Page 719 - 2015 2nd Half No Table

Risks: good self-care: has withdrawn socially: potential risk of self-
neglect if mother withdraws her daily support: he engaged with us well
ambivalent about contact with services but willing to engage with EIS.
No current thoughts intent or plan to harm self or others.
Plan
Would not meet criteria for detention under the MHAA.
Referred promptly to Early Intervention in Psychosis service for assertive
approach to management. Given number given 0208 702 3800.
We will then close to EAS.
Reason for change Additional Comments
Thank you for ensuring this information is updated in your records.
Yours sincerely Electronically Signed Practitioner:
Dr Jane Cushion Consultant Psychiatrist
FH major mental illness

3
The Doctor’s Folder / pub Book Issue: 1!
Notes From the: 09/02.2016
Date of initial referral: 21/01.2016
Date of assessment: 03/02.2016.
Place of assessment: Patient’s Home
London Borough of Enfield
Approved Mental Health Professional Assessment Form. -For use when compulsory powers
are being considered
Assessing AMHP Sam Curtis. / Hospital Not applicable - Dr Kripalani, Consultant
Psychiatrist, Lucas House, 305 - 309 Fore Street, Edmonton, London, N9 OPD Tel: 020 8702
3100 GP Nightingale House Surgery, 1 Nightingale Road, N9 8AJ Tel 020 88059997 /cmhn /
Goodie Adama, Care Coordinator and Community Mental Health Nurse, Lucas House, cmht
305 - 309 Fore Street, Edmonton, London, N9 OPD Tel 020 8702 3100
Page Numbers: 32,33,34,35,36,37
London Borough of Enfield
Approved Mental Health Professional Assessment Form

For use when compulsory powers are being considered Barnet, Enfield
and SSM1 Haringey.
RIO Number: 11214451
Copy for: Service user file Social Services records
GP
Please note this form can be completed electronically or in hardcopy. To
complete this form electronically, please the use mouse pointer or the tab
key on the keyboard to go to the next form field.
Patient’s details: --
Name: Simon Cordell
Address: 109 Burncroft Avenue, Enfield, Middlesex
Post Code: EN3 7JQ
Phone no: 07961833021
Male: Yes
Female: