Commissioning us - Alternatives to Admission
This page is about our crisis services not how to get help now. If you need help now view our list of crisis organisations.
The need to replace inpatient care
Evidence shows that our recovery house model offers a cost-effective alternative to acute admissions and produce comparable outcomes. Carers and people who use services prefer them. A comparison of standard acute inpatient mental health care and alternatives found that alternatives are significantly cheaper – on average £3,832 per admission compared to £9,850 – and more cost-effective - £2,939 cheaper per unit on Health of the Nation Outcome Scales improvement scores, with much shorter average stays.
A recent report shows that 27% of respondents rarely feel safe whilst in hospital. A staggering 51% of inpatients report being verbally or physically threatened during their stay, with 20% reporting physical assault and 31% of harassment or assault episodes being perpetrated by ward staff. A study comparing patient satisfaction, ward atmosphere and perceived coercion in community residential alternatives and standard wards, showed those using the alternative services reported greater levels of satisfaction, having more of a ‘voice’, greater autonomy, more support, less anger and aggression, and fewer experiences perceived as coercive.
How we can help
We have been providing residential alternatives to admission since 2002 and offer an innovative and effective alternative to hospitals admission; a flexible partnership model in the community. To ensure we offer the best service model, we have a working group who regularly refine and further develop the model in consultation with people who use our services and carers. Our recovery house service model is flexible to meet the needs of the local community and commissioner preferences.
We are experienced at working with clients with a range of needs, many of them ‘complex’ i.e. people with a range of co-existing needs such as dual-diagnosis, personality disorders and chaotic lifestyles.
What we do
At our Rotherham recovery house we work in partnership with Rotherham Metropolitan Borough Council and Doncaster and South Humber Healthcare NHS Trust, with us providing the accommodation based aspect of the service.
All referrals come through the statutory Crisis Resolution and Home Treatment Teams / Access Teams who act as gatekeepers. The service is available to adults (16+) experiencing a mental health crisis as an alternative to hospital admission.
Residents can access 24-hour emotional and practical support to help them get back on their feet, promoting a culture of hope for people experiencing mental health problems. The service operates an ‘open door’ policy enabling people to maintain their independence and links in the community. The service endeavours to meet all individual requirements, including the additional needs of people from minority cultural groups, and links are made with specialist services in order to achieve this if required.
Crisis Prevention Project
Rotherham Crisis Accommodation offers the opportunity to develop new skills and self management techniques to promote health and wellbeing which can be continued following discharge in order to prevent future crisis situations. Staff at the service offer support to develop skills such as gardening, relaxation techniques, IT and numeracy, exercise, nutrition and arts and crafts and will provide the necessary resources.
In April 2011, all our alternative to admission services received funding from the Stone Foundation to provide outreach services to run alongside the recovery house services. The Crisis Outreach Services provide support to people for a further one – three months in order to achieve their longer term goals. All goals are tailored to meet individual needs and aspirations.
Read more about our award-winning Crisis Outreach Support services.
Tailoring our service model
In our newly commissioned alternative to admission services in London we offer a mix of crisis support, step-down, and crisis prevention support. We are also piloting community move-on options during 2011, meaning that staff will continue to support an individual’s recovery journey for a period of time after their stay in the recovery house ends. We are also able to offer a non-residential option linked with a recovery house.
I came to the recovery house in Rotherham in June in a very distressed state due to my mental health. I’d had a massive argument with my family and didn’t want to go home. I was impulsive and suicidal. I stayed in the recovery house for a week. I had access to all the services included – including the Wii and laptop, which I found extremely useful and used to look at the self-help website.
From these I started to develop my own Wellness Book. The staff were really supportive and helpful. Throughout the week I became a lot calmer and on my discharge I was offered outreach support, which I feel is helping me to get out and control my impulsiveness. It is also helping my mood having the support there.
Since leaving the recovery house I have taken part in Wellness Recovery Action Plan (WRAP), putting together a plan for myself to manage my mental health, which I finished at the beginning of August. I am now looking forward to becoming a WRAP facilitator and am pleased to say I have been given a place on the two day training course at the beginning of September.
It’s going to be a long journey to becoming completely well and I know it’s not going to be easy, but I feel that the recovery house has given me a new perspective and positive thoughts to achieving what I want to – which is to work in mental health and help other people. I am grateful for all the support I have received from the recovery house and all the staff.
Our Rotherham service admits approximately 200 people per year, with average stays of around 4.7 nights. We were a national finalist for the NHS Live award for Innovation and Improvement at the Health and Social Care Awards in 2005 and continue to achieve outstanding outcomes on a range of measurements. Improvements are clearly demonstrated when comparing admission and discharge scores according to our Recovery Star data. The areas which consistently scored the highest difference in scores between July 2010 and March 2011 are managing mental health and identity and self esteem.
 Slade, M. et al. The British Journal of Psychiatry (2010) 197: s14-s19.
 Ward Watch, Mind, 2007.
 Tansella, M. Editorial. The British Journal of Psychiatry (2010) 197, s1-s3.
 The Recovery Star measures ten life dimensions which have been found to be important to the recovery of people with mental health problems.
Need practical advice & info? We can help.
Contact our Advice team about mental health & related issues
0300 5000 927 Monday - Friday 9.30am - 4pm, not including bank holidays