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.
Clinician and young persons goals of admission.
Expected therapeutic outcomes.
Date of the next case review, usually three months from the admission conference.
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.
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.
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.
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.
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.