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We provide a specialist service for men and women over the age of 18 with a brain injury who present with behaviours that impede their ability to rehabilitate. The centre provides specialised neuropsychiatric and psychological assessment, positive and consistent approaches to behaviour management and cognitive rehabilitation.
The centre accepts people who may require:
> Physical rehabilitation
> Support with mental health issues
> PEG management
> Tracheostomy management
> Support where there is no functional understanding of language
> Detention under the Mental Health Act
The programme is delivered by our experienced team of in-house clinicians comprising:
> Consultant Neuropsychiatrist
> Registered Nurses
> Occupational Therapist
> Speech and Language Therapist
> Physiotherapist
> Psychologist
> Rehabilitation Assistants
We also offer shorter term admissions, around 12 _ 16 weeks, for assessment only. The average length of stay at the centre is 11 months and 50% of patients are discharged back home with appropriate support. Others are discharged to social care funded placements in the similar timescale. The multidisciplinary neuro-rehabilitation programme focusses on the relearning of functional self-care and independence skills and makes full use of community
facilities as soon as is possible and safe.
CQC
Mental Health
Headway
Publicly funded
- individually commissioned
Privately funded (anyone can purchase)
Charitably funded (no payment required)
12 to 18 months length of stay dependent on clients needs
This Service was mapped by Eastern Region ABI. See HERE for more information
Patient description
Potentially medically unstable, but does not require critical care - unable to actively participate due to PTA, confusion, rejection, agitation, or low awareness state.
Sites
Major Trauma Centre/ Trauma Unit/Acute Hospital
Description of rehabilitation input
Needs inpatient care and treatment, and environmental and behavioural management, for physical dependency and confusion, and continuous clinical assessment (nursing, medical, therapy) to detect deterioration and prevent avoidable complications, and to facilitate optimal timing of rehab input and referral to next rehab programme.
Patient description
Needs in-patient care due to physical dependency, or the need for specialist therapy equipment, a safe environment, supervision, or intensity of therapy, in a unit with the expertise and experience in rehabilitation of a condition (Level 1)which cannot be provided in a local specialist centre or in the community (Level 2) which cannot be provided in the community.
Sites
Level 1: Regional specialized centre Level 2: Local specialist centre, Acute or community hospital
Description of rehabilitation input
Needs inpatient care due to physical dependency, or need for specialist therapy equipment, safe environment, supervision or intensity of therapy which cannot be provided in community
Patient description
Medically stable, but prolonged confusion, amnesia or behavioural difficulties, requiring specialist behavioural management, intensive supervision and secure environment
Sites
Specialist in-patient unit
Description of rehabilitation input
Specialist behavioural management, including high staffing: patient ratio to ensure intensive supervision and secure environment. Access to neuropsychology and neuropsychiatry
Patient description
Medically stable, but low awareness or response persists beyond eg 3 weeks after sedation withdrawn, ICP corrected and medically stable. Able to benefit from medical and physical therapy to prevent complications and support recovery.
Sites
Community hospital or specialist inpatient
Description of rehabilitation input
Assessment/active rehabilitation phase which needs to be distinguished from long term care, although planning care increasingly important aim after some (eg 6) months. Patients may go to active participation unit if they improve sufficiently.
Level 1 (highly specialised rehabilitation services): Treat patients with Category A needs and is led by a consultant trained and accredited in rehabilitation medicine or neuropsychiatry
The East Midlands Centre for Neurobehavioural Rehabilitation
Location and Contact detailsWarwick Lodge Warwick Road Melton Mowbray Leicestershire LE13 0RD Telephone: 01325 252001 Email: neuro@castlebeck.com http://www.castlebeck.com |
Type of organisation
Descripton of organisation
miles (straight line)miles (approximate road distance) Entry last updatedNov 7, 2012 |
Further Details
The East Midlands Centre for Neurobehavioural Rehabilitation is situated in Melton Mowbray in Leicestershire.We provide a specialist service for men and women over the age of 18 with a brain injury who present with behaviours that impede their ability to rehabilitate. The centre provides specialised neuropsychiatric and psychological assessment, positive and consistent approaches to behaviour management and cognitive rehabilitation.
