The recovery based rehabilitation programme on Brookhaven enabled Sally to rebuild her occupational, functional, social and independent community living skills.  Seen here having successfully revalidated her driving license.

Recovery Programme

Assessment Period

On referral to one of our services individuals will be assessed by members of the multidisciplinary team to ensure we can meet their needs. Following admission, service users will receive more indepth assessment during the first 12 weeks which also enables them to make their own judgement about the suitability of our service.

Recovery STAR

We are here to help individuals in their recovery from mental illness. Recovery usually means changing things in a number of areas of a person’s life so that things work better for them. Making changes is not always easy but understanding how change works can help. Many people who are recovering from mental illness have found it useful to think about recovery as a journey with different stages. They find it helps to think about which stage they are in and to get a picture of where they are on their journey. We use the Recovery STAR to help with this.

Multidisciplinary Team (MDT)

A team of professionals including psychiatrist, psychologist, occupational therapists, nursing staff and support workers will support an individual’s recovery.

Care Programme Approach (CPA)

Active Pathways is committed to involving people who use our services in planning their care. The Care Programme Approach is the framework for providing care to people over 16 who have mental health problems. It is the way of assessing people’s needs and planning with them the best way to ensure that those needs are met.

What does it involve?

  • An assessment of health and social care needs
  • A written Care Plan detailing the help and support that an individual will receive
  • Regular review meetings to discuss how the care plan is working and agree together changes that may be needed
  • A named Care Co-ordinator who will work specifically with the individual

We will meet with our service users to discuss and assess their health and social care needs and the care and support they need. We will support people through group work and individual sessions which will be delivered by staff to enhance an individual’s social and emotional development. Supported learning programmes will be delivered within the units and in community based settings. With the permission of our service users, other people who know them well, e.g. their carer, or close relative, may be asked for their views about the needs of the service user. Additionally the GP and other professionals involved in a person’s care will be consulted.

Active Support Plans

All service users will have their own active support plan which will be developed in collaboration with support staff. This will offer a meaningful way of tracking a person’s progress against each of their personal needs and will be a means of celebrating the achievements they have made on their recovery journey.

Physical health care

We recognize the importance of good physical health. A named nurse will support our service users with their physical health needs, in collaboration with our service physical healthcare lead, the GP and other healthcare professionals as required.

Risk assessment and management

Service users will be involved in assessment and managing risk, which is an important aspect of the care we provide. We will involve the service user in assessing and managing their own risks and help them to understand ways of reducing risk as part of their recovery.

Modular Transitional Rehabilitation Programme(MTRP)

At the beginning of 2016 we introduced our Modular Transitional Rehabilitation Programme.  This is an intensive 6 month rehabilitation programme based on DBT, CBT and Psycho-social Intervention strategies. The programme aims to provide a more efficient step-down pathway to community placements such as supported or independent living.  The interactive sessions led by different members of our multi-disciplinary team, cover a wide variety of topics including positive self-identity, assertiveness skills, self-development and self-agency.

Your Pathway: A Better Future

T: 0203 507 1200