Crisis and recovery service

26 Middleton Road


County Durham


Tel: 01388 640190 / 01388 640191


About the service

The Durham and Darlington crisis and recovery house is a nine bedroomed en-suite facility, for men and women living in the Durham and Darlington area.

The facility is for service users who would benefit from a planned admission to an environment where intensive home treatment can be delivered.  This may be appropriate, for example, due to social circumstance or family dynamics, where providing intensive home treatment in their own home would be difficult.

The house offers a less restrictive option and an opportunity to offer community based intensive home treatment in a staffed environment and with input from registered crisis clinicians and medical staff.

It is part of an integrated crisis response/intensive home treatment service offering:

  • A 24-hour, 7 day a week service
  • Intensive intervention and support through effective joint working with the crisis team and other community teams
  • Active involvement of service user, other professionals, their family and other carers
  • Time limited intervention negotiable dependent upon someone's need
  • Learning from the crisis with an emphasis on: Providing a safe supportive environment during the period of acute distress; Planning and preparing for a return home at the earliest opportunity; Identifying and manipulating factors contributing to the crisis so that coping skills can be developed and the individuals confidence can grow; To maintain community links with community mental health teams, relatives and other local services and activities.

The aims of the crisis and recovery house:

  • Provide a high quality, effective, safe environment that is not a mental health acute in-patient setting.
  • Provide supportive care, improved choice and treatment options working towards relapse prevention.
  • Provide a timely response to individuals experiencing a crisis, where intensive home treatment is assessed as appropriate, to help prevent the onset or escalation of a crisis.
  • Facilitate resolution in crisis situations for those service users who do not have immediate support mechanisms and who are felt to be vulnerable if left alone.
  • The crisis and recovery house is an alternative where there is evidence of tension / relationship breakdown in the home situation which could be effectively addressed by a limited period of separation.
  • Reduce service user's vulnerability to crisis and maximise their resilience through the development of improved coping strategies.
  • Maximise the potential of existing support networks and support the developments of new ones
  • Offer a step down role as part of the discharge process from mental health acute in-patient units, where intensive home treatment support is indicated.


About the crisis and recovery house team

The team includes:

  • House co-ordinator
  • Health care assistants

With daily input from crisis clinicians who are registered practitioners (nurses, social workers, occupational therapists) and regular review where indicated from medical staff.

The crisis and recovery house will be managed by the managers of the North Durham and South Durham and Darlington crisis teams and staff employed within the house will be aligned to the crisis teams.


How to access the service

Referrals will be accepted from Durham and Darlington crisis teams. Staff from crisis service will ensure risk assessments are comprehensive to ensure that individuals who present a risk of suicide, self harming behaviour or a risk to the safety of others are managed within a mental health acute inpatient setting.


Who is the service for?

This service is for:

  • People whose identified need is for a time limited period away from their home environment to prevent or diffuse a crisis.
  • Those who have undergone an initial needs/risk assessment by an appropriate professional for whom admission to a mental health acute inpatient unit is not clinically required/no longer required but where there is a need for increased support away from the person's home.
  • People aged 18 and over experiencing a crisis related to their mental health that places them at risk of requiring mental health acute inpatient admission.
  • Those experiencing a social crisis but only where remaining in their current situation may hinder recovery and lead to deterioration in their mental health.


Updated 17/5/18

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