Specialist Neuropsychiatric Hospital providing treatment, rehabilitation, and specialist nursing care for adults with degenerative neuropsychiatric conditions and Acquired Brain Injury.
St Peter’s offers treatment to informal patients, patients with forensic histories, individuals detained under the Mental Health Act, and patients subject to Ministry of Justice restriction orders
St Peter’s Hospital provides 24/7 care and support for adults aged 18 and over within five core patient groups, including:
Dementia
Huntington’s disease
Parkinson’s disease
Korsakoff syndrome
Acquired Brain Injury (ABI)
Our Services
Treatment of degenerative neurological conditions
Risk assessment and management
Neuro OT Physiotherapy
Cognitive rehabilitation
Mobility programmes
Reacquisition of coordination skills
Life skills
Speech and Language therapy
Assessment and management of executive dysfunction
Management of complex physical health issues
to learn more about St Peter’s Hospital and our specialist hospitals
Organic Personality Disorders
St Peter’s Hospital benefits from an experienced, specialist multidisciplinary team who have collaboratively designed our care pathways in accordance with a person-centred model of care, including Consultant Psychiatrists, Clinical Psychologists, RMN & RGN Nursing Staff, Occupational Therapists, Physiotherapists, Dietitians, Speech & Language Therapists, and Social Workers
Improving outcomes for complex neurological conditions
At St. Peter's Hospital, we are committed to delivering outcomes that are tailored to meet the individual needs of each patient. Recognizing the diversity and complexity of our patient population, we offer bespoke outcome measures that incorporate evidence-based practices specific to their conditions, while also considering each person's unique needs
This approach is especially beneficial for patients with degenerative conditions, as the natural progression of their disease requires regular reassessment of their presentation and goals Additionally, we offer a comprehensive range of neuropsychological testing, enabling us to customize and continually review our patients’ outcomes to ensure optimal care throughout their journey.
If you’d like to discuss a referral or learn more about St Peter’s Hospital, please get in touch:
Becky James
Placement Coordinator
Phone: 0292 0348 862
Email: becky.james@iriscaregroup.co.uk
Success Story: Doug
Neuropsychiatry
Doug is a 50 year-old man with a diagnosis of Huntington’s Disease.
He has a significant forensic history that led to his detention under Section 37/41 of the Mental Health Act. Doug presents with behaviours that challenge and his mobility and swallow reflex have deteriorated significantly.
He was referred to St Peter’s Hospital as he required expert management of his mental and physical health needs, as well as the relational and procedural security that his risk profile requires
What did Doug and his Commissioners want to achieve?
To reduce his challenging behaviours, specifically his violence and aggression
To improve and stabilise his mental health
To improve and maintain his mobility
What did we do to achieve these goals?
Doug’s mental health problems were effectively managed with the introduction of psychotropic medication. Initially he refused to engage with therapeutic activity, presenting with marked apathy, which is a feature of his Huntington’s presentation.
By introducing a core team to implement a Positive Behaviour Support plan, it was possible to improve rapport with Doug
To address his mobility and also his swallow, he is regularly reviewed by Physiotherapist and Speech and Language therapists
The team at St Peter’s utilise HCR20 structured risk assessment, supporting a contextual understanding of his risk to others. Through MOJ liaison, Doug has been able to utilise escorted Section 17 leave to enable community access.
What were the outcomes for Doug?
He is now able to communicate more effectively with the use of written notes and is involved in his care and treatment planning
He has been placed on a modified diet which has enabled him to eat more and in turn benefited his overall health
Doug will require long term management of his neurodegenerative condition and the associated risks With its specialist multidisciplinary team and living environment, St Peter’s is ideally placed to meet Doug’s complex and changing needs We are also able to provide psychiatric assessment and liaison with the Ministry of Justice to ensure that his risks are appropriately managed
If you’d like to discuss a referral or learn more about St Peter’s Hospital, please get in touch:
Becky James
Placement Coordinator
Phone: 0292 0348 862
Email: becky.james@iriscaregroup.co.uk
What did we do to achieve these goals?
