Maple House is an 18 bed in-patient service, centrally located in Warrington, easily accessible by car and public transport. Situated in Orford, there are shops, parks, cafés within walking distance. The service is designed to support those with complex mental health needs due to mental illness or acquired brain injuries to maximise their recovery and support individuals to transition back into the community. Maple House is an alternative to higher levels of secure care. Maple House works collaboratively with the individuals in our care to support them to achieve their goals and transition into the community. Maple House has 18 en-suite bedroom across three floors. Each floor has more than one lounge space with the benefit of a group room and a kitchen. There is a shared gym and garden space with an allotment and seating area.
The neuropsychiatric sequelae of acquired brain injuries including cognitive, emotional, behavioral and personality difficulties may predispose them to present to psychiatric services. They may present with a range of difficulties that makes it difficult for them to be managed in a community setting. Neurorehabilitation for people with an acquired brain injury refers to the process through which they are assisted to achieve their optimum emotional, physical, vocational, and psychological well-being. We believe that Neurorehabilitation needs to be relevant to the aspects of each patient’s life. Therefore, it should involve personally meaningful activities, themes, interactions, and settings.
Our overarching approach is based on principles of cognitive and behavioural neurorehabilitation. The focus is on reducing cognitive loading, compensating for any cognitive deficits and managing behaviours that challenge informed by functional analysis of behaviour. The treatment programme includes provision of external compensatory aids (e.g. notebooks, planners), regular orientation, providing a structured daytime routine, managing communication and providing information commensurate to the patient’s level of cognitive functioning. Occupational therapy and psychological interventions are tailored to meet the needs of patients with cognitive difficulties. Speech and language therapy and physiotherapy is offered if required. Psychoeducation including brain injury awareness is offered in-group or individual sessions. Psychotropic medications are used when required to manage aggression, impulsivity and any comorbid anxiety, mood or psychotic disorders. Physical health care needs are addressed through our weekly visiting GP service and specialist hospital appointments are facilitated as and when required.
We have dedicated wards for men with complex mental health needs arising due to a combination of mental illness, personality difficulties and substance misuse. Complex Mental Health presentations are commonly associated with chaotic, traumatic, abusive, and neglectful experiences. Patients have often experienced one or more significant life event of considerable etiological significance. Although organic, biological and genetic influences are considered, our focus is towards a move away from primarily pharmacological intervention (albeit retaining the use of medication as an important adjunctive treatment) towards psychological, social, and other non-pharmacological interventions. Service users are supported to achieve their potential and to recover/develop skills which will support them to live independently. This again should be relevant to the patient’s life, their; hobbies, relationships and ambitions.