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Providence: Timely Preparation for the Future

1 James Street, Providence House, is named after the definition of ‘timely preparation for the future’.

We are working on CQC regulation for Providence and will keep the website updated

10 Bathrooms

Residents at Providence are made up of service users who’ve submitted themselves voluntarily, as well as formal patients who have been detained under the Mental Health Act 1983. Most of our referrals come from in-patient services, but we can accept community referrals.

Many of our service users have been involved in services for many years, presenting with extreme risks that can include suicidal thoughts or actions, self-harming, fire-setting, and various other offending behaviours. Our Dialectical Behaviour Therapy treatment model is designed to reduce the risk of these behaviours, primarily by teaching our service users how to manage the intense emotions that trigger them.

This treatment model typically takes place over two years, and follows five main phases:

Phase 1 takes place over the first 1-3 months. It’s an assessment phase that’s aimed first and foremost at establishing safety, and stabilising symptoms and risk behaviours.

Phase 2 takes place over the next 3-6 months. This phase is concerned with making sense of behaviour, and forming a psychological formulation that will influence the service user’s individual care plan, so that they can then be signposted to appropriate interventions.

Phase 3 covers months 6-12. This is when the service user begins Dialectical Behaviour Therapy. If necessary, trauma therapy and Cognitive Analytic Therapy (CAT) are also introduced to complement the DBT model of care.

Phase 4 is the completion of therapy and takes place over months 12-18. We recognise that lifestyle changes are rarely flawless transitions, so this stage gives service users the opportunity to prepare for future difficult situations by covering both relapse planning and crisis planning.

Phase 5 – in months 18-24 – covers the consolidation of therapy skills into everyday life. It also covers discharge planning for service users; including developing activities of daily living, and finding new accommodation to move into. For some service users, this may be our second unit: Moira.

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We aim to make the referral process as efficient as possible to ensure individuals receive appropriate care.

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Our Location

Our site is situated in the village of Oswaldtwistle, between the two larger towns of Accrington and Blackburn, a little way off the M65.

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