Rebuild Pathway
Helping People Recover from Addiction, Homelessness & Harm
For those recovering from addiction and homelessness, detox is only the first step.
Our REBUILD pathway provides the specialised medical care and rehabilitation needed to ensure that "recovery" becomes a permanent reality.
Image credit: Pickpic
The Critical Gap
Completing detox is a monumental achievement, but the days that follow are the most dangerous. Returning to the streets or to unstable housing often leads to immediate relapse.
The REBUILD pathway at Mildmay Hospital bridges this gap. We provide specialist rehabilitation and stabilisation in a safe, clinical, and supportive environment for individuals who are homeless or at risk of homelessness, where they can recover their physical health, rebuild their mental strength, and plan for a future free from substance misuse.
How We Help: Building the Foundation for Independence
Recovery is about more than just medical treatment; it is about giving someone the tools to reclaim their independence. Our multidisciplinary team works alongside every patient to create a personalised recovery plan that focuses on physical health, mental resilience, and the practical skills needed to move back into the community.
Image credit: David McKelvey
Patients who are homeless or rough sleeping and recovering from substance abuse are admitted to Mildmay following detox treatment at acute centres in London like the Addiction Clinical Care Suite for homeless people at Guy's and St. Thomas’s Hospital.
Mildmay is a provider in the Pan-London Substance Misuse Programme, part of the Homeless Health London partnership.
Clinical Excellence:
24/7 nursing and specialist medical care to manage complex post-detox health needs and HIV comorbidities.
Psychological Support: Personalised therapy and counselling to address the trauma often rooted in homelessness and addiction.
Life Skills & Advocacy: Empowering patients with the tools to manage their own health, finances, and housing applications—the building blocks of independence.
"We don't just treat symptoms; we care for the whole person. The REBUILD pathway is our commitment to ensuring that some of London’s most vulnerable people have the time, space, and expert support they need to reclaim their lives."
Geoff Coleman,
Mildmay's CEO
Your donations don't just keep the lights on; they provide the "extras" that make recovery possible:
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Therapeutic Activities: Funding for group sessions, such as art therapy and domestic skills, that rebuild motivation.
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Essential Welcome Packs: Providing clean clothes, toiletries, and dignity to those who arrive with nothing.
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Specialist Facilities: Maintaining a hospital environment that feels like a home, not just a ward.
Ready to help someone rebuild their life?
Why Your Support Matters
While 90% of our patient care is funded through NHS contracts, this covers only the essentials.
Mildmay is a charity, not a private hospital. We rely on people like you to fund the remaining 10%: the specialised staffing, holistic therapies, and facility improvements that turn a hospital ward into a place of true transformation.
We don't make a profit. Every pound you give is an investment in a human life.
Kevin's Story
At the end of his stay at Mildmay Hospital, Kevin bravely chose to read aloud his powerful testimony in our chapel to his fellow patients and our staff.
Having lived through and survived prolonged addiction and homelessness, Kevin hopes that his experience will encourage others undergoing recovery.
"I cannot thank you enough for having a kind approach to me, today I feel like a new person. Drug and alcohol free and ready to hit life ahead and surrounded by my family and friends.
I hope I can use my experience with addictions and homelessness to help others in the future to archive sobriety. It can be achieved with the right support and desire. Thank you, you are all AMAZING!"
Our holistic care is tailored to respect cultural differences and is always guided by the latest clinical standards, including those from UK guidelines, NICE, and CQC regulations. We constantly adapt to changes in national guidelines to ensure that our service is innovative and effective.
Every patient plays an active role in shaping their care plan, which is personalised to meet their specific medical, psychological, and personal needs. This approach empowers our patients, giving them a sense of ownership and a clear path toward recovery.
For more information about the clinical aspects of the REBUILD Pathway, visit our UK Hospital website.
A legacy of Care
Since the 1860s, Mildmay has been at the forefront of caring for London’s most marginalised people. From the cholera outbreaks of the Victorian era to the height of the HIV/AIDS crisis, and now the homeless health emergency, we have never turned away from those in need.
By supporting the REBUILD pathway, you are helping us continue this mission. You are helping someone leave the streets behind for good.
