The information on this page is designed for the families, carers and friends of service users at York 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 (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.

At the Brain Injury Rehabilitation Trust (BIRT) we understand that head injury and acquired brain injury can affect the whole family; we 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.

About York House

York House operates family support services for relatives of service users to provide education and emotional support, both individually and within a group setting. We also provide education and emotional support to individual families as required and have a wide range of family information and resources available.

We offer 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.

About brain injury rehabilitation

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.

When a service user is admitted they undergo a comprehensive 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 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.


Assessment and intensive rehabilitation usually takes place in The Dales; following this it may be appropriate for service users to move to The Moors and eventually The Wolds, 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 the wards.

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 or move to a more independent environment.

Music therapy session at York House

Our clinical team

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

Clinical governance is promoted through our 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.

About BIRT

BIRT offers a nationwide continuum of services for people with acquired brain injury including post-acute hospital based rehabilitation, assessment and neurorehabilitation, continuing rehabilitation and community support services. We collect satisfaction questionnaires from service users, family members, funders and commissioners. View our most recent Satisfaction Ratings.

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 an acquired brain injury (ABI), 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.

Funding rehabilitation at BIRT services

The professional who makes the referral to our service may not be responsible for arranging or authorising the funding. Rehabilitation in Brain Injury Rehabilitation Trust (BIRT) services can be funded from a combination of the following sources:

  • The NHS usually funds the services delivered in our hospitals or the intensive assessment and rehabilitation in our neurobehavioural centres.
  • Social services funds are used solely, or in conjunction with, NHS funding for our continuing rehabilitation services. transitional living services or our community services.
  • Medico-legal / compensation claims (or other private sources) can fund any of our services

We are happy to provide any fee information that might be needed by the professionals involved in the referral or funding.

York House service user working in a bookshop

Useful books

Advice and support

If you would like advice and support about an aspect of living with brain injury, you may wish to contact Headway. Headway’s Freephone Helpline 0808 800 2244 is run by a team of trained nurses and non-clinical staff. They have a network of support groups across the country, for people with brain injury and their families and carers.

For more information: