Cygnet Lodge Kewstoke – Women’s High Dependency Inpatient Rehabilitation

Cygnet Lodge Kewstoke is a female high dependency inpatient rehabilitation service, providing a recovery focused care pathway for women who have been in hospital for an extended period of time and who are preparing for community life before discharge. We are able to support up to 12 women who may have a range of mental health difficulties, including personality disorder or a mild learning disability (as a secondary diagnosis).

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As an intensive community rehabilitation service, Cygnet Lodge Kewstoke is separate from the main hospital. It provides the next step in the care pathway from the female low secure and personality disorder wards, or can act as a step up from community placements which may have broken down. This means service users can test their independence while still being in a safe environment – with the advantage of continuing to have access to a full multi-disciplinary team.

“I’ve always been treated very well, so I do speak very highly of the hospital, staff, O.T and therapists, I’ve never been so well in my life. I’m privileged to be here.”Service user, Cygnet Lodge Kewstoke

The service uses the My Shared Pathway approach, working collaboratively with the service user and the care team to establish clear goals from the beginning of treatment. This ensures that we are able to provide a person-centred approach, as well as providing a clear focus to treatment in order to minimise length of stay.

“I’ve received loads of help. All the staff were friendly and kind.”Service user, Cygnet Lodge Kewstoke

Service users coming to Cygnet Lodge Kewstoke will have individualised and goal-directed plans in recovery, rehabilitation and therapy. Using a whole systems approach to recovery, the individual’s quality of life and social inclusion opportunities will be maximised. This is carried out through an extensive therapy programme that encourages the use of independent living skills and promotes autonomy, decision making and choice.

Service users coming to Cygnet Lodge Kewstoke will have individualised and goal-directed plans in recovery, rehabilitation and therapy. Using a whole systems approach to recovery, the individual’s quality of life and social inclusion opportunities will be maximised. This is carried out through an extensive therapy programme that encourages the use of independent living skills and promotes autonomy, decision making and choice. Our multi-disciplinary team makes use of a broad range of therapies, including CAT, CBT, Schema Therapy, EMDR and DBT that are tailored to individual needs. We run a number of groups, such as a ‘Hearing Voices Group’, which many of our service users find useful as a way to share their experience.

The ladies at Cygnet Lodge Kewstoke have support from the full multi-disciplinary team with a range of interventions available that include occupational therapy, psychology, social work, advocacy, IMHA services and access to a GP. Our multi-disciplinary team makes use of a broad range of therapies, including CAT, CBT, Schema Therapy, EMDR and DBT that are tailored to individual needs. We run a number of groups, such as a ‘Hearing Voices Group’, which many service users find useful as a way to share their experience.

Cygnet Lodge Kewstoke

Cygnet Lodge Kewstoke offers an Active Life programme to increase service user understanding of the benefits of exercise for supporting sustained mental health recovery. This is achieved through a physical health assessment and a tailored individual care plan. We also offer a comprehensive programme for those individuals who, as well as having a major mental illness, have abused drugs and/or alcohol. This programme is integrated into the therapeutic programme and is accessible to all service users.

The team also supports the education and career reintegration / development of service users through supporting them to access courses and formal further education at the local college with which we have strong links.

Service user profile

  • Women aged 18+
  • Detained under the Mental Health Act (1983) or informal
  • Primary diagnosis of mental illness with:
    • Complex comorbidities
    • Substance, drug and alcohol abuse
    • Treatment resistance
    • Behaviours that challenge
  • Aiming for a return to community or community-based care
  • History of sexual abuse or domestic violence
  • Typical diagnoses: schizophrenia, schizoaffective disorder, bipolar affective disorder or depression
  • May have secondary diagnoses of mild learning disability, autism spectrum disorder or personality disorder
  • May have a forensic history and/or be stepping down from secure services
  • May have a history of repeated acute admissions

Our facilities:

  • En-suite bedrooms
  • Therapy cabin
  • Spacious social and recreational spaces
  • Dining room
  • Living roomv
  • Kewstoke Community Farm – formed in June 2012 and located on the grounds of the hospital

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