Welcome to 4 Bowlers Green

4 Bowlers Green is located near St Albans and offers low secure assessment and treatment for nine men with learning disabilities. It provides a personalised, evidence-based, outcome-focused service in a robust and supportive environment with modern en suite facilities.

Referral and admission process

Admission Criteria:

  • Males aged between 18 and 65 years with a learning disability
  • Behaviour/mental state necessitates conditions of low security
  • History or risk of offending behaviours
  • All admissions under the Mental Health Act

We offer a rapid response assessment service. On receipt of a referral all admissions are subject to a free of charge comprehensive clinical pre-admission assessment by our experienced multi-disciplinary team to ensure that we can meet the patients needs.

We believe that the admission environment should be appropriate and safe to meet the needs of the patient and others and the Trust is also in a position to offer high quality medium secure provision within Warren Court should this enhanced level of support be appropriate.

On completion of the pre-admission assessment a detailed report is produced and where admission is considered suitable, a proposed care package based on the needs of the individual is outlined.

On admission care and treatment is delivered by our dedicated and highly experienced multi-disciplinary team consisting of:

  • Consultant Psychiatrists
  • Clinical Psychologists
  • Qualified and unqualified nursing staff
  • Social Worker
  • Occupational Therapist

Care and Treatment

The underlying principle of our care and treatment package is to improve the individual’s function, working in a person centred way to build self-esteem and confidence and develop a range of coping strategies to enable the patient to move on to a variety of settings on discharge.

We provide comprehensive high quality individual assessments for patients based on an informed and evolving clinical formulation. All our service provision is underpinned by evidence-based practice with regular audit and a strong governance input to ensure up to date, safe services.

Following admission, patients are allocated a named nurse who will be responsible for the co-ordination, development and monitoring of their care and a treatment plan that is tailored to the individual’s specific needs. They will also liaise with other agencies.

Each individual will receive an accessible guide and welcome pack to the unit and its services, outlining their rights and what to expect. This is also available to carers and families.

Our assessment packages include:

  • Assessment of risk and offending behaviour
  • Mental health assessment
  • Psychological assessment
  • Functional assessment
  • Neuropsychological assessment
  • Challenging behaviour assessment
  • Family and social factors assessment

A variety of therapeutic interventions are provided through both individualised packages and in overarching group programmes. Individual packages take into account the uniqueness of the individual based on recovery-orientated and person-centred planning processes and are designed based on a multi-disciplinary formulation of offending behaviour.

Individual therapeutic interventions:

  • Cognitive behaviour therapy
  • Schema-focused therapy
  • Systemic therapy
  • Psycho-education
  • Counselling
  • Positive behavioural support plans
  • Pharmacology

Group programmes:

  • Sex offender treatment
  • Arson
  • Anger management
  • Reasoning and rehabilitation
  • Substance misuse
  • Social skills development
  • Emotional regulation
  • Academic activities
  • Rehabilitation activities

Training and Rehabilitation

This is designed to enable patients to regain or acquire the skills to help them live as independently as possible when discharged from the low secure unit.

It also provides an opportunity to carry out ongoing risk assessment in a variety of settings with careful consideration given to levels of supervision and risk management strategies.

Care and treatment packages are reviewed and evaluated regularly by the patient and their named nurse as far as reasonably possible as the patient’s views are important to us. In addition, fortnightly multi-disciplinary team meetings will review all aspects of the care and treatment plans. The Care

Programme Approach process and supplementary professionals meetings keep track of progress throughout the care pathway.

Close working with the local team is maintained to facilitate a timely discharge. Discharge planning includes a robust handover process from the Community Liaison Team. There is also a three month post-discharge follow-up by the multi-disciplinary team.

For more information or to arrange a visit:

Please contact Please contact Caroline Bete on 01923 684606 or Karen Pablos on 01923 684602.

Eric Shepherd Forensic Services
Admin Block
Woodside Rd
Abbots Langley

How to find us

By car 4 Bowlers Green is easily accessible from all parts of the UK, being

close to the M1, A1(M) and M25 (junction 22).

London St Pancras International Station is only 20 minutes away from St Albans and Radlett stations.

London Euston Station is only 20 minutes away from Watford.

Both London Luton, Gatwick, Stansted and Heathrow airports are also easily accessible.