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Spotlight on our REBUILD Pathway

Updated: Jan 19

Head and shoulders portrait of a healthy-looking man

Mildmay’s REBUILD Pathway is a unique and innovative approach to inpatient post-detox, recovery-focused rehabilitation for individuals experiencing homelessness or at risk of returning to the streets.

Our goal is to create a supportive environment for people struggling with substance misuse that is conducive to recovery, ensuring that each patient receives personalised and compassionate care from a full multi-disciplinary team throughout their treatment journey, from initial referral through to discharge and aftercare.

We work to restore patients’ independence and facilitate their motivation toward recovery

Mildmay delivers high-quality, patient-centred, supportive, individualised post-detox care. Each patient is fully involved in planning their care, which is tailored to take personal preferences and individual circumstances into account and meet the specific medical and psychological needs of the individual, generating a sense of ownership.

Patients on the REBUILD Pathway are admitted to Mildmay Hospital after detoxification treatment at partner facilities like the Addiction Clinical Care Suite at Guy's and St. Thomas’s Hospital. They benefit from a dedicated section of our modern, purpose-built 28-bed facility. All our patients have private ensuite rooms and regular nursing checks ensure their safety, particularly for those vulnerable due to cognitive, physical, or psychosocial challenges.

Our multidisciplinary clinical team possesses expert knowledge of disease pathways, substance misuse, and psychological and social needs. We employ a model of care that fosters independence and motivation towards recovery, catering to diverse cultural needs through a holistic approach. Our approach to managing this service is evidence-based and complies with current standards and practice guidance including UK guidelines on clinical management, NICE, and CQC regulations. We actively respond to changes in national guidelines, ensuring individualized, innovative, and effective post-detox care.

Planning for the patient’s discharge involves collaboration with external organisations, ensuring that they continue to access the best support tailored to their circumstances. Our well-established links with relevant agencies such as Resolve in Hertfordshire, contribute to a seamless transition for patients.

Mildmay is rooted in a rich history of supporting marginalised populations - being founded in the 1860s to serve the poorest communities in the East End of London who had little recourse to medical care amid successive cholera and typhus epidemics.

Our commitment to social value and community engagement is reflected in nearly 40 years of working with people living with HIV in the UK and with vulnerable populations overseas.


Photo by Fred Moon on Unsplash



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