This is a 24-hour CQC-registered accommodation service for adults (aged 18+ 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 have come out of hospital following a long stay or directly from a secure unit. 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. Some people using our service will be returning to their local community from out-of-area placements. 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. The service has a staff team of 14 and can offer support for a total of 11 Service Users – 8 in the CQC-Registered main home and 3 in our on-site supported living bungalows.
Our service is based on a combination of six essential elements with support delivered by the management team, Recovery Workers, our Clinician and Peer Support 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.