This therapy programme takes place within the specialist neurorehabilitation facilities of the Wellington Hospital which includes extensive rehabilitation gym facilities with assistive technologies, occupational therapy facilities, hydrotherapy.
An average of 3 therapy sessions are delivered per day, 4 days per week. These sessions are delivered by therapists with specialist expertise in management of neurological and neuropsychiatric illnesses including occupational therapists, speech and language therapists, physiotherapists, clinical psychologists both in individual sessions and joint sessions. These therapists are supported by therapy technicians and rehabilitation assistants and additional therapies such as music therapy and orthotics.
All rehabilitation is goal oriented and outcome measures are collected tailored to the patient’s presentation to demonstrate treatment effectiveness and progress. These outcome measures include symptom-related measures (e.g. objective assessments of mobility), self-reported measurements of mood, disability and quality of life, and assessment of outcomes against goals set at admission (e.g. goal attainment scaling).
We have an intensive programme of expert supervision that ensures a continuous focus on quality of treatment and early identification of problems. Therapists at the Wellington are supervised by senior therapists with very extensive experience of functional neurological disorder rehabilitation (Consultant occupational therapist, consultant neuropsychologist and consultant neurophysiotherapist) as well as by neurology and neuropsychiatry. At least one hour of weekly supervision is provided to each therapy discipline by supervisors. Consultant neurologists and neuropsychiatrists see patients weekly for individual follow up, provide weekly input into a multidisciplinary meeting and also attend a fortnightly multidisciplinary case conference where the patient, family and case managers can also attend.
We see patients weekly for individual follow up, provide weekly input into a multidisciplinary meeting and also attend a fortnightly multidisciplinary case conference where the patient, family and case managers also attend. Brief interim reports are provided at two and four weeks. If progress is not being made against goals, discussions with patients and funders will take place regarding cessation of the program of treatment. There is emergency medical cover provided for all the days that the programme is in operation. A medical treatment report and discharge summary is provided with recommendations and prognosis in addition to the multidisciplinary therapy report.
The overall costs for this program is £43,403 which includes the Wellington Hospital’s fees, Brain & Mind’s fees and all overheads for the six week duration of the programme. This cost does not include accommodation or meals during the program.