York House, York
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York
House is a 28-bedded neurobehavioural rehabilitation unit, which
is registered as an independent hospital.
The service is provided by the Disabilities
Trust in partnership with The
Retreat, a specialist mental health provider.
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The unit provides an intensive neurobehavioural assessment
and rehabilitation service for individuals with severe cognitive, physical and/or
emotional problems following acquired brain injury.
We specialise in the management of people with challenging behaviour
and are able to take referrals for service users detained under the Mental Health
Act.
Download our latest annual report 2009 (pdf 2.6MB).
Download the York House leaflet for families (Word 923KB).
Download the York House service user's guide(Word 600KB).
Download our latest Statement of Purpose (Word 4.1MB).
View the York
House photo gallery
our clients
York House provides an intensive neurobehavioural
assessment and rehabilitation service for people with a non-progressive acquired brain injury. The usual age range for admission is 18-65, though most service users are in their 20s and 30s.
Our service users have disorders of behaviour sufficient to render them unable to return home or which make them unmanageable in other rehabilitation settings.
People can be admitted at any stage in the post-acute period, from several weeks to several years post-injury.
Placements at York House are generally between 6 and 24 months, depending on the service user’s level of need and their potential for rehabilitation.
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York House outcomes 2008
During 2008, 15 service users were admitted, and 15 were discharged. Fourteen of those discharged went to a less restrictive level of care. Sixty per cent of service users were in treatment for less than a year at York House.
Measurement tools used for our outcomes are the Neurobehavioural Rating Scale (Levin et al 1984), the Supervision Rating Scale (Boake 1996), the BIRT Aggression Rating Scale and the Community Disposition Rating Scales. Full details of service user outcomes in 2008 can be seen in the York House Annual Report. In summary, these showed:
significant decreases in aggression were shown for all the service users in the month prior to discharge compared to the month of admission
a shift towards lower levels of supervision from admission to discharge
the majority of service users were able to move to a less restrictive level of care at discharge
Former service users were contacted six months after discharge. Some continued to express modest levels of distress with regard to their satisfaction with life and overall health; this is to be expected from people with catastrophic neurollgical injuries. Of those were were able to contact, their self ratings using the Community Integration Questionnaire showed that:
more than 90% of discharged service users do not show a need for increased supervision at follow up in comparison to their discharged ratings
six months after discharge no placements had broken down
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assessment
When a service user is accepted to York House, a 12-week neurobehavioural assessment is undertaken prior to any formal rehabilitation being provided.
The assessment is intended to delineate the service user’s difficulties in terms of a neurobehavioural model of individual functioning following an acquired brain injury.
The service user’s underlying impairments are examined and interpreted in terms of their neurobehavioural disability and their social handicap. This is achieved by a number of assessments performed by members of the transdisciplinary team.
In the final weeks of the assessment, a meeting is held at which funders, family and other involved parties join our team to discuss the results of the various assessments.
If a formal course of rehabilitation is recommended, an individualised treatment programme is suggested and specific goals are proposed.
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rehabilitation
Once a service user begins a course of neurobehavioural rehabilitation, the individualised treatment programme is implemented.
This includes treatment sessions with specific therapists, group activities, self-care or instrumental ADL tasks (as appropriate) and varying degrees of community access.
Treatment is focussed on the specific rehabilitation goals that are set, and progress is discussed at review meetings held every 12 weeks.
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staff team
Our rehabilitation team consists of a range of highly skilled professionals including neuropsychologists, clinical psychologists, nurses, a psychiatrist, general practitioner, occupational therapists, physiotherapists, speech and language therapists, family therapist, rehabilitation support workers and a social worker.
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referrals
Referrals should be made directly to York House. We accept referrals from a wide range of agencies including health, social services, medico-legal and the voluntary sector.
When a referral is received, the referring agent will be asked to complete a brief pre-assessment screening tool.
When appropriate this will be followed by an assessment visit to the prospective client by key members of our team.
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how to find us
York House is situated in the grounds of
The Retreat and is located close to the centre of the historic
city of York.
For more detailed information
about the location of York House House please view
our on-line
map.
Further information about our services, admissions procedures and neurobehavioural rehabilitation is contained in our brochure (pdf 1.09MB).
You can also download our latest annual report 2008 (pdf 2.6MB).
For further information about York House
please contact:
Anna Headley
Service Manager
York House
Heslington Road
York YO10 5BN
Tel: 01904 412666
Fax: 01904 415666
Email: anna.headley@thedtgroup.org
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events and news from York House
August 2009
Read about the success of the York House
alcohol awareness group, which will be the subject of a special presentation at the
BIRT Innovations conference 2009, September 23-24, Birmingham.
July 2009
York House had a special 10th birthday party in July to celebrate its achievements since it first opened its doors in 1999. This was also a chance to update guests on ongoing developments. All referrers and funders as well as local community groups were invited to the day.
Since 1999 York House has provided rehabilitation and care for 167 service users, with the majority moving on to lead fulfilling lives in more community based settings. Recent developments include the development of an alcohol awareness programme and family support group, and the opening of Aldgarth House.
photo gallery
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| An
independent hospital offering neurobehavioural rehabilitation |
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| Set
in extensive grounds close to central York |
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All clients have their
own bedrooms |
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| Community
access is an important part of rehabilitation |
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| Fully
equipped gym to assist with rehabilitation |
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The goal is to enable
people to function independently |
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| Modern,
attractive kitchens and bathrooms |
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| Pleasant
communal areas |
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| Service
users enjoy our well-equipped sensory room |
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| We
also offer a wide range of recreational activities |
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| York House hosts a football match against the local Young Farmers team |
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