The women’s secure service pathway at Milestones Hospital is dedicated to providing gender sensitive and gender specific care and treatment for women with complex needs and challenging behaviour who would commonly be detained under the Mental Health Act 1983, amended 2007.
The service is delivered across 2 service areas:
Milestones Hospital (10 beds)
The Mews, at Catfield (8 beds)
We recognise that the women we work with are likely to experience symptoms of major mental illness and/or significant psychological distress, often as a result of their history of adversity, trauma and social / economic disadvantage, and that they make up one of the most vulnerable groups in our society. We respect that women have often survived by developing extreme coping mechanisms such as self-harm and other risky behaviours. Their needs are complex and their histories diverse.
We view the process of our care delivery at its simplest as having a beginning, “getting to know each other”, a middle “an agreed treatment phase” and an end which supports in a “healthy maturity and disengagement” as they move onto a less restrictive environment.
It is our central philosophy that the women are at the heart of everything we do, and that our therapeutic endeavours and service design should reflect this philosophy and commitment.
Our service is underpinned by the principles of Empowerment, Recovery and Inclusion which form the basis for our Model of Care.
Empowerment is a social process of recognition, promoting and enhancing people’s ability to meet their own needs, solve their own problems and mobilise the necessary resources in order to feel in control of their own lives (Dooher, Byrt)
Recovery is for all: Hope, Agency and Opportunity (RCPsych), and
Inclusion is about positively striving to meet the needs of different people and taking deliberate action to create environments where everyone feels respected and able to achieve their full potential (National Institute for Health Research)
Model of Care
Purpose: The core purpose of our service is to promote well-being and understanding in all its forms, improve quality of life, prevent relapse in terms of clinical state and offending, and enhance the likelihood that the women we work with can successfully re- integrate into the community or a less restrictive environment.
Service Delivery: We promote a holistic and individualised approach to patient care. All care planning is in supportive collaboration with the women, emphasising and valuing their views, strengths and abilities, individual needs and risk assessments, and promoting autonomy and empowerment.
We believe that a consistent high-quality level of care and treatment can be provided, and safety, security and dignity maintained and enhanced, within a safe, secure environment.
There is a strong emphasis on relational security and we will use “See, Think Act”, support, and supervision to guide staff.
We will provide a fit for purpose Multidisciplinary team who possess a wide range of gender sensitive skills, knowledge and attitudes to meet the challenges of working with this group of women with complex needs. We value our staff and are committed to the provision of supervision, training and continuous professional development.
Our service culture is open, transparent and enquiring, we are respectful and accepting of difference, and promote learning and continuous improvement, which are measured by using standardised assessments.
Our service will be delivered within all required statutory frameworks, and we aim to operate above and beyond national minimum standards.
We will provide a safe, high quality, structured and comfortable environment where the women can feel valued and dignified and:
Are free from emotional, physical and sexual intimidation, harassment or abuse
Can gain self-esteem and confidence, a sense of identity and an understanding of themselves and the world around them
Develop trusting and genuinely therapeutic relationships with the patient care team within safe, contained and fully explained boundaries
Take responsibility for, and participate in their care through ward rounds, CPA, section 117s community meetings collaborative care planning and their own risk assessment and management.