What you can expect
Step 1: Pre-Admission Clinical Assessment and Screening
A clinical assessment, based on medical history, reports and progress will be undertaken by our qualified senior staff to confirm that the LDCT programme will be of benefit to the participant, as well as confirming their match to our participant profile. The assessment will underpin an individualised care and rehabilitation plan that will be formally agreed with the participant and their advisors. This plan will identify both the course duration, their start date, any additional support required and the cost of the programme.
The Induction Process
Step 2: Admission & Assessment
A two- week period of ongoing assessment as part of the admissions process to support the participant in transitioning to the new environment and rehabilitation programme. The clinical assessment will be reviewed and the programme further tailored to ensure that individual needs are being met and suitable rehabilitation goals are being set.
Step 3: Ongoing Rehabilitation Provision
Typically a 10 to 24 week programme of residential rehabilitation tailored to the client’s individual needs and focusing on developing cognitive and executive skills using the LDCT’s unique programme of outdoor challenge. Clients, clinical staff and the Trust’s specialist team of coaches will work together to plan, undertake and maximise the benefits of challenging activities in the unique environment of the Lake District. The focus will be on achieving personal goals and enhancing cognitive and executive skills. Regular reviews and assessment of progress are completed with the senior staff team.
As part of the programme, we encourage participants to take part in challenging outdoor activities. We encourage you to learn the skills associated with an activity, regularly repeat those skills, practise the skills in new settings and locations and teach others those skills. Increasingly we focus on developing your own ability in a particular activity and passing on those skills to others. We regularly review you progress in these areas, celebrate success and help you better understand how the skills and techniquescan be transferred to other situations.
Developing Practical Independence and Social Skills
In addition to the outdoor activity programme, we use one day a week to develop the practical skills needed to live independently. We encourage and support you to clean your rooms, do the laundry, create (hopefully delicious!) weekly menus and shop for food as well as learn to repair and maintain equipment.
We know that that taking part in a weekly programme of activities is physically and cognitively tiring. So we build rest days into the weekly programme and our support staff keep a close eye on all participants to make sure no one gets too tired. During rest days, supervision will continue to be in place with the senior staff team identifying what clients are able to do independently as part of their rehabilitation plan.
Step 4: Course Completion and Discharge
In advance of the course completion the senior staff team will work with the participant to plan for the transition to the next step of their pathway. Achievements, future goals and strategies will be identified as well as options for further support. All parties involved in a client’s rehabilitation will be involved including partners able to support the transition from the Centre to the home / work environment.
Step 5: Post Completion
Following course completion and transition from the Centre, participants will be able to access support via an online community managed by the Trusts senior staff team. Programmes will include transition support back to the home and work environments and here we will look to partner with organisations already working in the home rehabilitation environment, such as REACH. This is be an important part of the programme to ensure skills and progress achieved at LDCT are maintained.