Female Personality Disorder & Complex Needs

Bramely Health’s Female Complex Needs Service is specifically designed to cater to the needs of women with long-term Complex Mental Health problems.

Many of these women will have had prolonged hospitalisation in secure or non-secure services with multiple failed attempts to live in the community. A majority of these women will present with treatment resistant complex cases including Personality Disorder traits. The service features robust procedural and relational security aimed at managing self-harm and challenging behaviour and is able to manage women stepping down from secure facilities, even those detained under forensic sections of the mental health act.

The service offers specialist care to women with treatment-resistant complex presentations including schizophrenia and other psychotic disorders, bipolar affective disorder, severe depression, obsessive-compulsive disorder and other affective disorders, personality disorder traits and substance misuse.

The service is particularly designed to care for women who present with a variety of conditions occurring at the same time. We also specialise in treatment resistant cases—particularly those where community placements have repeatedly failed. Our clinical team is experienced in assessing and managing their complex needs, often succeeding where others have failed.

We bridge the gap between secure services and traditional locked rehabilitation services. We ensure a successful transition to a lower level of security including our own specialist women internal pathway which includes our high dependency service, our transition service and our community service.

We provide an all in one service that can provide the right intervention to the right person. A carefully designed model with evidence-based interventions for all these complex presentations and a range of outcome measures that allow to track progress allow our clinical team to dynamically adapt and rapidly invest in the interventions that work for the woman discarding those that do not. More than this, the system enables to predict length of stay and has a series of transparent discharge indicators so that transitions can be managed more efficiently.