This is a 24-hour CQC-registered accommodation service for adults (aged 18-65 years) who experience severe mental distress. Residents have multiple and complex needs and are entering the service from high-level support and secure settings or as an alternative to hospital admission.
Individuals who use this service are likely to be moving from inpatient or secure settings, or they may have been living in the community and are coming to the service instead of being admitted to hospital. Some people may have come out of hospital following a long stay or directly from a secure unit, or will be returning to their local community from out-of-area placements. Some may have a Community Treatment Order (CTO) or be on conditional discharge under the Mental Health Act, or be on licence if they have been in the criminal justice system. They are likely to be in contact with a range of services including Community Mental Health Teams (CMHTs), forensic services, Drug and Alcohol Teams (DAT) and social services.
The length of an individual’s stay will depend on their needs and personal recovery journey, but this intensive support service has been designed to offer placements that range from a period of 12-36 months.
The service also provides crisis prevention beds, which are designed to support adults who have a history of increased mental distress at specific, predictable times such as anniversaries of events that have previously led to needing hospital admission. These short term placements provide intensive support to manage the immediate distress while also working to maintain and develop coping strategies to prevent / manage future episodes of mental distress.
The service has over fifteen staff and can support up to ten individuals.
Our service is based on a combination of six essential elements with support delivered by recovery workers, clinicians and Peer Supporters through both one-to-one and group work. This blend of elements is designed to support individuals to transition to the community and to become equipped to live more independently in the longer-term.
These six essential elements are:
Individuals are supported to identify their personal recovery goals and to plan and direct their support in order to work towards them.
Staff work with individuals in a psychologically-informed way to understand thoughts and emotions driving unhelpful behaviours and to develop strategies to manage them. This involves engaging in reflective practice – centred on consistent review of what is and isn’t effective and incorporating this experience into future approaches.
Our in-house clinical team support individuals to manage their mental health symptoms, develop and practice coping skills and implement knowledge gained. Alongside this work, both recovery workers and clinicians will support residents to identify and grow their strengths and skills, build their resilience and develop personal and practical resources to self-manage and stay well.
All individuals have the choice of working with Peer Supporters trained to draw on their own experiences of mental distress to help others towards better mental wellbeing. Genuine and meaningful peer support can help people take huge strides forward in their recovery, and is a key part of our service. In future, residents may wish to become a Peer Supporter themselves which we can provide training for.
To ensure individuals make a safe transition from hospitals and secure units to the Together service, our staff work closely with statutory mental health and forensic services to develop and implement risk-management strategies.
The service aims to support individuals to move on to less intensive 24-hour residential support, supported housing or independent tenancies, dependent on their individual needs.
Individuals and their key working team will work closely with care coordinators, and family to identify move on accommodation following their placement, and goals and timelines for achieving this will be set and incorporated into their support plan.
If you wish to make a referral to this service, please contact us for a referral form and an informal discussion regarding your client’s needs.