Psychologically Informed Environments (PIE's)


Developmentally Informed Recovery Communities

'where relationships are the treatment'

CHT uses a model derived from therapeutic communities, incorporating the latest perspectives on Psychologically Informed Environments (PIEs) and a participative, democratic and developmentally informed recovery approach to enable people to achieve more of their potential and to fulfil more of their aspirations in life.

We provide support staff and each service has a dedicated fully-qualified psychologist working with the Manager, staff and clients to create an individually-tailored but collective therapeutic experience. This supports the client in their recovery journey in both the individual and social domains in line with best psychosocial practice and the latest psycho-neuroscientific evidence.

CHTS' approach emphasises individual recovery within a social community framework, encouraging participation in activities inside and outside CHT housing; support in maintaining and enjoying housing through reduction of social exclusion; a focus on reflection, learning and self-development; a belief in the capacity of people to recover, and to achieve more of their potential and more of their aspirations.

CHT's programmes focus on encouraging engagement in three distinct, but overlapping areas:- 

  • Community: we place a strong emphasis on helping clients to engage in life outside the service, in the local community, to promote social inclusion. This includes voluntary work, education, training courses and social and recreational activities that help clients structure and give meaning to their day-to-day living.

  • Housing: the experience of living-together in the house is designed in line with principles of the Psychologically Informed Environment (PIE) within which there is strong encouragement to engage with others to take responsibility for the communal aspects of the social and physical environment of the house. This includes active participation in the Community meeting, cooking, cleaning, budgeting etc.
  • Therapy: we a offer a range of individual and group therapeutic interventions that are informed by best practice and offered in response to clients’ need. The clinical aim is both, to enable clients to better understand their early experiences, particularly any traumatic experiences, as well as to find more effective ways of managing themselves in their interpersonal, community and social relationships.  

Pathways to recovery

Our support is based on the principles of client recovery, CHT's therapeutic programme provides structure, routine and support to empower people to make positive changes in their lives, acquire and improve daily living skills, seek and maintain employment and integrate into their local communities.

Our services can provide a complete pathway for our clients from residential care settings with intensive staff support to more independent settings in supported living environments where clients hold thier own tenancies.


Residential Services

Our CQC registered residential services provide intensive 24 hour staff support. An intensive therapeutic programme provides structure and routine to enable individuals to make positive changes in thier lives.

CHT’s therapeutic programme is designed to create a structure that will lead to stabilisation for its clients. The establishment of set rules and timetables creates an environment where trust and safety can be developed.  

These services typically support those who may have a history of multiple hospital admissions, placement breakdown, have very complex needs and require a high level of support in most aspects of their life.


Supported Living

Our supported living services offer two tiers of support for adults with mental health needs who may require varying levels of support. 

George Dooley House is a 24 hour, supported living service in a 6 bedded shared house. Clients have their own private rooms and access to shared facilities, including a large kitchen and dining room.  All clients have a named key worker who works with them to manage their tenancy, and identify and address their, daily-living and psychosocial needs as they work towards a more satisfying interdependence through active engagement with domestic, vocational, educational and social activities in the house and in the community.

Fairhall Court Supported Living Flats offer single person self-contained accommodation with psychotherapeutic and practical support for previous users of CHT residential care services and for those who are not considered to require the higher level of support that our residential care services provide. As well as individual psychotherapy the project also offers supportive therapeutic groups, and assistance in maintaining strategies for community inclusion, meaningful daily activities and developing social networks. This model of support continues the ethos of CHT which sees interdependence, rather than independence, as essential in a meaningful life.