Having expert treatment in a safe sanctuary – a place that’s comfortable and private – is what we believe our clients need to have the best chance of recovery.
Brevin’s live-in care is suitable for clients who want to:
Manage severe symptoms &
consequences of mental illness
Facilitate discharge from
A Brevin Community Psychiatric Nurse will undertake an assessment within 2 working days of the referral being accepted by Brevin, subject to location and level of complexity, which will include evaluating the client, looking at past medical records, speaking with relatives (if indicated) and liaising with the client’s medical responsible doctor.
Brevin’s treatment proposal is available within 1 working day following the assessment; live-in care starts within 2 working days, unless there are significant complexities. The duration of live-in care varies considerably and only an approximation of time may be possible at the assessment stage. The decision whether live-in care can be delivered at home depends on, amongst other factors:
- Client or relative preference for live-in care vs psychiatric hospital
- Symptom severity & consequences (e.g. potential risks, client willingness to work with home services)
- Past history of mental illness & risks
- Rate at which mental illness is changing or responding to treatment
Household composition (e.g. presence of relatives, carers or young children)
- Financial resources to cover episode of treatment
- Local resources (e.g. access to emergency services, responsiveness of client’s doctor)
Brevin’s live-in care is delivered by Community Psychiatric Nurses, Psychological Wellbeing Practitioners and Support Workers with mental health experience.
In addition to a staff member living in with the client at home, Brevin can also provide round the clock support when clients are more agitated or sleep is disturbed, or 12 hour shifts when the client is more stable or if relatives prefer daytime or night shifts only.
Live-in care provided by Brevin staff requires the support of a responsive NHS or private GP or consultant psychiatrist responsible for medical care; depending on location, Brevin may be able to recommend private psychiatrists.
Talk to a member of our team
It can be tough to understand whether or not live-in mental health care is right for you and your condition. However, if you or somebody you know feels that they need additional support, then a mental health assessment will indicate whether in-home care is the right level of support.
Live-in care can help with a large variety of mental health conditions including, but not limited to depression, psychosis, paranoid schizophrenia and bipolar.
If you’re unable to manage day-to-day tasks due to mental illness, then live-in mental health care may be necessary. The additional support of an expert carer can help ease the pressure of daily tasks and aid the condition of your illness.
Live-in mental health care provides round the clock support to you, or another affected by mental illness. This 24/7 support is there to cater to both physical, psychological and emotional needs to make daily living easier.
Live-in carers offer specialist support and care to those suffering with a mental health condition. In-house carers also cover a lot of roles within the home such as cooking, cleaning, shopping and maintaining the property.
Live-in care is the act of a specialist mental health carer living in your home, providing round the clock support, whereas home visits (visiting care) is where a carer visits you at home at regular intervals to provide companionship and care.
All mental illnesses with severe symptoms present a similar range of consequences. Mental illnesses can also co-exist with physical illnesses or other mental illnesses, substance misuse, personality disorders, acquired brain injuries, dementia, learning disabilities or autism, that increases case complexity and escalates the need for additional support.
- liaise with the patient’s doctor to make necessary medication and care plan
- changes promptly
- regularly review the patient’s mental state and monitor their risks to identify
- and respond to changes
- support patients to resolve, cope or deal with problems;
- and contain patients to allow sufficient time for medication, behavioural and
- psychological treatments to take effect.
In the proportion of patients with chronic mental illnesses where improvement is slow, the role of live-in care may primarily be to monitor mental state, risks and medication compliance, and engage the patient in broad rehabilitation goals.
I have a bipolar affective disorder. Every 12-18 months I suffered manic episodes that required me to go into hospital, causing immense disruption to my life. As a result of my mental illness, I couldn’t work, and my family and friends were worried, frustrated and exhausted from the regular cycles of illness. Manic episodes made me feel powerful and sharp, overjoyed with life and angry with people who told me I was unwell or tried to get me to take medication. I also drank a lot of alcohol, as this seemed to maintain this feeling of being ‘high’ and that I was liked by everyone. I enjoyed being awake, thinking that I did not need to sleep. I didn’t realise how difficult and exhausting this was for my family. I required admission to a psychiatric hospital on a few occasions previously, which was often not a great experience. I was Sectioned under the Mental Health Act in a ward with very unwell people; I was often looked after by different people who did not seem to have much time for me. After recovering from mania, I soon became depressed, and then I would spend months recovering from low mood, which was often interpreted by my family as laziness or not wanting to take responsibility for my life.
My family contacted Brevin when I was getting high. I had stopped my medication a few weeks earlier, as I felt it was slowing me down and not helping me to think properly. My family put pressure on me and I eventually agreed to 2 members of Brevin staff visiting me at home. They were patient yet firm over the need to recommence medication. However, I continued to deteriorate quickly and a decision was taken for Brevin staff to move in with me. They were able to offer me additional medication on occasions and although at the time I didn’t necessarily see the need for this, they were able to get me on side and to co-operate. I started to recover, initially with an improvement in my sleep and later I noticed my thoughts stopped racing. Brevin staff still kept an eye on me and advised me when to go out with them, and when it might be more sensible not to leave the house, and I remember spending time playing cards and board games with them, watching films, and having discussions to pass the time.
During live-in care, Brevin staff offered support to my family, and they started to understand how these different states of mind were symptoms of the same mental illness, and what they could do to manage my episodes differently, which I know they were pleased about. Brevin helped me to understand the importance of complying with my medication and having avoided a full-blown manic episode, I did not go into a drawn-out depressive state. After the acute episode, Brevin staff supported me with home visits; they worked with me to identify early signs of becoming unwell and helped put in place contingencies in the event that I started to deteriorate. I will have further episodes of mental illness, as this is the nature of what I suffer, but I do know that I have a plan if I do and that my family will be in a better place to help me.
We approached Brevin when our sister, who was in a psychiatric hospital under a section of the Mental Health Act after suffering a psychotic episode, asked us to find her a service that could continue her treatment at home. With everybody realising she remained unwell, we were concerned she would leave hospital, stop her medication and become very ill again. After an assessment, which involved Brevin staff seeing our sister, meeting her psychiatrist in hospital, and speaking with us, two nurses were allocated to support her at home. This enabled the psychiatrist to trial Section 17 home leave from hospital within 48 hours of assessment. Our sister agreed initial care plans focusing on what might help to keep progressing and stay out of hospital, and she was successfully discharged from hospital the following week.
Brevin’s specialist mental health staff alternated to provide live-in care for approximately 3 months, providing her with a very professional, caring and personal service through what was a very emotional and stressful time for our family. Thanks to their skilled guidance and support, our sister felt involved in her care and her experience of treatment was much more positive than it otherwise may have been. This gave us great peace of mind. Brevin continued to work with my sister’s psychiatrist, gradually reducing their support from live-in care to home visits, which were of less duration and frequency over a period of a year. As she regained her independence, she was eventually discharged back to the care of her psychiatrist.