Our Patient Streams

Cornerstone House currently has three interlinked patient streams that are aligned to both the diagnosis and the functional ability of the people we help. Each stream is overseen by the MDT and the Therapy team. The three streams are:

The Metalization Based Treatment (MBT) stream

Personality Disorder and Mentalization Based Treatment.

At Cornerstone House, we offer a specialist treatment pathway for patients who meet the criteria for Personality Disorder.

A person meeting the criteria for Personality Disorder will typically present as having difficulty with regulating emotions, impulsivity, self-harming behaviours and problems in relating to others, particularly in close relationships. The patients who come to Cornerstone House have generally had a complex history of hospital admissions with significant difficulties managing their day to day life.

Mentalization Based Treatment (MBT) is an evidenced based treatment which has been specifically developed for people who meet the criteria for personality disorder along with other mental health conditions. Mentalizing is a form of imaginative mental activity about the self and the other. It involves perceiving and interpreting human behaviour in terms of intentional mental states e.g. desires, feelings, needs, beliefs, goals, purposes, and reasons. Everyone has the ability to Mentalize and everyone will, at times, struggle with the ability to Mentalize. It has been recognised that people meeting the criteria for personality disorder have a particular deficit in their mentalizing ability and MBT has been developed to enable the individual to increase their capacity to Mentalize, particularly in stressful situations where they are likely to become emotionally overwhelmed. This in turn can help individuals improve their interpersonal relationships, tolerance of emotions, impulsivity and self-harming behaviours.

MBT at Cornerstone House is delivered through a comprehensive, structured therapeutic programme consisting of individual and group work. The programme, whilst being underpinned by Mentalization theory addresses the psychological, social and vocational needs of the patients.

The MBT programme is offered on an in-patient basis, however it is also open to referrals on a day hospital basis with patients living outside of Cornerstone House.

The MBT staff team is made up of staff from across the Multidisciplinary Team, including Nursing, Medical, Therapy and Support Staff. Our staff receive specialist training from the Anna Freud Centre on the MBT Basic Course and a number of staff have gone onto to do further advanced training and have become MBT practioners. We also offer in-house training for HCAs and nursing staff.

Recovery and Recovery Focused Streams

The patients at cornerstone house are allocated to different streams of therapy in relation to their needs and assessment. Patients allocated to the Recovery and Recovery Focused streams present with a range of mental health difficulties including schizophrenia, paranoid schizophrenia, dual diagnosis (e.g., mild learning disabilities and mental illness, or substance misuse and mental illness), bipolar disorder, and schizoaffective disorder.

Recovery Stream– this team works with people with long standing psychosis whose functional level and motivation is such that they are more able to work in both groups and individual sessions. Session’s for this group tend to be more exploratory and skill-building focused. 

Recovery Focused Stream– primarily works with people with long standing psychosis who are less able to work in groups and require more opportunistic individual work. Sessions for this group tend to be activity focused and shorter in duration due to patient difficulty in concentrating for longer periods of time. There is a strong focus on enabling people to obtain the best possible quality of life.

All people within the Recovery and Recovery Focused groups have an individualised weekly timetable of activities to follow. On admission each person is given a generic timetable; however after a short period of assessment the MDT meets to discuss the person’s needs and interests, consequently referring them to groups that would be both appropriate and beneficial to their recovery.

The groups offered to patients are designed according to the Recovery Model, the focus of which is building resilience in order to support recovery and to encourage moving on in life. A bi-psycho-social model is employed within a structured timetable. This involves an approach considering the interplay of biological, psychological and social factors in human functioning in the context of mental illness.

Occupational Therapy, Psychology and Art Therapy is also available to patients in both streams on either an individual or group basis, or both. This is offered when a particular area of need has been highlighted to the necessary discipline.

Group sessions for Recovery and Recovery Focused streams are held both within our hospital grounds and the local community. Sessions tend to predominantly have a self-care, productivity, psychological, educational or leisure focus.

An example of some of the current groups on offer at Cornerstone House are as follows:

  • Creative Writing
  • Mindfulness
  • Gym
  • CBT
  • Psycho-education
  • Open Art
  • Healthy Living
  • Photography
  • Cooking
  • Hearing Voices
  • Tree of Life