Millfields Unit is a medium secure service for adult men based in the East London NHS Foundation Trust. The service runs a modified therapeutic community model, including a mix of psychodynamic group interventions and accredited programmes (including SCP, SOTP and CALM). Individual work is also available, where needed. Developing people’s strengths is also a focus of the therapy, and Millfields offers a range of jobs, activities, sports and education.

Suitable for:

• Male
• Aged 18‐65.
• Primary diagnosis or suspected diagnosis of PD. Any co‐morbid psychotic illness should have been stabilised prior to admission.
• PD is functionally linked to offending (or antisocial behaviour)
• No convictions for sexual offences against children as an adult.
• Must be willing to accept transfer to hospital for treatment.

Offer:

• CPA structure including bi‐weekly ward rounds and detailed feedback.
• Detailed individualised assessment, formulation and treatment targets for all patients.
• Therapeutic Community treatment model including 3x weekly community meetings.
• Orientation to Therapy (OTT): 12 session psycho‐educational intervention for all new patients.
• Small psychodynamically‐informed groups 2x weekly.
• Art Therapy 1x weekly (group and individual).
• Individual psychology: offence analysis; help with specific difficulties, e.g. obsessive compulsive disorder.
• Individual psychotherapy is occasionally available.
• Self‐Change Programme (SCP) for violence reduction for eligible offenders 1x weekly ‘rolling’ programme. The programme lasts around 9 months.
• OT service offering lifestyle and vocational opportunities including cooking group, picture framing, painting and decorating, gym and sports hall.
• Substance misuse intervention 1x weekly. The programme lasts around 1 year.
• Extensive rehabilitation opportunities, including community leave; opportunities to engage in Experts by Experience (XbX) programme.