Lakeside – Mental Health Services

Introduction

Lakeside provides time-focused, positive and specialist support for people with mental health needs in a therapeutic and caring environment focused on rehabilitation and recovery.

Lakeside’s mental health pathway can support people arriving in crisis, through step down and rehabilitation and towards discharge.

 

Who can we support?

Our dedicated complex care, recovery-focused mental health pathway supports men and women with varying health needs including schizophrenia, bi-polar disorder, personality disorder, anxiety disorder, obsessive compulsive disorders, depression and those with a history of substance misuse.

The people supported in our specialist mental health wards may also have autism, a learning disability or ADHD.

 

Our focus and aim

The focus of the mental health pathway is to enable people to move on and return to their home communities through a planned and partnership approach.
Lakeside provides expert treatment and support through bespoke therapy and nursing interventions to help stabilise mental health and support people to develop or re-develop their social, educational and vocational skills.

Our ultimate goal is to help them progress to a more positive future and, wherever possible, to semi-independent or independent living.

 

People at the heart of their care

Lakeside encourages everyone supported in its mental health pathway to take an active and collaborative role in their care through shared decision-making, family and loved-one involvement from the earliest opportunity and through offering a choice of bespoke and specialist support and interventions.

People are encouraged to work collaboratively with the Multidisciplinary team in the planning of their care and to attend admission, multi-disciplinary team, (CPA) Care Programme Approach and pre-discharge meetings.

They will be supported in this by a registered Mental Health Nurse who will work with them to develop and review care plans. Capacity and consent is assessed monthly and there is also a monthly patient forum which people are encouraged to attend. Every person is also encouraged to access advocacy support.

 

Treatment and support

Our clinical model is based around the Recovery Framework, which creates flexibility dependent on the needs of the person. Its primary objective is to promote mental well-being by managing the symptoms, treating the illness and promoting recovery.

We follow the recovery model utilising the tools such as the Recovery Star. The recovery star is completed in collaboration with person and the support team.

 

Therapeutic Interventions – Lakeside’s Therapeutic Services Group (TSG)

The TSG is led by a Consultant Clinical Psychologist/Head of Therapies, and comprises of qualified and Assistant Psychologists, qualified and assistant Occupational Therapists, qualified and assistant Speech and Language Therapists, an Art Psychotherapist and a specialist therapeutic fitness instructing team (Psychesoma).

This multi-therapeutic team provide direct input into people’s care, as well as providing input into staff teams so that they are able to promote and support individualised rehabilitation via therapeutic activities and interventions developed by TSG.

The aim of the TSG is to promote rehabilitation within Lakeside, a Complex Care Rehabilitation setting, such that Lakeside is never any individual’s final destination. Our over-arching goal is to provide NICE guideline recommended treatments directly with people we support, and to be active members of the MDT, such that individuals receiving care at Lakeside are successfully discharged back into the community.

 

Clinically Effective Psychological Treatment – Approaches and Core Interventions

Our Mental Health treatment pathway provides NICE guideline-informed assessment and interventions in four phases, influenced by whether the person we support has comorbid Learning Difficulties (LD) and/or Autism Spectrum Conditions (ASC) alongside the core Mental Health diagnosis.

The four phases include:

• 12 week Assessment and Treatment Planning Phase
• Containment and Stabilisation Phase
• Exploration and Change Phase
• Relapse Prevention and Moving on Phase

Throughout the person’s treatment pathway, interventions are available on an individual and group basis, and of high and low intensity, and through direct/indirect and consultation methods.

The initial assessment phase assists in directing the person we support to an individualised treatment plan, depending on their needs and abilities, i.e. group versus individual / high versus low intensity.

These interventions can include Dialectical Behaioural Therapy (DBT) Informed Coping Skills and other skillsbased groups, Mental Health Awareness, Positive Behaviour Support model, Risk Awareness, Self-Esteem, Relax/Wind Down, Mindfulness, Behavioural Inventions, and Motivational/engagement work.

Higher intensity interventions include Cognitive Behaviour Therapy (CBT) groups (psychosis, anxiety, depression), and 1:1 therapy, e.g. Cognitive Analytic Therapy, Narrative Therapy, CBT, Acceptance and Commitment Therapy (ACT).

Once the individual has reached stabilisation, the Exploration and Change Phase begins, and may include offence-focused, trauma-related and/or relational/
attachment-focussed therapy including CBT/ACT for psychosis, Fire-Setters Intervention Programme, Sex Offender Therapy, and Substance Misuse Therapy.

The Relapse Prevention and Moving on Phase, is a period focused on consolidating learning and preparing for community living.

Lakeside – Mental Health Services Brochure

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