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Live In Mental Health Care

Live-in mental health care is an alternative to a psychiatric hospital admission or can offer the necessary support at home for early discharge. A full time mental health specialist living in your home can help both management and recovery from a number of mental health conditions including; bipolar, psychosis, paranoid schizophrenia and anxiety.

BREVIN Live-In is a unique service in the private sector delivering specialist mental health nursing at home when inpatient admission is being considered. Care at home can also be for inpatients treated in hospital but who wish, and are able, to be discharged home.

Round the clock 24/7, live-in or 12hr specialist mental health nursing

The viable alternative to inpatient hospital treatment

Expert aftercare helping to expedite discharge from hospital

Reduced risk of readmission to hospital upon discharge

The benefits of mental health home care

A small proportion of patients with mental illness develop very severe symptoms, where standard outpatient treatment and brief nursing visits delivered by BREVIN Home Treatment are insufficient (see BREVINHome Treatment). Their condition graduates to a degree where there may be an elevated risk of further deterioration of health & self-neglect, or of self-harm or harm to others, which may become manifest if left unsupervised or untreated.

*In England, out of the 1,836,996 people that were in contact with mental health services between 2014 and 2015, 94% did not spend any time in mental health hospitals, which indicates that most of the care was provided in the community. Source: Mental Health Foundation, Fundamental Facts About Mental Health 2016

The treatment needs of patients under these circumstances involve four key elements:

Swift optimisation of treatment

  • Establishing the correct medication regime and doses early
  • Changing or adjusting regular medication, and monitoring side effects
  • Identification of additional treatments e.g. CBT or other forms of therapy for cognitive, emotional and behavioural remodelling

Prompt response to changing circumstances

  • Early identification of worsening or improving circumstances
  • Adjusting support based on need, with flexible levels of engagement and observation
  • Timely provision of reassurance, companionship, de-escalation, relaxation
  • Administering further as-required (PRN) medication to relieve distressing symptoms when they arise or to prevent escalation of acuity.

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  • Strong relational security - the professional bond between the member of staff and the patient - enabling development of a safe, therapeutic and trusting relationship, helping to overcome common challenges e.g. motivating a patient, persuading them to adhere to the treatment plan, swaying them from acting is a reckless way
  • Stable, pro-recovery physical environment in the least-restrictive location
  • If treatment is delivered by a clinical entity, policies and procedures that maintain safe, effective, well-led, responsive and caring services


  • Allowing patients time to respond to treatment.
Patient feedback

Live In Mental Health Care - What Is Included?

Mental health nurses carry out the greater part of this work, whether in a hospital setting or at home, regularly reviewing the patient’s mental state and monitoring their risks. Other facets to mental health care include supporting patients and responding to circumstances, engaging and observing them and liaising with the patient’s doctor to make necessary medication and care plan changes.
The aim with patients is to safely manage and treat them in the least restrictive environment. The choice of where treatment takes place - whether in hospital or at home - will depend on, amongst other factors:

Patient or carer preference

Illness type and severity

Nature of potential risks

Rate at which illness is changing or responding to treatment

Household make-up (e.g. presence of relatives, carers or young children)

Past history

Personal financial circumstances and local resources

Experience of treating clinicians

Thus, a rapidly deteriorating patient who does not consent to voluntary treatment and presents high, unpredictable risks is less likely to be managed outside a psychiatric hospital. Some will need inpatient admission under the Mental Health Act. However, many patients with severe mental illnesses for whom private psychiatric hospital is being considered may not present these risks or, if they exist, are manageable with 1:1 mental health nursing support at home.

Their consultant psychiatrists may be unaware of BREVIN Live-In; patients may prefer to remain at home and continue to have their relatives around them, providing support and caring for them.

In Hospital:

  • 2-3 weekly visits by a psychiatrist at set times
  • 24/7 nursing care
  • Group therapy sessions
  • Structure/Containment in a group environment
  • Removal from social and biological stressors


  • Patients have little control over which professionals are involved in their care
  • Nurses have:  
    • multiple non-care related and administrative tasks
    • allocated caseloads of between 4-6 patients
    • often less experience
  • If patients present a high risk, an additional nurse may need to be allocated at a further significant daily cost
  • Hospital surroundings are often not agreeable to many patients
  • Patients have little influence on their environment or patient composition
  • Group therapy can be undesirable due to group size, suitability of subject, frequency of sessions, being too unwell or preferring individual therapy
  • Individual therapy is not generally available
  • Patients with existing community-based therapists are unable to access their support.

At Home:

  • Flexible nursing care, from 12hr, 24hr and live-in
  • Structure/Containment provided on individual basis
  • Reviews by psychiatrist as required
  • Psychiatrist available for advice (as in hospital)
  • Broader range of individual therapy and other treatments


  • Patients have more control & choice
  • Individualised treatment plan, team composition & frequency of sessions
  • Stronger therapeutic relationships with 1:1, often more experienced staff
  • Personal management and co-ordination of care
  • Familiar home surroundings, less disruption & distress

I think I have a mental illness, what do I do?

Brevin’s team of community psychiatric nurses, consultant psychiatrists and psychological wellbeing practitioners can help.

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How Can Brevin Help?

Find out how Brevin can help you at home, whether you have been discharged as an inpatient, or your mental health is deteriorating as an outpatient.

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Mental health nurses

Brevin’s highly experienced team of specialist mental health nurses provide the right level of support and care for each of our patients.

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Speak to someone today to learn more about your options

If you can't find out the information you need. please call us on 0203 941 1995

BREVIN Home Care Ltd, John De Mierre House, 20 Bridge Road , Haywards Heath, RH16 1AU
Brevin Homecare Ltd trading as BREVIN is regulated by The Care Quality Commission. ©BREVIN 2020. All rights reserved.
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