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.
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.
The neurobehavioural assessment
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.
Our high ratio of nursing staff to service users enables us to manage complex medical conditions.
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).
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.
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 BIRT's Clinical Executive, a national forum comprising consultants in neuropsychology and rehabilitation from across the Brain Injury Rehabilitation Trust's (BIRT) 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.