Women’s Mental Health

Women's Mental HealthSt Andrew’s is a safe place for rehabilitation and recovery for women with complex needs. Joining our Women’s Pathway is your opportunity to work with females who may have suffered trauma, abuse and domestic violence. We’re committed to helping women regain their independence, return to their lives and continue a parenting role, if they are mothers.Delivered across our Birmingham, Essex and Northampton sites, our offering for women is uniquely diverse – featuring specialist services for personality disorder, mental illness and rehabilitation. We’re highly experienced in working with patients with complex needs, such as comorbid personality disorder and challenging behaviour.

On a number of our wards there’s a strong focus on Dialectical Behaviour Therapy (DBT). We have a long and proud history at the forefront of DBT, which is highly valued within the Charity. As well as an excellent DBT organisational-wide support network, you’ll be trained by – and work alongside – recognised experts, following our structured 5 function therapy programme to manage and control emotions more effectively and better understand how difficulties uniquely effect women.


Adolescent Mental Health

Adolescent Mental HealthWorking with young people is a richly rewarding aspect of mental health nursing – and one of the toughest too.It also offers enormous scope for creativity, inspiration, play-based therapy and fun. As a member of our team, you will enjoy the opportunity to work alongside recognised experts in developing innovative approaches tailored to each patient.We’re never content simply to contain problems; we always look to treat the individual causes and deliver positive outcomes – implementing ground-breaking new therapies and covering every angle to create personalised high-quality solutions.

Within the Pathway, you’ll benefit from high staff/patient ratios, comprehensive team support and state-of-the-art on-site facilities.  In Northampton this includes our Ofsted Outstanding rated St Andrew’s College, sports and therapy areas.

The most excitement development in the opening in October 2016 of our purpose-built Fitzroy House facility in Northampton. It will be the world’s biggest young people’s secure service. You can find out more about Fitzroy house here.


Men’s Mental Health

mensIn our Men’s Pathway, we care for males aged 18-65+. We have over 240 beds across three of our four sites where we offer comprehensive care across medium, low, locked and open environments.We’re specialists in working with the most complex and difficult to treat patients, using our skills and experience to reduce challenging behaviour and to address patients’ forensic needs.Men’s Mental Health is a fascinating Pathway to work in as we deliver such a broad range of therapeutic programmes, while giving patients access to education, vocational training, work experience and community facilities.

There are a number of unique features of the Pathway. For example, we have the the UK’s only transitional service for young males aged 18-25, which bridges the gap between child and adolescent mental health services (CAMHS) and adult mental health services

We offer the only dedicated medium secure older adult mental health service in the country. We also have operate the largest medium secure service in the UK for deaf men with mental illness – an environmentally and culturally sensitive service


Learning Disability Pathway

learning pathwayOur Learning Disability (LD) Pathway provides care and treatment for adults with mild to moderate learning disabilities and other neuro-developmental disorders.Across our Northampton and Nottinghamshire sites, we have over 100 beds for men and women with learning disability at a range of security levels –  in the vast majority of cases these adults will have offended or will exhibit challenging behaviour.This Pathway offers different challenges to working with mental health patients. Yet there’s the same strong emphasis on supporting a move back to the community or to the least restrictive environment possible.

Within the Pathway, our treatment and care is focused on empowering patients and helping them to gain the life skills and confidence to live independently. We have superb resources and facilities to draw on, like our Workbridge centre where there are lots of vocational skills to learn.


Autistic Spectrum Disorder

Autistic Spectrum DisorderOur Autistic Spectrum Disorder (ASD) Pathway is for people on the Spectrum who often have coexisting conditions, such as mental and physical illness, or additional developmental disorders such as a personality disorder which puts them or others at risk of harm.Spanning our Birmingham, Northampton and Nottinghamshire sites, the ASD Pathway provides highly specialist forensic services as an alternative to prison. Our approach is to build an in-depth understanding of why someone has offended – and then to support patients to address their ASD, mental and physical health needs.Within the ASD Pathway, you’ll have the chance to work at the forefront of current practice in well-equipped and resourced surroundings. We provide spacious facilities with secure outdoor gardens, therapy rooms, therapy kitchens, games rooms, quiet/low stimulus areas and visitor spaces. There are vocational learning activities too.

Lots of thought has gone into the layout and design of all of our ASD environments, in recognition of the complexity or caring for this group. This attention to detail is highly valued by our ASD team. Embracing the patient’s social, cultural and recreational needs is vital in helping to change behaviours and reduce risks and offending.

If you join us in ASD, you’ll also benefit from innovative training, clinical professional development and supervision from experts in this field.



NeuropsychiatryThe Neuropsychiatry Pathway at St Andrew’s is a specialist service delivering tailored care to support people with complex, acquired and progressive brain conditions, including dementia and Huntington’s disease.Over the past 37 years our National Brain Injury Centre (NBIC), Kemsley unit has been developing and refining our evidence-based practice and innovative neurobehavioural approach.We also have specialist units for dementia and Huntington’s disease (HD) – where we provide a range of groundbreaking techniques.

Our approach is to interweave three therapeutic streams (Behavioural, Cognitive and Functional). The goal is to reduce aggression and anti-therapeutic behaviour, and optimise engagement to achieve the correct balance of care and containment.

Our model is highly respected because it enables patients to exert their own choices and move towards greater autonomy.

By joining us in this Pathway, you will be part of a team that is constantly adapting its treatment models and international assessment tools to deliver the optimum outcomes for our patients.