Services and Treatment Approaches

In consultation with the patient, an individualised treatment and recovery plan is formulated, which reflects their own unique needs and goals.


Treatment Approaches

At Shrewsbury Court Independent Hospital, our rehabilitation and recovery plans focus on a holistic approach to care based on:

  • Using the Recovery STAR model
  • Multi-disciplinary team approach to care formulation and interventions
  • An effective community engagement plan
  • Promotion of social inclusion
  • Positive risk taking
  • Access to therapeutic groups

Psychology Services

We have a well-resourced and experienced Psychology team. Our primary goal is to reduce psychological distress and promote psychological well-being by providing evidence-based therapy for difficulties relating to enduring mental health problems, learning disabilities, and autism.

Psychological interventions aim to meet the individual's clinical needs, whether by improving insight into mental health difficulties, enhancing engagement in therapeutic interventions, reducing psychological distress, and promoting psychological well-being. Furthermore, we aim to improve patients’ overall quality of life and psychological functioning to facilitate progression into the community.

The Psychological and Therapy Services consist of HCPC registered clinical psychologists, an art psychotherapist, a speech and language therapist and assistant psychologists.

Psychological Service Programmes
Our Psychological Services provide comprehensive psychological assessment using standardised psychometric instruments and projective techniques that identify:

  • Individual and co-occurring disorders, including severe mental illness
  • Personality problems
  • Psychiatric symptomatology
  • Cognitive and intellectual functioning
  • Executive dysfunction
  • Learning disability and autistic spectrum disorders.

We provide a comprehensive formulation of each patient’s problems and develop appropriate treatment plans from our assessments; we always consider the needs of the patients regarding their suitability for a particular type of therapy and determine whether this is best delivered on a group or individual basis.

As part of our treatment programmes, we offer structured group programmes that take into account the individual mental health needs of each patient attending.

Multidisciplinary Framework
Working as a part of a multidisciplinary team, the Psychology team facilitates and monitors appropriate person-centred individual intervention programmes using a multimodal treatment approach including Cognitive Behaviour Therapy (CBT), Behaviour Therapy (BT), DBT-informed techniques, trauma-focused interventions and positive behaviour support.

Our patients also attend scheduled weekly psychology group sessions; their engagement in these sessions is promoted using various therapeutic techniques, including role-play exercises, problem-solving training, and solution-focused strategies.

There is an opportunity for joint working across therapy professionals for achieving positive treatment outcomes for our patients.

Family and Carer Support
Our Psychology team also liaises with patients’ families, where this is relevant and possible, to improve the quantity and the quality of information available to us. This information is then used to advise formulation, risk assessment, and therapeutic intervention.


Nursing Care

Our nursing staff support patients with their physical, mental, social and spiritual needs.

As with other disciplines, nursing ensures that our patients are involved in all aspects of their care. We've created an environment that is conducive to rehabilitation and recovery.

This support allows patients to live and recover in a way that enables them to achieve the goals that they have set for themselves, without being dominated by the risk management of professionals. Instead, this leads individuals to share and eventually own their risks.

In consultation with the patient, an individualised treatment and recovery plan is formulated, which reflects his or her own unique needs and goals.

Social Work

The Social Work team supports patients on their admission to hospital by undertaking an initial assessment of past and present circumstances; this includes social history, family contact and social support networks, finances, safeguarding concerns, involvement with other agencies and accommodation. A plan is then developed with the patient to address any identified areas of need.

Part of their role is to extend communication and support to the family or carer of a patient, where appropriate. This could be by ensuring full family or carer involvement in care planning where relationships are positive, extending to possible practical and/ or emotional support where relationships or communication may have broken down.


Occupational Therapy

The Occupational Therapists (OT) undertake an assessment of a patient’s functional skills including difficulties, limitations and strengths to help improve the patient’s functional capacity through purposeful and meaningful activities.

OT focuses and promotes the balance of the three main performance areas:

  1. ADL (Activities of Daily Living) such as attending to self-care, laundry, cooking, shopping and road safety
  2. Productivity (work and education) and
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In-house therapeutic groups include Art and Music which provide opportunities for self-expression, improved social skills and insights from personal thoughts and feelings. These supervised groups help patients to find comfortable roles, come out of their comfort zone and take risks, engage in teamwork and extend themselves in a safe, non-threatening environment.

As part of the community integration process, patients are encouraged and assisted to access community-based resources such as libraries, leisure centres, day centres (such as Stepping Stones), all subject to on-going risk assessments.

To help prepare service users for future employment and work opportunities, we are also offering a wide variety of online training sessions which include First Aid, Food Hygiene, Hand Hygiene, Effective Communication skills, Stress management, Nutrition and Diet & Sleep Hygiene.

Therapeutic work within the hospital is offered; roles include Kitchen Cleaner, Shopkeeper, Vending Machine Assistant, and Ward Representatives. Patients receive small monetary incentives as a reward after completion of the tasks.

We are working in collaboration with local colleges and charities (e.g. East Surrey College, Richmond Fellowship, WEA, and Charity Shops) for educational courses and voluntary work opportunities. The aim is for our service users to learn life-long skills and build their confidence in preparation for their discharge back to the community.

Physical Healthcare

We have integrated the components of physical and mental health to provide a holistic approach to meeting our patient’s needs. We recognise that reduced access to health care for patients with SMI, a reduced uptake of health screening and preventive care contribute to poor physical heath. In an effort to bridge this gap, the hospital employs a full time Practice Nurse to facilitate this process.

On admission, baseline assessments are carried out within 24 hours. A comprehensive physical health check is done on admission and annually by the Practice Nurse. This is inclusive of blood investigations, ECG, cardiovascular and diabetes risk assessments, as well as access to national screening programmes.  Physical health is care planned and supported within the MDT. Health promotion and management of long-term health conditions remains a key focus for us at Shrewsbury Court and takes on a flexible, patient-centred approach.

All patients are registered with a local NHS GP on admission. The GP carries out site visits and facilitates access to local community services through the referral process. All patients are supported to access primary care services such as dental care, opticians and our in-house dietician.


Clinical Leadership

Our Psychiatrists have extensive clinical experience within NHS and Independent Hospitals in general psychiatry, forensic psychiatry, learning disability sub-specialities including prison services and rehabilitation (including community, locked rehabilitation and forensic settings).

Services are consultant-led and our clinical teams are skilled in managing treatment resistant psychosis and challenging behaviour.