UKABIF Directory of Rehabilitation Services for People with Acquired Brain Injuries

Lishman Brain Injury Unit

CONTACT DETAILS
Name:	Dr Simon Fleminger
Position in Organisation:	Consultant Neuropsychiatrist
Address:	Maudsley Hospital Denmark Hill London SE5 8AZ
Telephone:	020 7919 2092
Fax:	020 7919 2087
Email:	s.fleminger@iop.kcl.ac.uk
Website:

THE SERVICE
The Service is NHS
Service Details:	Patients accepted by GP referral Patients accepted by referral from Medical Consultants Patients accepted by non-medical referral Patients accepted from anywhere, including outside the UK
Service Provided:	Post-acute rehabilitation refers to people who do not regularly need the services of an acute hospital but who continue to need intensive specialist rehabilitation and are not yet ready to move back home or to an intermediate rehabilitation unit or to a long-term residential unit (7 beds available) Out-patient rehabilitation refers to people who are living at home and attending a rehabilitation department or unit for specific programmes of rehabilitation therapy and treatment) (200 current service users)
Setting(s) in which the service is provided:	Outpatient rehab unit Designated ward/individual unit in an acute hospital Outreach assessments
Disciplines Involved:	The number of sessions per week specified below is a guide. Please contact the organisation directly for futher information. Clinical Neuropsychology (10 sessions per week) Neuropsychiatry (10 sessions per week) Occupational Therapy (10 sessions per week) Physiotherapy (2 sessions per week) Psychiatry (10 sessions per week) Social Work (4 sessions per week) Specialist Nursing (Nursing ratio of qualified staff per patient is 1.00:1) Speech and Language Therapy (6 sessions per week) Research assistants
Specific services offered:	Behavioural Management Psychotherapy Cognitive Behaviour Therapy Cognitive Behaviour Therapy
Who is responsible for the programme of treatment provided to individuals:	the multidisciplinary team
Age of patients on admission:	16 and over
How long after injury can patients be admitted?	Patients usually admitted more than three months after injury
Nursing Care:	Accept patients who have nursing requirements Accept patients who require 24 hour nursing care Accept patients who have ongoing neurological disease or dementia Accept patients who are not motivated to return to employment and/or independent living Accept patients with pre-morbid psychiatric, drug abuse or alcohol problems Accept patients with cognitive impairment Accept patients with psychiatric problems Accept patients who wander Accept patients with challenging behaviour Accept patients who display physical aggression Accept patients under Sections of the Mental Health Act
Supplementary Information:	Association with a University academic unit Training placements available for trainees (Professions accepted: clinical psychology students)

STATEMENT
The Lishman Brain Injury Unit provides a neuropsychiatric assessment and treatment service, both for in-patients and out-patients. Adults with single incident acquired brain injury, usually fairly diffuse, with cognitive, behavioural or psychiatric problems are seen by the service. We are not able to admit patients with significant medical / physical nursing needs, nor patients with very severe challenging behaviour. We can admit patients detained under a section of the Mental Health Act. The service focuses on assessment but does engage in longer term therapy for a proportion of patients. The service sits within a mental health NHS Trust and the majority of the nursing team are mental health trained with some having a general nurse training in addition.

STATEMENT

The Lishman Brain Injury Unit provides a neuropsychiatric assessment and treatment service, both for in-patients and out-patients. Adults with single incident acquired brain injury, usually fairly diffuse, with cognitive, behavioural or psychiatric problems are seen by the service. We are not able to admit patients with significant medical / physical nursing needs, nor patients with very severe challenging behaviour. We can admit patients detained under a section of the Mental Health Act. The service focuses on assessment but does engage in longer term therapy for a proportion of patients. The service sits within a mental health NHS Trust and the majority of the nursing team are mental health trained with some having a general nurse training in addition.