Following her transfer to St Peter’s Hospital Laura underwent a comprehensive assessment conducted by our multidisciplinary team lead by our Consultant Neuropsychiatrist
Her medication was reviewed and optimised
She was put on 2:1 observations and a consistent team of key workers were appointed to support her
She attends regular sessions with both our inhouse physiotherapists and occupational health therapists
Particular attention has been given to creating an environment tailored to her specific needs
Due to her paranoia she struggles to interact with others so she had dedicated space, including a garden area, where she can withdraw and feel safe when needed
What have the outcomes been for Laura?
Having her own room and personal space allows Laura to know that she can voice her frustrations if she needs to, without fear of disturbing others.
Having the support of a consistent staff team has allowed Laura to build trust in the team She enjoys watching rugby and Harry Potter films with them
Laura has always taken pride in her appearance, and the team take her on regular hairdressing trips.
Laura goes shopping and she buys herself snacks which, along with the trust she has developed in the team preparing her food, has contributed to her more varied and nutritious diet
Laura’s mobility has also improved significantly, she goes on weekly dog walking and pub excursions with her team, and is enjoying being able to be outdoors again as often as she wishes
In less than a year, Laura’s quality of life had improved significantly She is both happier and healthier and can now see a way of positively living with her condition
If you’d like to discuss a referral or learn more about St Peter’s Hospital, please get in touch:
Becky James
Placement Coordinator
Phone: 0292 0348 862
Email: becky james@iriscaregroup co uk
Success Story: Mehmet
Neuropsychiatry
Mehmet was referred to St Peter’s Hospital following his initial recovery from a head injury which had left him with frontal lobe dysfunction.
Mehmet is a Turkish and Bulgarian national in his early 50s, fluent in 5 languages. Mehmet had been a chef in many parts of the world including Russia.
It is unclear how Mehmet sustained his head injury He was found unconscious in a city centre where he may have fallen and his his head, or it is possible that he had suffered from an assault
Mehmet has presented with extreme challenging behaviours which included serious assaults on staff, destruction of the environment, verbal abuse, shouting, and screaming As a consequence, a four-bedded NHS neurosurgical ward where he was being treated had to be closed as other patients could not be placed within physical proximity to Mehmet
Mehmet spent most of his time on the floor surrounded by mattresses and shuffled around on his bottom or knees. Mehmet was able to sit in a chair, but would complain after a short period of time of his discomfort.
Mehmet constantly complained of stomach pains and constipation although all investigations had not identified any physical causes
Mehmet engaged in very limited activities, spending his time either sleeping or in a highly aroused state.
What did Mehmet and his commissioners want to achieve?
Review his medication plan
Reduce his challenging behaviours
Address his health issues
Improve his mobility
Encourage him to use a bed
Engage him in a more beneficial and meaningful range of activities to improve his quality of life
What did we do to achieve these goals?
Mehmet’s new psychiatrist at St Peter’s focused on controlling his psychotic symptoms, reducing his clozapine and diazepam, and introducing an antidepressant.
A Positive Behavioural Support plan was developed to help with his behaviours which included head banging, assault of staff, verbal aggression, and throwing of objects.
When Mehmet was first admitted he had pressure sores on his knees which have now healed, and he has specialist trousers with pads to stop them from reoccurring.
By working with Physiotherapy he is now able to stand with a rail and walk short steps
Staff have also worked with Mehmet to encourage him to stop sleeping on the floor and move to a profiling bed This has provided him with a better quality of sleep, comfort, and dignity
Mehmet’s stomach pain and constipation were thoroughly investigated an no causes could be found It was believed that these may have been stress related Mehmet had been prescribed Morphine for his pain which had a sedative effect and this has now been stopped
Mehmet’s ethnic and cultural needs have been met by providing him with Turkish food and newspapers. He is also served his preferred Halal food, which he was not receiving before
He has also been provided with the Quran and is being provided with glasses so that he is able to read the Quran and newspapers for himself.
An interpreter has been made available to facilitate his neuropsychology assessments, ensuring accurate quantification of his cognitive deficits and rehabilitation needs
Recognising his previous work as a chef, Mehmet has been encouraged by the Occupational Therapy team to engage in cooking sessions This has proved to be a particularly positive experience for him; all his aggression disappears, and he enjoys showing off his skills
Mehmet also enjoys pet therapy and community leave, which has been made easier for him through the acquisition of a specialist wheelchair. He also really enjoys Turkish films.
What were the outcomes for Mehmet?
