The focus of the service is on recovery through meaningful engagement both within the service and in the local community. Our aim is to support individuals to live with their condition and to discharge them onto the least restrictive setting suitable for them. Each individual is different and the next stage of their recovery journey could be moving into the community, or into the family home, or they may require a more open rehabilitation service, like our new step-down service Cygnet Adarna House in Bradford.

Cygnet Adarna House, now open

Cygnet Adarna House is a step-down service for Adarna Ward. This enables individuals to continue to work on their independent living skills while being in a safe environment – with the advantage of continuing access to the same multi-disciplinary team (MDT). This new service also accepts external referrals

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Referrals will come to us from Acute, PICU, Low and Medium Secure services. We may also take referrals from service users who are looking for a placement closer to home or who are at an unsuitable hospital placement.

The multi-disciplinary team (MDT) work together with service users to provide holistic person-centred assessments and care plans. The psychology team, using models of dialectical behaviour therapy (DBT) and cognitive behavioural therapy (CBT), work in groups or individual sessions depending on the need of the service user. They will work with individuals to understand their goals for treatment. The team then help them to start to understand their diagnosis, start to build their confidence in understanding, managing and regulating their emotions and then helping them to develop coping skills that will help towards their rehabilitation. The occupational therapy team provides sensory integration therapy, sensory assessments and helps to develop links in with the local community, including accessing various community groups which are autism friendly.

We offer evidenced-based assessment and treatment interventions as recommended by NICE (National Institute for Health Care Excellence) for individuals with autism spectrum disorder, that focus on the differences of experience which falls under four main categories: thinking differences, social differences, emotional differences and sensory and movement differences. This ensures that we provide high quality care to our service users, their families and carers. With the right support, our service users will be able to live a more fulfilling life.

The ward is set in a spacious environment with a large open communal lounge area, an enclosed courtyard and five additional communal areas including a sensory room, IT suite, and therapy kitchen, providing lots of space for service users. There is also a de-stimulation suite to provide a low stimulus environment for service users who may be experiencing heightened feelings of agitation. Individuals will have their own en-suite bedroom that they are encouraged to personalise to their liking.

Our therapies and interventions:

• Adapted Cognitive Behavioural Therapy (CBT)
• Behavioural Therapy (BT)
• Self-help interventions based on CBT
• Mindfulness
• Coping skills training
• Behaviour rehearsal
• Relaxation strategies
• Problem solving skills
• Social skills interventions
• Creative groups

Our service user profile:

• Men, aged 18+
• Primary diagnosis of mental illness with complex needs
• Secondary diagnosis of high functioning Asperger’s syndrome or autism
• Typical diagnoses include:
  • Schizophrenia
  • Schizo-affective disorder
  • Psychosis
  • Personality disorder
  • Bipolar affective disorder
  • Post-traumatic stress disorder
  • Depression
• May be detained under the Mental Health Act (1983); sections 3, 37, 37/41 or informal
• May present with forensic history
• May include a history of substance misuse
• May present with behaviours that challenge

Our facilities:

• • • En-suite bedrooms
    • Large communal lounge
    • Enclosed courtyard
    • Sensory room
    • IT room
    • Therapy kitchen
    • De-stimulation suite
    • Activity room
    • Gym
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    Referrals are now being taken and can be made by contacting the Cygnet referrals team via 0808 164 4450 or by emailing [email protected].