Our Services

The Arbor team provides Neuropsychology, Speech & Language Therapy, Occupational Therapy and Physiotherapy throughout the South-West.

A bespoke community neurorehabilitation service​

As a community neurorehabilitation team, we work alongside other services as indicated for the individual. This may include NHS teams, employers, family members, third sector providers and legal teams. 

Joint (MDT) working at the heart of our service

Arbor provides individualised assessments, leading to team-wide goals, directed intervention and excellent communication with referrers and clients alike. As a team of therapists from the Bristol area, we have established local links with NHS and specialist providers, with knowledge of local services and facilities specialist to this clinical group. 

Based in Bristol, our hub of referrals come from the south-west region. Therapeutic work is assessed and discussed on a case-by-case basis, dependent on availability, with our therapists working throughout Gloucestershire, Wiltshire, Bristol, Bath and Somerset.

Neuropsychology 

Work in this area is undertaken by HCPC registered clinical psychologists with specialist knowledge and expertise working with a range of neurological conditions. 

Depending on what is required, we provide cognitive assessments (for therapy purposes only), neuro-behavioural assessments and intervention, cognitive rehabilitation and evidence-based psychological therapies for individuals, couples and families. Work is often undertaken with support / clinical teams and rehabilitation professionals. 

Working with a clinical psychologist when you have sustained a brain injury often involves building a coherent understanding of current needs and abilities and identifying where psychological therapy can be beneficial in supporting these needs and adapting to altered abilities. We work with emotions, behaviours, decision-making, relationships, confidence, independence and a range of cognitive difficulties. 

Speech & Language Therapy 

Work in this area is undertaken by HCPC registered clinical psychologists with specialist knowledge and expertise working with a range of neurological conditions. 

Depending on what is required, we provide cognitive assessments (for therapy purposes only), neuro-behavioural assessments and intervention, cognitive rehabilitation and evidence-based psychological therapies for individuals, couples and families. Work is often undertaken with support / clinical teams and rehabilitation professionals. 

Working with a clinical psychologist when you have sustained a brain injury often involves building a coherent understanding of current needs and abilities and identifying where psychological therapy can be beneficial in supporting these needs and adapting to altered abilities. We work with emotions, behaviours, decision-making, relationships, confidence, independence and a range of cognitive difficulties. 

Physiotherapy 

Arbor physiotherapists are all registered with the HCPC and have specialist knowledge and skills in neuro-rehabilitation. We work with people who have physical symptoms caused by a neurological injury or condition to maximise their physical independence or support the physical management of their condition.

Our physiotherapists carry out a thorough assessment and discuss individual rehabilitation goals to establish a personalised plan for intervention. This intervention may be focused on improving underlying physical impairments, increasing functional ability or a combination of both. Physiotherapy may include: posture and spasticity management, balance and gait re-training, aquatic physiotherapy (hydrotherapy), individualised exercise programmes, support to return to previous exercise activities or establishing new participation in structured exercise.

Appointments can take place at home, in a clinic or at a community exercise facility, depending on an individual’s needs and goals. We work with family members, support workers and personal trainers by providing training and advice to support the implementation of our rehabilitation programmes and maximise physical progress.

Occupational Therapy 

All Arbor Occupational Therapists are members of the Royal College of Occupational Therapists, HCPC registered and experienced within the field of neurorehabilitation.

​Occupational Therapists are skilled at considering an individual’s physical, psychological, social and environmental needs to assist participation in daily activities.

​Therapists will work with individuals to promote optimal functioning and independence within their activities of daily living, access to community, and both social and vocational settings.

​Interventions are often undertaken within the client’s home, workplace or other community settings, with implementation of appropriate strategies and consideration of assistive technology recommendations. Liaison with other agencies and social care providers will be undertaken where appropriate.

Later Life

Work in this area is led by a Clinical Psychologist and a Dementia Nurse Specialist, with extensive experience and expertise working with people with a range of later life challenges and conditions, particularly progressive neurological conditions such as dementia.

As part of the Arbor team, we also have quick and seamless access to other allied health professionals including speech and language therapists, physiotherapists, occupational therapists and clinical neuropsychologists all with experience of working with people with progressive neurological disorders.

We are therefore well placed to offer specialist assessment, intervention, carer support and training to help people and their families live well with a range of conditions associated with ageing.

We can offer neuropsychological assessments to support the diagnostic process, to inform interventions and to establish baselines for monitoring change, as well as capacity assessments and support with Best Interest decisions.

We understand the importance of post-diagnosis support for people and their carers and offer psychological therapy sessions to advise and support with the adjustment process.

We can also provide support for family members caring for someone living with a progressive neurological condition. This can include advice and support with managing behavioural difficulties, increasing care at home or transitioning into care and individualised care planning.

We recognise that young-onset dementia has unique challenges and it can be difficult to find appropriate support and services. We offer individualised support and care-planning for families in this situation.

Based on specialist assessment, we can provide individualised support and training into care home settings to enable staff to provide evidenced-based, person-centred care to reduce the behavioural challenges and distress associated with living with dementia. This may include staff training sessions to improve knowledge and practise, or reflective practice/supervision sessions, all of which are proven to help with staff retention and well-being, increasing resilience when working with this client group.

I suffered a severe closed head injury in 1994 and had difficulty coping and learning to live with the various problems it gave me, placing me into a deep depression. I struggled with communication, remembering information and managing my behaviour. By working with Kesta and Sarah, I was taught coping strategies, learning techniques and the tools I need to help me deal with and understand the ‘new me’, helping me to move forward. Accepting the effects of my head injury and coming to terms with it is hard to do. Through their help and training, I now have the insight and tools I need to cope with my difficulties and deal with the challenges I face. Not only did I find the psychological and academic support extremely important, it was their care and understanding that helped me to adjust.

G, previous client,
Bristol

I had a RTC a year ago and sustained 2 bleeds to the brain, and a concussion amongst other injuries. I had a lot of rage, depression, stress, and self pity. I worked with Kesta and trusted her immediately she put me at ease so quickly and easily, now we have finished our sessions I am a totally new and confident person, she is nothing short of a miracle worker, she is such a lovely and caring person always had my interests at heart, I can’t praise her enough. She will always have a special place in my heart. Thank you Kesta, you’re absolutely fabulous.

T,
Bristol

I have worked with Dr Purt for several years in her capacity as neuropsychologist with a number of my brain injury clients. She has worked with clients and families with a variety needs.

Kesta is skilled at developing rapport with clients and their families using a clear, empathetic and client centred style. She works well with clients and families who are difficult to engage and assists them to develop appropriate goals to address their psychological and cognitive needs. Kesta is a valuable member of the multidisciplinary team and works clearly and collaboratively with others including professionals and care staff.

Lucy Callus,
Case Manager,
Bristol

An extremely thorough and comprehensive report and Sarah’s experience and professional knowledge shine through.

D.W.,
Occupational Therapist and Care Expert,
Somek & Associates,
UK

S suffered a brain haemorrhage which impacted both speech and comprehension. Sarah Gibbin works with S at home most weeks and S has improved greatly during this time. Sarah motivates by recognising interests and always changing the tasks before frustration sets in. S has a great relationship with Sarah and looks forward to her sessions, we would recommend Sarah to anyone.

S and family,
Bristol
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