Mehmet’s medication was completely reviewed, resulting in a reduction in his sedation which has improved his health and wellbeing
Mehmet’s head banging has stopped completely and all his challenging behaviours have dramatically reduced.
There has been a considerable improvement in his mood with a reduction in depressive symptoms and suicidal ideation and behaviours.
Provision of food and activities appropriate to his cultural and dietary needs have also contributed to his enhanced mood and social engagement.
Contact with his family has been maintained through emails and telephone calls, and his family has flown over to see him.
Prior to arriving at St Peter’s, Mehmet had not been out of a hospital environment for 18 months but now enjoys regular community visits.
If you’d like to discuss a referral or learn more about St Peter’s Hospital, please get in touch: Becky James
Placement Coordinator
Phone: 0292 0348 862
Email: becky james@iriscaregroup co uk
Success Story: Raymond
Neuropsychiatry
Raymond is a 70-year old gentleman who was referred to our neuropsychiatric service, St Peter’s Hospital in Newport, following an Acquired Brain Injury.
His injury resulted in significant impairment of his cognitive function associated with paranoia and disturbed behaviours which included impulsive and unpredictable outbursts of aggression towards others.
At the time of referral Raymond had spent 8 months in hospital where it was considered that due to high levels of agitation and aggression, it was unsafe to engage him in active rehabilitation and therefore he was being nursed continuously in bed.
What did Raymond and his commissioners want to achieve?
A review of his medication, with a view towards reducing his dependency long-term
To get him mobile again
What did we do to achieve these goals?
After a thorough initial assessment, a personalised 16 Week Pathway was created for Raymond aimed at addressing his mobility, mood, and behavioural presentation
On arrival at St Peter’s Hospital the clinical team judged that Raymond was being over-medicated. Medication was reviewed, and a reduction plan was initiated
Importantly, a Positive Behaviour Support plan was designed and implemented by the staff team with an aim of recognising and reducing triggers for challenging behaviours Additionally this plan was used to provide an education tool for his family so that they could also understand and help manage behaviours
Finally, to address the mobility issues, Raymond received an intensive programme of physiotherapy that took the form of land-based therapies on site at St Peter’s combined with swimming and hydrotherapy.
What were the outcomes for Raymond?
Raymond’s medication use has been optimised
With a reduction in his levels of agitation his level of disability and confusion significantly reduced.
A Positive Behavioural Support Plan informed by functional analysis was implemented by the staff team, leading to a significant reduction in intensity and frequency of aggressive incidents
Raymond regained strength in his legs and improved his balance by working with St Peter’s physiotherapy team
Raymond was unable to walk on admission and now mobile with the use of a zimmer frame, and can even walk short distances without any walking aids.
Raymond has now started transition back to his family home through the implementation of a structured transition plan, which included regular community access and home leave in preparation for his discharge
A comprehensive assessment of his needs has been shared with locality teams and his Behavioural Support Plan has been reviewed and shared.
An Occupational Therapist, Physiotherapist, and Psychologist from the St Peter’s team visited the family home to make recommendations for necessary adaptations to the environment
The team also provided training and mentoring to Raymond’s wife and family on how to implement the Positive Behaviour Support Plan both at home and in the community
The significant improvements made by Raymond over the period of his rehabilitation at the hospital, combined with the careful transition planning and management, meant Raymond was able to transition back to his home and enjoy a happy family life again with his wife
St Peter’s Hospital, South Wales
Specialist treatment and nursing care for adults with degenerative neuropsychiatric conditions and Acquired Brain Injury.
St Peter’s offers treatment to informal patients, patients with forensic histories, individuals detained under the Mental Health Act, and patients subject to Ministry of Justice restriction orders
St Peter’s Hospital provides 24/7 care and support for adults aged 18 and over within five core patient groups, including:
Dementia Huntington’s disease Korsakoff syndrome
to learn more about St Peter’s Hospital and our specialist hospitals
St Peter’s Hospital benefits from an experienced, specialist multidisciplinary team who have collaboratively designed our care pathways in accordance with a person-centred model of care, including Consultant Psychiatrists, Clinical Psychologists, RMN & RGN Nursing Staff, Occupational Therapists, Physiotherapists, Dietitians, Speech & Language Therapists, and Social Workers
If you’d like to discuss a referral or learn more about St Peter’s Hospital, please get in touch:
