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Learning Disabilities

In line with the Transforming Care Programme, the Black Country Partnership NHS Trust aims to provide 3 tiers of Learning Disability Services which work alongside Primary Care services to provide a Black Country wide 4-Tier service provision for people who have a learning disability.

The purpose of the 4-Tier service ensures clinical care and treatment is focused on care in the community, with less emphasis and/or reliance on inpatient services.

The 4-Tier approach enables patients to receive care at the point of their greatest need. In practice this means patients may move up and down the 4-Tiers of service dependant on their needs at any point in time.

Table 1: Learning Disability Services 4 -Tier provision of care

ld tier provision of care


These services provide specialist health care to adults with learning disabilities and additional complex health needs in Dudley, Sandwell, Walsall and Wolverhampton. These health needs can include autistic spectrum disorders, mental health difficulties and behaviour problems.

Teams of specialist health staff from different professions provide a range of in-patient, outpatient and community treatments and interventions. Our specialist healthcare staff work closely with other agencies such as  social workers to ensure seamless and comprehensive care.

You can read a short description of our in-patient and community-based provision by clicking on the links below.

 

Community Services

Tier 2 – Locality based Community Learning Disability Teams (CLDT’s)

We have four Community Learning Disability Teams (CLDT’s) for adults who have a learning disability – 1 team located in each of the four boroughs of the Black Country (Dudley, Sandwell, Walsall and Wolverhampton).

Our Community Learning Disability Teams aim to provide a flexible, proactive, co-ordinated and integrated service for people over 18 years of age who have a diagnosed learning disability, are unable to access mainstream health services effectively and/or require access to a specialist health team.

Please click on the links below for specific locality team information:

Dudley Community Learning Disability Team

Walsall Community Learning Disability Team

Wolverhampton Community Learning Disability Team

Sandwell Community Learning Disability Team

 

Tier 3 - Black Country Wide Community Teams

Intensive Support Team (IST)

The Community Intensive Support Team aims to provide a flexible, proactive, co-ordinated and integrated service for people over 18 years of age who have a diagnosed learning disability, are unable to access mainstream services effectively and/or require a specialist intervention team.

In summary the service enables:

  • The highest level of independence possible, in the least restrictive way.
  • Prevention and avoidance of unnecessary hospitalisation.
  • Facilitation of timely discharge from hospital inpatient care.
  • Development of early detection systems alongside community teams and timely responses with early interventions on referral.
  • An intensive response to crisis.
  • Multi-disciplinary collaborative input to assess and develop a formulation especially in relation to behaviours that challenge.
  • Planning of strategies, alongside the community teams, to prevent future crises.
  • Signposting and navigation of assessment of need for family carers to help support them with the demands of caring during periods of crisis.
  • Provision of timely and accessible intervention to patients experiencing psychiatric, psycho-social, behavioural and/or pharmacological problems.


Forensic Community Team (FCT)


The Forensic Community Team aims to provide a flexible, proactive, co-ordinated and integrated service for people over 18 years of age who have a diagnosed learning disability, who are either subject to the criminal justice system, or at significant risk of becoming so, are unable to access mainstream services effectively and/or require a specialist forensic team.

In summary the service enables:

  • Provision of timely and accessible intervention to people with a learning disability who have active and ongoing forensic and psychiatric, psycho-social, behavioural or pharmacological needs including consultation to the people who support them.
  • Promotion of the qualities and values of the ‘Good Lives Model (GLM) - a framework of offender rehabilitation’
  • Provision of the highest level of independence possible, in the least restrictive way.
  • Prevention and avoidance of unnecessary hospitalisation.
  • Facilitation of timely discharge from hospital inpatient forensic care.
  • Signposting and navigation of assessment of need for family carers to help support them with the demands of caring and involvement with the criminal justice system.


Tier 1 - In-patient Services

Gerry Simon Clinic
This is a regional low secure service for men with learning disabilities and complex health needs, some of whom may have come into contact with the criminal justice system. This unit is based at the Heath Lane hospital site in West Bromwich.

Penrose House
This is a specialist learning disability acute assessment and treatment service for both men and women. Separate male and female facilities are available. This unit is based at the Heath Lane hospital site in West Bromwich.

The Larches
This is a specialist step-down and rehabilitation service for men with learning disabilities and complex health needs, many of whom have been discharged from a secure environment. This unit is based at the Hallam Street hospital site in West Bromwich.