Community Housing and Therapy (CHT), a charity operating seven mental health recovery communities across London and the South East of England, provides long-term residential rehabilitation grounded in relational psychoanalytic psychotherapy and interpersonal neurobiology. Founded on the principle that relationships are themselves the treatment, CHT offers specialized housing in therapeutic community environments for adults experiencing complex and severe mental health conditions including psychosis, personality disorders, and co-occurring diagnoses. Each community operates as a psychologically informed environment integrating trauma-informed practices, regular on-site psychotherapy delivered by community psychotherapists, structured therapeutic programming, and support with daily living skills. The clinical model draws explicitly on relational psychoanalysis — attending to the unconscious dynamics of the therapeutic relationship and the communal milieu as primary vehicles of psychological change. Staff include community psychotherapists, registered social workers, a medical psychotherapist, and therapeutic practitioners. Residents live in private bedrooms within shared community houses, engaging in a programme that treats the quality of interpersonal relating as both the medium and the goal of recovery. CHT's seven communities represent one of the largest networks of psychoanalytically informed residential mental health services in the United Kingdom.

Best for

Psychosis and schizophreniaComplex personality disordersLong-term psychiatric rehabilitationCo-occurring mental health and substance useAdults requiring sustained therapeutic community support

Modalities

Depth elements

CHT's therapeutic model is explicitly based in relational psychoanalysis and interpersonal neurobiology, applied within psychologically informed environments adapted to the therapeutic community setting. The organization's founding principle — 'where relationships are the treatment' — articulates a core psychoanalytic conviction: that severe mental illness is best addressed through sustained, authentic relational engagement rather than symptom-focused intervention. Each community provides regular on-site psychotherapy delivered by community psychotherapists alongside a structured therapeutic programme embedded in the daily rhythms of communal living.

Populations served

Community Housing and Therapy (CHT)’s treatment philosophy Questions to ask before admission Comparable centers
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