The Alcohol Related Brain Damage (ARBD) Unit is a newly configured service to be trialed for an initial period of 2 years. Patients diagnosed with ARBD will have a degree of cognitive impairment and may have difficulties in several areas which can include: reduced ability to understand new or complex information or to learn new skills (in global rather than specific areas); reduced ability to cope independently and impaired social interaction. The step down service will enable patients diagnosed with ARBD to be discharged from acute sites in Lothian. The unit expects to support 60 patients per year, occupants will be able to access a range of community based services allowing comprehensive assessment and review of their needs. The daily programme will include meaninglful; activity, exercise, social interaction and diversion from distress and distressing behaviours enabling people to achieve an optimum quality of life, allowing effective discharge to most appropriate environments – independent living, supported accommodation, care home.All patients need things to do and this grant will allow the purchase of a range of garden furniture, plants and tools plus outdoor/indoor leisure equipment which will further enhance the therapeutic environment. Patients are encouraged to engage in day to day domestic activities, to socialise with others and develop a routine and new interests. Overall they are encouraged to learn or relearn skills/techniques that will enable them to function more independently once they return home. This should benefit the patient as well as family and carers and fulfill the strategic aim of improving the patient / carer experience when engaged with NHS services.