Nua Healthcare

Nua's Care Pathways

 

Intellectual Disability Services

Nua operates a number Designated Centres across the island of Ireland for both Children and Adults with Intellectual Disability. Each Centre is registered with the Health Information and Quality Authority (HIQA) and delivers services specific to its centre-specific statement of purpose.  Nua’s Intellectual Disability Residential Services cater for individuals with mild, moderate to severe and often co-morbid diagnosis and presentation. For example; Autism, Personality Disorder, Acquired Brain Injury, associated Mental Health and Behaviours that Challenge.

 

Mental Health Services

Since Nua’s first Approved Centre’s registration with the Mental Health Commission in 2018, our Mental Health Services have evolved significantly, resulting in the establishment of Community-Based Residences throughout the country, and most recently, the commenced development of a new Mental Health Service in County Meath, which we aim to open during Q4 2024. This latest addition to our Mental Health services will provide much needed treatment and support for individuals with a diagnosable mental disorder with a view to reducing the risk and enabling recovery and rehabilitation.

Nua’s Mental Health Care Pathway offers a continuum of care along a “whole system” rehabilitative pathway in line with the HSE’s best practice Model of Care for Mental Health Services.

 

Supported Living Services

Nua’s Supported Living Service operates from Care Offices nationwide and are supported by our extensive and highly respected multidisciplinary team. With capacity to provide service 24/7 - 365 days a year to individuals with an intellectual disability, mental health condition or indeed any comorbidity.

Our Supported Living Services provide flexible and responsive services to individuals and their families when they most need it and are underpinned by the certainty of access to the broader Nua management and multi-disciplinary team.

Nua’s Supported Living Service teams work tirelessly to create bespoke services to meet the immediate and longer term needs of each individual and services also include General Homecare, Respite, Supported Holidays, Rapid Response, Outreach and Personal Assistant Services.

 

Our Care Pathways Summarised:

Tier one of our Care Pathway incorporates Nua’s Supported Living Service, which offers person-centred care and support to individuals from their own homes or in the community as part of their continued journey towards greater independence. The service aims to assist individuals in achieving their goals and aspirations, whilst reducing the supports they need where possible as their independence increases. Services are available to private individuals or, more typically, individuals referred through any of the HSE’s area Community Healthcare Organisations (CHO's).

Tier two of our Care Pathway provides person-centred medium to long-term care for individuals within our Designated Centres and Community Based Mental Health Residences who have an intellectual disability and/or an enduring mental health condition. Although individuals within our mental health services may present with chronic and enduring mental health difficulties, these presentations are well managed through a joint approach of psychopharmacology and support from staff in a community setting. Individuals within our Designated Centres have the option of living in a low, medium, or high acuity Designated Centre. The levels of support, MDT input and environmental needs increase across each acuity level within the Designated Centres.

Tier three of our Care Pathway, which is delivered within our Approved Centre and provides 24-hour care and treatment to individuals with mental health issues and dual diagnosis (i.e., mental health & intellectual disability/ASD). Our Approved Centres provide specialist inpatient care and offers a wide range of treatments and supports such as psychological interventions, medication management, occupation functioning and physical health promotion.

Tier four of our Care Pathway, delivered within our other Mental Health Services, provide treatment and support to individuals aged 18 and above, with a diagnosable mental disorder, This service is designed to care for individuals who have complex treatment and risk management needs due to severe and enduring mental illness, Intellectual Disability or Neurodevelopmental Disorder and will provide treatment in an environment that is not routinely available in a general Approved Centre or other generalised psychiatric treatment settings. The aim of our Approved Centre is to work with individuals to reduce their overall risk to a level where it is believed they can safely be managed and supported in a less secure environment.

Like any system, our Care Pathways are structured to support the individual through regression and progression and therefore, is both sensitive to changing need and flexible to meet presenting need.  

 

Service Purposes:   

Our Supported Living Services provides services in the community for individuals with an Intellectual Disability and/or a Mental Health condition. Services range from once-off respite and supported holidays, to a couple of hours care and support a week, to 24/7 care and support within the family home. The individuals we support typically present with one or more of the following diagnosis or conditions:

  • Intellectual Disability
  • Acquired Brain Injury
  • Autism / ADHD
  • Mental health conditions

Our Designated Centres provide care and support in a long-stay residential settings for individuals with a diagnosis / comorbidity of:

  • Intellectual Disability
  • Autism / ADHD
  • Acquired Brain Injury
  • Chromosomal Disorders
  • Behaviours that Challenge
  • Mental health difficulties

Our Community Based Mental Health Residences provide care and support in a long-stay residential setting for individuals with a diagnosis / comorbidity of:

  • Mood Disorders
  • Psychotic Disorders (in remission)
  • Depression / Anxiety / Obsessive Compulsive Disorder
  • Personality Disorders

Our Approved Centres provide treatment and support in a long-stay setting for individuals with a diagnosis of:

  • Schizophrenia and other Psychotic Disorders
  • Mood Disorders - Bipolar Affective Disorder
    • Depressive Disorders
    • Anxiety Disorders
  • Obsessive Compulsive Disorder
  • Post-Traumatic Stress Disorder / Complex Trauma
  • Personality Disorders
  • Co-morbid Mental Health Care Needs and Intellectual Disabilities

Our other Mental Health Services provide treatment and support in a potentially long-stay setting for individuals with a diagnosable mental disorder such as:

  • Schizophrenia and other Psychotic Disorders
  • Mood Disorders - Bipolar Affective Disorder
    • Depressive Disorders
    • Anxiety Disorders
  • Dissociative Disorders
  • Personality Disorders
  • Post-Traumatic Stress Disorder / Complex Trauma

Our adult daughter came into the Nua almost 4 years ago. At the time, her behaviours were extremely challenging. With the Nua care team's programme of interventions, her behaviours and life has been transformed in a most positive way. She is a different person.