What is the Bromley Day Treatment Service?
The Bromley Day Treatment Service (DTS) is provided by Oxleas NHS Foundation Trust. We offer a specialist service which is an alternative to inpatient admission and provides therapeutic continuity for people leaving hospital.
Service users referred to our service will either be experiencing an acute mental health crisis in the community or will be an inpatient on the acute wards at Green Parks House. Referrals to our service therefore come via the Home Treatment Team, the Psychiatric Liaison Team and the ward multi-disciplinary teams.
DTS offers up to 8 weeks of therapeutic interventions incorporating on-going assessment, key working and group interventions which enable service users to develop coping strategies, make positive lifestyle choices and gain a greater understanding of their mental health problems and how to promote wellbeing. For people joining the programme as inpatients, these groups and one-to-one sessions support and span their transition out of hospital.
DTS also provides a SUN Service (Service User Network) which is a network of group members who work alongside facilitators to receive crisis support, information, practical advice and coping skills in Bromley Town Centre. SUN offers lifelong access to SUN Service Users as and when they find themselves in a crisis.
What are the benefits of the DTS service?
- prevents admission to the wards
- facilitates early discharge from the wards
- supports service users to manage their risks
- promotes recovery through psychosocial, psychological and creative therapy groups
- develops relapse prevention strategies
- provides stability and structure to the service user
- supports engagement with psychological interventions in the community
- facilitates social inclusion and ways to maintain wellbeing beyond DTS
builds coping skills, resilience, and independence from mental health services.
What is it about how you work that makes it good?
Our work is characterised by multidisciplinary collaboration, continuity of care, strong links with other services and opportunities for service users to support and give hope to each other. Specifically:
- multidisciplinary team (MDT) collaborative approach – the team is made up of nurses, occupational therapists, lived experience practitioner, psychologist and psychiatrists and other specialised staff who work under the guidance of Day Treatment managers
- effective communication with inpatient wards and other crisis services
- continuity of care when being referred
- psychiatrists oversee both DTS and Home Treatment Team
- ward occupational therapists are based in DTS
- the psychologist has links with the inpatient wards, and works across DTS and Home Treatment
- technical instructors facilitate groups for both in-patients and out-patients
- links with voluntary services such as Mind
- links with other secondary support groups such as Bromley Drug and Alcohol Service, Benefits Advisor, Employment Advisor
- Day Treatment brings opportunities for service users to independently build supportive relationships with each other independent of clinicians – these are often long-lasting
- people meet each other at different stages of their recovery which brings hope and optimism.
What have you learned that you can pass on?
Our advice is to:
- work flexibly with colleagues
- create an environment which respects differing points of views
- listen to service user feedback
- be open to new ideas and service changes
- make opportunities to reflect on practice and learn from each other and service users
- utilise resources as efficiently as possible
- encourage service users to access their own individual strengths to support each other.
“Thank you for your support and understanding. I would not have got through those last few months without your help. You will always be in my thoughts and prayers.” – Service User
“Thank you for your kindness, compassion and professionalism [and] for helping me to lay a good foundation for living well.” – Service User
“I used to be an inpatient, then I did the DTS programme and now I have returned to the team to work as a paid Lived Experience Practitioner. I am thoroughly enjoying my work and I am happy for other service users to benefit from my experience and recovery.” – Staff Member