Low Secure Service

Adams ward provides low secure beds for patients with an Acquired Brain Injury detained under the Mental Health Act. Patients are admitted to Adams ward, following a detailed pre admission assessment. Patients are referred from the courts, prisons and other secure and open hospitals. Patients are alsotransfered from Burlington ward (M.S.U) at St Mary's Hospital as part of the Care Pathway to a less restrictive environment.

Enhanced Care Programme Approach (CPA) meetings are held every 6 months to review progress and plan for future step down services if appropriate, new admissions have a CPA following the initial 12 week assessment period, following which a detailed Care Plan is set out. All patients have a nominated key worker/named nurse, and a designated Clinical Psychologist to ensure implementation of a unique rehabilitation programme. Patients have wider access to OT programmes in to the community in preparation for future step down. A daily planner is available for every patient to ensure the patient is involved and occupied in establishing ordinary daily activities and routines as part of the Cognitive Rehabilitation Therapy approach.

All patients have access to a professional advocacy service through a fully independent provider. Regular ward based community meetings are held to ensure patients are actively involved in the running of the ward and their rehabilitation programmes. The involvement of patients' relatives and carers is actively encouraged as part of the overall rehabilitation approach. The social work service is active in maintaining community links and planning for future discharge.

Adams Low Secure Admission Criteria

Male 18-65
ABI
Detained
Forensic History or/complex needs.
Risk is not as serious or imminent as in Medium Secure but requires risk assessment and management.
Behaviour is generally manageable in a locked environment.
Risk behaviour is infrequent.
Patients present minimal/low risk to community therefore access to the community is likely.
Possible history of absconding.
Patients are likely to be moving from Medium Secure care.