simmons house

adolescent unit

 

Treatment, Treatment Plans and Consent

Simmons House provides many different types of treatment. These include medical, psychiatric, psychological, educational, group-work, occupational, family and individual therapies. Evidence-based practice and the experience of the team, underpin all of the clincal treatments.

 

Videoing of family therapy meetings and having members of the team observing family work is an important evidenced-based aspect of the treatment programme at Simmons House. This is always done with the full consent of the young person and his/her family/carers.

 

Around the time of admission, the plans for treatment will be discussed and agreed with the young person and his/her family/carers, as well as the referring team. We believe that working together closely with all those involved in the treatment and care of the young people is more likely to lead to positive change.

A copy of the treatment plan will usually be provided to the adolescent and his/her family/carers. This treatment plan will be jointly signed by the case manager, and the consultant child and adolescent psychiatrist and the young person.

 

Simmons House always aims to work in an open, transparent and collaborative way with young people and their families/carers. The vast majority of treatments have to be consented to. Simmons House staff will inform young people both verbally and in writing of their right to agree, or refuse treatment, and the limits of this. This will be recorded in young people’s notes. In rare instances where a treatment is given against the wishes of a young person and/or parents/carers, this will be clearly explained and documented. This could be the case if a young person is at significant risk and/or detained under The Mental Health Act for example.

 Treatment plans will specify:

  1. Name of case manager and consultant child and adolescent psychiatrist.
  2. Name of nurse key workers.
  3. Therapeutic components of treatment package.

4.

5.

Clinician and young persons goals of admission.

Expected therapeutic outcomes.

 

Date of the next case review, usually three months from the admission conference.

Initial Stages

Pre-admission treatment

Admission

Some young people referred to the service may feel that they are not ready to take part in the full programme. Some parts of the treatment package (e.g. family or individual therapy) may still be offered if it is thought to be helpful.

 

We work together with the referring team,young people and their families/carer in the plans is an important part of the working practice of Simmons House.

Either prior to, or soon after a young person is admitted to Simmons House, an admission conference will be held. Referrers and any other teams involved are invited to Simmons House.

 

Young people and their family/carers feed into this meeting and young people usually attend the majority of the meeting. Adolescents and their families/carers are given copies of the treatment plans and so further discussion can take with case managers or in family meetings.

Group Activities

Boys Group
looks at issues and themes around
the experience of being a male.
 Girls Group
 addresses issues of self-identity, such as body        image, gender and cultural issues.
Art Group
is a non-directive group where young people are encouraged to express themselves through a creative medium of their choice e.g. paint, clay, paper, felt tips.
 
Sometimes a theme is introduced to encourage ideas. Young people are encouraged to discuss their work with an emphasis on emotional issues rather than technique or achieving a perfect piece of art work.
Social Skills Group
builds up relationships by developing trust and self-confidence through support and feedback through the group.
 
Verbal and non-verbal skills are skills are practised and developed through the use of questionnaires, discussions and role-plays.
Action Group
through visual and dramatic expression, the young people explore everyday issues, such
as peer and adult relationships, school and families.
 
The group may also explore life-events, such as turning points in the past and how their future is pictured.
Lunch Cookery
a practical-based group which allows groups members to work towards a common goal. The group promotes concentration, food hygiene, safety awareness and an ability to follow instructions.
Group Therapy
provides a platform for free expression, with the aims to develop trust and aid the group becoming psychologically and emotionally-minded.
Exploring Ideas
a cognitive behavioural therapy group. Explores everyday adolescent issues and links thoughts, feelings and behaviours in order to establish coping mechanisms.
Leavers Group
offered to those young people in the leaving phase of their admission and those who have left Simmons House. The group allows an exploration of the leaving process, ending and a reintegration back into the young person’s community.
Sports Group
a group aimed at promoting fitness and a respect for physical activity as well as generating a sense of achievement, belonging and teamwork.
Friday BE
is based on mindfulness, which involves being in the present moment and paying attention, without judgment, to feelings and thoughts and their coming and going. Two forms of meditation are used to help young people notice their experiences in the moment, followed by time to reflect.
Evening Group
takes place on Wednesdays evenings. The group stands outside of the main program. The focus is for young people to participate in an enjoyable activity (of their choosing), to reach decisions as a group and to socialise. At times, the activity may take place on the unit and be based around arts & crafts, drama, quizzes or other games. At other times the group may take place in the community e.g. a cinema trip, scavenger-hunt, a drive in the country or exploring London by public transport. Young people have fed back that they look forward to this group but also appreciate that it is optional.

Community Meetings

The daily Community Meeting is the pivotal event in the weekday programme at Simmons House. It provides the main opportunity for the Staff Group to sit down with the young people and reflect on the past 24 hours and plan for the subsequent 24 hours in the life of the Unit.

The Community Meeting also provides a window in the middle of the day to discuss how the group is getting on and focus on what is or is not working.

After your stay

Discharge

The service always aims for discharge to be carried out in a planned way.

 

Discharge plans are always written down at discharge meetings and the Care Programme Approach (CPA) is always followed. This means that all young people and their family/carers (as appropriate) receive a written summary of the treatment plans on the day a young person leaves Simmons House.

Post-discharge work

Often young people form strong attachments to the work at Simmons House. As a result, a post-discharge package can be available if clinically appropriate and agreed with referring teams. This is usually up to a maximum of 2-3 months.

 

The work offered can include: weekly individual therapy/ psychology, monthly family therapy, fortnightly nursing key-worker time and weekly attendance at an early-evening leavers group.

Longer-term

post-discharge work

There are occasional circumstances where a specific therapy (e.g. individual psychotherapy or family therapy) will continue to be provided from Simmons House for more than three months with the agreement of Simmons House and the referring team.

simmons house

adolescent unit