% of people showed an improvement in social participation

The clinical team

Our highly skilled clinical team includes neuropsychologists, clinical psychologists, nurses, psychiatrists, occupational therapists, physiotherapists, speech and language therapists, family therapists, rehabilitation support workers and a social worker. 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.

York House offers a continuum of rehabilitation and care for people with acquired brain injury, challenging behaviour and/or complex needs. The Dales, The Moors and The Wolds, all wards within York House, offer different levels of clinical input, nursing care and rehabilitation support to meet individual needs.

Assessment and intensive rehabilitation usually takes place in The Dales; after this it may be appropriate for service users to move to The Moors and eventually The Dales, depending on their assessed and changing needs. Service users can be discharged from any of the wards at York House, some undergoing rehabilitation in only one or two of them.

The Brain Injury Rehabilitation Trust (BIRT) offers a nationwide continuum of services for people with an acquired brain injury (ABI) including post-acute hospital based rehabilitation, assessment and rehabilitation, continuing rehabilitation and community support services.