Inpatient introduction

Contact telephone number for Lime Trees Inpatient Service: 01904 294050.

Lime Trees In-patient unit is an 11-bed unit that's staffed by nurses with the support of a larger team including psychiatrists, teachers, an occupational therapist, a family therapist, clinical psychologists and a social worker. 

Lime Trees also accept the admission of young people who are detained under the Mental Health Act (1983) or subject to other court orders.

How are young people admitted to Lime Trees?

The decision to admit a young person to Lime Trees is made after the young person and their family/carers have visited and discussed the advantages and disadvantages of admission. The visit takes up to two hours, during which time the young person and family/carers will meet with a member of the medical and nursing staff and have an opportunity to look around the building. The decision to admit a young person to Lime Trees is made after the aims and purpose of the admission have been agreed. This is based on the views of the young person, the family/carers and the inpatient team. Parents maintain full parental rights and responsibilities throughout the admission unless the young person is detained under the Mental Health Act (1983) or a court order affects those rights and responsibilities.

What happens at Lime Trees?

When a young person is admitted to Lime Trees an admitting nurse will welcome them. A doctor, who will carry out a physical examination and take blood for any relevant investigations, will also see the young person and their family/carers. The doctor will also clarify any aspects of immediate medical care.

Assessment period

When a young person is admitted there is usually an initial assessment period of four to six weeks, during which time the staff aim to establish a relationship with the young person and their family/carers, and clarify how Lime Trees can be most helpful. In this time, the young person will see their key worker regularly and may also be assessed by other members of the team depending on their needs. An important aspect of the assessment period is to observe the young person’s mood and behaviour whilst at Lime Trees; this includes how the person interacts with peers and staff. An initial family therapy appointment will also be offered to the young person and their family/carers, on a Friday afternoon.

The information obtained during the assessment period is discussed in detail at an assessment review, which takes place during the weekly multi-disciplinary team (MDT) meeting. Reports from doctors, the key worker, teachers and other team members who have been involved in the assessment, are brought together and discussed.

The recommendations from the assessment review are discussed with the young person and their family/carers, along with any other professionals who may be involved in the young person’s care, at the forward planning meeting.

Group programme

Involvement in the group programme is part of the assessment and treatment for most young people at Lime Trees. A variety of therapeutic groups (e.g. creative activities, drama, independent living) provide opportunities for social interaction, creativity, discussion, reflection and learning new skills. The key worker and/or occupational therapist will discuss with the young person the aims of the groups and how they relate to the needs identified in the young person’s care plan.

Meetings at Lime Trees

At Lime Trees several meetings take place to discuss the progress of the young person and also to involve the young person and family/carers in the care that is being given:

Forward planning meetings (FPM)

Shortly after admission to Lime Trees a date will be given for the FPM. The young person, family/carer and other professionals involved in their care will be invited. This meeting is an opportunity to discuss information obtained during the young person’s admission and to plan the support that they and their family may need in the future. This meeting is not a discharge meeting, and may occur a number of times during a young person’s admission, when a review of further multi-agency care planning is indicated. Toward the end of a young person’s stay at Lime Trees the FPM is important as it ensures a smooth transition from in-patient care to local outpatient services.

Care planning/progress meetings

These are regular meetings that take place between the young person and their key/co-worker to plan and evaluate the assessment and treatment that has taken place.

Multi-disciplinary team meetings (MDT meetings)

A young person’s assessment and treatment is discussed at the weekly MDT meeting, currently held on a Wednesday. The young person is given a form once a week on which they can record their thoughts about how they feel they are progressing and also they can make requests for the following week, for example longer leave, or a change in the treatment programme.

Community meetings

These meetings are led by young people and staff, and generally take place twice a week, with additional meetings being called as necessary. They are an opportunity to pass on information and discuss any issues related to the running of the unit, such as outings, groups, or suggestions for changes. Young people are encouraged to be honest regarding how they feel and the progress they are making. One meeting each week is used to plan the weekly evening meals that are prepared by the young people.

Lime Trees

Child & Adolescent Mental Health Service (CAMHS)

T: 01904 615300