Ward 5 is a 17 bedded male locked ward that offers complex rehabilitation to men aged 18-65 and currently serves the Leeds area of the West Yorkshire Integrated Care Board (ICB). Ward 5 is the only NHS locked rehabilitation facility in West Yorkshire.
Ward 5 was originally commissioned in 2012 to provide rehabilitation to service users with active symptoms, more complex needs and challenging behaviours. The aim being to prepare the service user for transfer to other facilities in rehabilitation services or to more independent/supported community living. The ward at that time also had a crucial role in repatriating patients from secure services and out-of-area placements. Following the introduction of the Royal College of Psychiatrists (RCP) Standards for Inpatient Mental Health Rehabilitation Services (2016) and NICE guidance – Rehabilitation for Adults with Complex Psychosis (2020), the ward is now reviewing and further developing the rehabilitation offer on the ward with an improved clinical model.
Purpose, Aims & Objectives
Rehabilitation and Recovery Services are vital in helping people with enduring mental illness gain access to employment, housing, and social/leisure activities through developing links with relevant community-based services and agencies.
Detention in a locked environment at the most secure provision in the pathway constitutes a fundamental loss of freedom for an individual. Staff will work collaboratively with referring services to ensure that admission is appropriate to the individual’s needs. There should be no more restrictions on a person’s freedom than is warranted by their clinical condition.
The aim of the service is three-fold:
- Symptom minimisation.
- Providing a recovery service which focuses on the holistic needs of service users, including housing, employment, education, and mental and physical well-being.
- Independent Living
The service will provide high quality, safe and effective care focusing on the individual, maximising each service user’s independence while seeking to maintain stable mental health for service users with complex mental health problems.
The service will operate on the following guiding principles:
- We provide rehabilitation and recovery-based services that enable people to define, build and live a meaningful, independent and satisfying life.
- We provide an inpatient setting with a safe and supportive environment supporting independence.
- We promote sustained recovery for living independently in the community, not simply being ready to move back to the community.
- We work with service users over the age of 18
- We promote the practice of assessed and safe therapeutic risk-taking as a means of enabling greater independence.
- We aim to reduce the risks associated with their presentation and keep admission as short as possible.
- We work from a Multi Disciplinary Team (MDT) perspective so that we consider service users’ needs from a holistic perspective.
- We work closely with service users, their relatives, and carers to try to understand a person’s needs/risks.
- Understanding a person’s physical health needs and how this may impact their mental health is an important part of our ongoing assessments.
- Psychology is an integral part of our model; all service users have a formulation to understand a person’s presentation and help us to formulate care plans.
- We provide holistic care packages delivered by the right people/services through a joint partnership with 3rd sector organisations.
- We work with service users through the pathway and transition into the community.
Within the care and treatment process, a range of interventions will be provided, including medical, psychological, social and physical appropriate to presenting needs, in accordance with national standards and NICE guidance.
Available interventions include:
- Psychosocial Interventions
- Social and Occupational Interventions
- Medication Management
- Relapse Prevention
- Physical Health Care
- Family and Carer Interventions
- Risk Management
- Substance Misuse Interventions
- Mental Health Act
- Vocational Support
The service will also encourage and promote social inclusion through engagement with:
- Community based recreational, educational and employment services.
- Primary care services.
- Encouraging service users to maintain contact with family, friends and other positive community-based support structures.
Interventions will be provided by fully trained staff, including nurses, occupational therapists, doctors, support workers and, where appropriate, services that promote good physical health.