Ebbw is a low secure unit catering for young females aged 13-18 who are suffering with mental health difficulties that require inpatient treatment. Individuals placed on Ebbw Ward must be detained either on a section 2 or a section 3.
There is a robust treatment programme delivered on the ward by a range of mental health specialists, our team includes; psychiatry, clinical and forensic psychology, occupational therapy and education these are supported by our mental health, learning disability and general nurses.
We provide both educational and therapeutic programmes, with many of our therapy sessions being underpinned by ASDAN principles to enable young people to not only develop their independent living skills but gain a qualification as a result. A Sessions can be offered either in house or community based.
Brenin is a low secure unit which admits males or females detained under the mental health act (Section 2 or 3) aged between 13-18 years. Brenin is often our admissions ward, with young people able to transfer to Ebbw ward however, some young people may be admitted straight to Ebbw Ward depending on their needs.
The programmes offered on Brenin are both in house and community based, with both therapy and independent living skills in mind. The programmes are individualised, with many activities being group but some are run on an individual basis, allowing our recovery plans to be person centred. Some sessions offered A by the team are also underpinned by ASDAN enabling young people to gain a qualification as well as undertake therapy essential for their mental health need
Treatment is provided by a full time multi-disciplinary team led by a CAMHS Consultant. The team consists of, but is not limited to, Family Therapy, Clinical Psychology, Forensic and Counselling Education and Occupational Therapy. The programme includes both group and 1:1 sessions which are designed following robust assessment and monitored using outcome measures. Risk assessment forms an important part of the recovery process for the young person, the team will utilise assessments such as FACE or SAVRY as well as a baseline risk assessment. Interventions used include CBT, DBT principles, behavioural management and pharmacological.
Programmes are personal to each young person therefore using effective strategies and treatment for them as individuals. Therapy will include working with families/carers and schools, where appropriate, to ensure programmes incorporate health, social and education dimensions. Young people are actively involved in the planning of their care, which starts with their care plans, risk assessments and MDT weekly review. Placing them at the centre of the treatment aims to make them feel empowered and proactive in the rehabilitation. Recovery star is also used as part of this process.
Displaying one or more of the stated behavioural characteristics:
- Aggression and violence to units, people and property
- Absconding: usually periodic or persistent and the consequences are serious enough to warrant continued treatment in low secure setting.
- Sexually problematic behaviour (not related to any particular offence category)
- Suicidal behaviour: Usually high risk for extended periods
- Presenting with behaviour that cannot be managed safely in an open environment
- There are significant risks in relation to mental disorder or short term risk/ symptoms requiring stabilisation
- Patients with enduring mental health problems that require a low secure setting
- Patients who abscond, causing disruption to treatment and those subsequent relapse carries a high risk of dangerous behaviour
- Patients in an acute phase of mental illness, with associated high risk behaviours
- Patients requiring a less stimulating environment
- Patients on specialist treatment requiring full compliance in the short term
- Patients requiring an enhanced level of engagement, over the short term
- Patients with a forensic history
Environment and Facilities
- Each unit has 12 bedrooms which are divided into male and female areas (Brenin). Ebbw is female only. Young people are encouraged to bring photographs or posters that will help give their bedrooms a personalised feel and support their recovery.
- The unit is specifically designed for adolescents and this is reinforced by the décor and facilities. Brenin is set in Ebbw Vale hospital which is located just behind the town centre. We have designed a number of our spaces onsite to create a young, funky feel housing two cinema rooms, two salons, a fitness suite, three sensory rooms and two chill out rooms across the site. Young people can also access art and craft, education and music areas.
- Community engagement and social inclusion are easily facilitated due to the location of the hospital. The hospital only accepts those who are detained under the Mental Health Act. All young people are informed of their rights upon admission and this is discussed monthly.