The centre accepts people who may require:
> Physical rehabilitation
> Support with mental health issues
> PEG management
> Tracheostomy management
> Support where there is no functional understanding of language
> Detention under the Mental Health Act
The programme is delivered by our experienced team of in-house clinicians comprising:
> Consultant Neuropsychiatrist
> Registered Nurses
> Occupational Therapist
> Speech and Language Therapist
> Physiotherapist
> Psychologist
> Rehabilitation Assistants
We also offer shorter term admissions, around 12 _ 16 weeks, for assessment only. The average length of stay at the centre is 11 months and 50% of patients are discharged back home with appropriate support. Others are discharged to social care funded placements in the similar timescale. The multidisciplinary neuro-rehabilitation programme focusses on the relearning of functional self-care and independence skills and makes full use of community
facilities as soon as is possible and safe.
Services available
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National = country wide, Regional = offering a
service within 150 miles, Local = offering a service within 50
miles
This service adheres to the following Regulatory Frameworks / is affiliated to the following bodies:
CQC
Mental Health
Headway
Referrals can be made by
| GP |
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| Consultant |
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| Healthcare Professional |
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| Self/Advocate/Family |
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| Other professional eg Social Care/Case Manager |
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How are services paid for?
Publicly funded
- individually commissioned
| Regularly | Sometimes | Never | |
|---|---|---|---|
| NHS |  | | |
| Social Care Services | | | |
| Jointly funded by NHS & Social Care Services | | | |
Privately funded (anyone can purchase)
Charitably funded (no payment required)
Typical duration that a service is offered
12 week assessment12 to 18 months length of stay dependent on clients needs
This Service was mapped by Eastern Region ABI. See HERE for more information
Services available are defined by the following EHIG Rehabilitation Codes
For an explanation of the codings please click hereSPECIALIST REHAB IN HOSPITAL
[Code 30]Patient description
Potentially medically unstable, but does not require critical care - unable to actively participate due to PTA, confusion, rejection, agitation, or low awareness state.
Sites
Major Trauma Centre/ Trauma Unit/Acute Hospital
Description of rehabilitation input
Needs inpatient care and treatment, and environmental and behavioural management, for physical dependency and confusion, and continuous clinical assessment (nursing, medical, therapy) to detect deterioration and prevent avoidable complications, and to facilitate optimal timing of rehab input and referral to next rehab programme.
REHAB IN HOSPITAL
[Code 40]Patient description
Needs in-patient care due to physical dependency, or the need for specialist therapy equipment, a safe environment, supervision, or intensity of therapy, in a unit with the expertise and experience in rehabilitation of a condition (Level 1)which cannot be provided in a local specialist centre or in the community (Level 2) which cannot be provided in the community.
Sites
Level 1: Regional specialized centre Level 2: Local specialist centre, Acute or community hospital
Description of rehabilitation input
Needs inpatient care due to physical dependency, or need for specialist therapy equipment, safe environment, supervision or intensity of therapy which cannot be provided in community
BEHAVIOUR MANAGEMENT UNIT
[Code 50]Patient description
Medically stable, but prolonged confusion, amnesia or behavioural difficulties, requiring specialist behavioural management, intensive supervision and secure environment
Sites
Specialist in-patient unit
Description of rehabilitation input
Specialist behavioural management, including high staffing: patient ratio to ensure intensive supervision and secure environment. Access to neuropsychology and neuropsychiatry
A BRAIN INJURY REHAB UNIT
[Code 60]Patient description
Medically stable, but low awareness or response persists beyond eg 3 weeks after sedation withdrawn, ICP corrected and medically stable. Able to benefit from medical and physical therapy to prevent complications and support recovery.
Sites
Community hospital or specialist inpatient
Description of rehabilitation input
Assessment/active rehabilitation phase which needs to be distinguished from long term care, although planning care increasingly important aim after some (eg 6) months. Patients may go to active participation unit if they improve sufficiently.
This service is defined by the NMDS (National Minimum Data Set) codes as:
For an explanation of the NMDS, please click hereLevel 1 (highly specialised rehabilitation services): Treat patients with Category A needs and is led by a consultant trained and accredited in rehabilitation medicine or neuropsychiatry
