The sixth arm · in design

The Reintegration Programme.

A structured step-down for the corridor between acute care and ordinary life. Lived-experience-led. Governance-first. Designed in conversation with senior UK clinicians.

The gap we are addressing

The hardest mile is the one after discharge.

Acute services are good at stabilising a crisis. Primary care is good at long-horizon maintenance. Between those two is a corridor most systems do not staff properly, and most patients walk alone. People relapse there. People drop out of work there. People disappear there.

The Reintegration Programme is a structured, phase-gated walk across that corridor: psychoeducation, somatic regulation, relational repair, vocational re-entry, and clinical oversight, delivered in a sequence designed by people who have done the walk and clinicians who have supervised hundreds of others doing it.

Four phases · gated, not timed

You move forward when you are ready, not when the calendar says so.

Phase 1 · Stabilise

The first ground.

Sleep, nutrition, nervous-system regulation, medication review with your prescriber. Daily structure rebuilt from the floor up. No advanced work until this floor holds.

Phase 2 · Make sense

Story, not symptom list.

Psychoeducation that respects your intelligence. Trauma-informed, not trauma-prurient. You leave this phase with language for what happened and a working theory of what it asks of you.

Phase 3 · Repair

Relationships, not affirmations.

The relationships that survived, the ones that did not, the ones that need rebuilding on different terms. Designed for facilitated peer groups under clinical supervision, not solo work.

Phase 4 · Re-enter

Work, role, contribution.

Vocational re-entry on your terms. Often partial first, often a different shape than before. We hold the door open while you walk through it, and we keep holding it for six months after.

Built slowly, not loudly

Lived experience holding the pen. Senior UK clinicians in the room.

The programme is in design. It is being shaped in conversation with senior UK clinicians and with people who have walked the recovery arc themselves. We are deliberately resisting the pace and tone of most mental-health product launches: no ungrounded enthusiasm, no evidence-light flourishes, no schedule that flatters the founders rather than the work.

We will publish names, credentials, and a written design document when the first cohort opens — not before. The clinicians involved are senior and have asked for the work to speak first. That request is being honoured.

Current status

In design. Not yet open to enrolment. No timeline promised.

This page exists so the people who have asked us "when?" — family members, clinicians, commissioners, licensees, people who have lived this themselves — can register interest and be the first to hear when we open phase one to a small cohort. We will not rush this. The people who need it have been failed by rushed work before, and we would rather miss a quarter than ship something that adds another failure to that list.

The Reintegration Programme is not a substitute for emergency psychiatric care. If you are in immediate crisis, call Samaritans on 116 123 (free, 24/7), text SHOUT to 85258, NHS 111 option 2 for mental health, or 999 in immediate emergency.