‘Whole system’ pathway through to community rehabilitation’ – Jim a service user at the Priory Hospital Middleton St George

Jim* is a 37 year old single man referred from a hospital in a North East town. He had had three admissions to his local hospital for relapses of a psychotic illness in the last three years before admission.  All of these admissions were under a section of the Mental Health Act. 

Jim has a history of psychosis, complicated by substance misuse.  He has had a revolving door pattern of admission and discharge. Unfortunately he has lost his accommodation through his illness, and housing providers were reluctant to accommodate him further.  He has lost touch with his family, and his normal circle of contacts are habitual drug users.  Jim was admitted to Middleton St George Hospital’s PICU. As the acute treatment began to take effect he was engaged by the low secure rehabilitation team, and work on the more entrenched elements of his behaviour began.

The team worked with techniques of psychosocial education and cognitive therapy to raise his insight levels and improve compliance. He was supported by therapeutic interventions relating to his substance use led by the specialist nurse.  As his understanding and confidence grew, he began to rediscover his own skills and his aspirations for himself and progressed to an ‘open’ rehab environment.
Jim was deemed suitable for transfer to the new community house in Darlington on Station Road. With full support of his commissioners and home team he gradually transferred to his new rehab setting. Through spending more time in the community, re-establishing links with his family and home team,

Jim can now be seen in a new light.  He needs to continue the momentum towards taking more and more responsibility for himself, recognising that his risk concerns need managing, and that he needs to experience setbacks and learn from them.  Jim is now settled within the Station Road community house.  He lives in a fully staffed home environment where he receives intensive support and enjoys an excellent quality of life.

*  Please note, where necessary, the names used within case studies have been changed to protect confidentiality.