Page 556 - 6. 2016 Diary 1st half New 26-05-21 No Table

but it was not possible to explore this further as I could not re-engage Simon on this subject. Simon
spoke at length about plans for the future, that he is working hard to help other people. I talked about
sometimes we all need help, but Simon said he has a hundred thousand friends and hundreds of family
members. I said these sounded like very large numbers and asked how he made so many friends,
Simon said through being nice and helpful.
I asked Simon about the records he keeps including recordings of conversations, he said it is like
keeping minutes for a meeting. I asked several times if he understood how this could seem to others
like the behaviours of someone with paranoid beliefs to but he did not address this.
Simon said that he had been told he is not mentally ill, and that staff had cheered this at the MHA
review. I tried to explain that mental ill health and health are a continuum and there is not a binary
system of sickness vs. health. I tried to explain what I have been told and read that Simon did not
meet thresholds for detention un MHA in terms of severity of mental illness or risk of harm to others
or himself, but he did not acknowledge this. I told Simon that I thought he hadn't grasped what I was
saying but regarding the MHA, but he did not continue the conversation with this topic. I also said
that our conversation has seemed tangential at times, Simon changing from one subject to another. He
said that was to make the conversation varied.
I asked if he needed any help, he said he needed space to work, but did not want weekly assessments
from mental health services, and that he'd previously agreed to the appointment today but after
thinking about it, decided he didn't want to attend. Simon agreed that I can call him from time to time
but did not want to meet with me when I offered. He said he would call me if he feels he needs help in
future. I asked Simon to consider having a low threshold for asking for help and not to let things get
very bad if he feels he would like to contact me.
Although the content of Simon's speech was not bizarre, it did appear that he expressed paranoid
thoughts at times, in addition to his behaviour of recording and monitoring of others. Simon made a
clear view that he did not wish to have continued engagement with mental health services, and it is
my view that he has the capacity to make this decision. I will discuss the case with the clinical team
and other staff/managers as appropriate regarding future action from mental health services and the
EIP team in particular

3
The Doctor’s Folder / pub Book Issue: 5!
Stage 5
Folder 5
Originator Details: 10 Feb 2016
Last Amended by Details: 11 Feb 2016
Mukesh Kripalani Medical
Page Numbers: 71
Originator Details: 10 Feb 2016 14:31
Mukesh Kripalani Medical
Originally Entered by Details: 10 Feb 2016 14:35
Mukesh Kripalani Last Amended by Details: 11 Feb 2016 16:07
Mukesh Kripalani Validated by Details: 11 Feb 2016 16:07
Mukesh Kripalani Significant: Yes, Added to Risk
History: No Contains
Third Party Info: No Conceal
From Client: Yes
Patient cancelled the appointment today.
The latest AMHP report states in point 4 that there was no evidence of mental disorder during the
assessment.
Simon Clark (team manager) will make contact and if the client is unwilling to see services and given
the AMHP report and his mother able to request support for the client when needed, a decision for