Forensic Brain Injury (FBI) Service - Lancashire & South Cumbria NHS Foundation Trust

The Forensic Brain Injury (FBI) Service is part of the wider Mental Health Network. Typical presenting needs of someone with a brain injury include: Executive functioning deficits Insight and awareness difficulties Perceptual disturbance Apathy Memory and attentions difficulties Emotional dysregulation Cognitive fatigue Occupational/vocational/social skills Communication and language difficulties Physical health needs following a brain injury including epilepsy Comorbid mental health difficulties Risk behaviours (violence, vulnerability, harm to others/self, impulse control and offending). The service has the following admission criteria: Male, aged 18 or above Have personality, behavioural or emotional changes as a result of a brain injury and/or have mental illness as a result of a brain injury Are detained/detainable under the Mental Health Act - our current patients come from a variety of places including: Prison PICU Other secure hospitals Rarely, the community/step down setting, but would need to be detained under the Mental Health Act Suitable for secure services for example they have demonstrated a significant risk of harm to themselves or others or have a forensic history indicative of significant risk The brain injury has occurred more than three months earlier which allows for natural recovery from Post Traumatic Amnesia Their primary diagnosis is not a developmental disorder, learning disability or degenerative neurological disorder If the admission criteria are met, the Forensic Brain Injury service will send out its own assessment team within two weeks if non-urgent. This is dependent on the receipt of suitable referral information, support documentation and geographical location.