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woman, who lives upstairs although we understand she has moved out.
                 His mother has been supporting him and has been calling on him almost
                 daily for the past year as he has become more socially withdrawn.
                 Today Simon was well nourished and cared for and his flat although
                 cluttered was clean. He keens to relate his experiences to us but resisted
                 the idea he had a mental health problem.
                 Risks:
                 1. He made 1-2 serious self-harm attempts as a teenager with contact with
                 the criminal justice system. Today he said he had attended North
                 Middlesex University Hospital Accident and Emergency department last
                 year after drinking liquid nitrous oxide with intent to self-harm. Currently
                 he has no thoughts intent or plan to harm himself or anyone else although
                 he said today, he would kill himself “when I eventually clear my
                 name” - this is not linked to any particular date.
                 Trust Chairman: Michael Fox Trust Chief Executive: Maria Kane
                 Would you (or someone you know) like help to stop smoking? Enfield
                 stop smoking service includes a specialist pregnancy advisor and Turkish
                 speaking advisor tel Freephone 0800 652 8405 www.quitsmoking.uk.com
                 Would you like information on medication for a mental health problem?
                 (available in translation) www.behmht.nhs.uk/cm
                 In a mental health emergency, you can call the crisis team on 020 8702
                 3800 (answered 24/7)

               28
                 Patient Name: Simon CORDELL GP Assessment Letter
                 - DoB:26.01.1981
                 Page 2 of 2
                 Date: 09.12.15
                 2.     He looked well-nourished and clean, engaged well: there is a
                 potential risk of self-neglect if mother withdraws practical support.
                 3.     Some Cannabis use, but likely to be insufficient to account for
                 today’s presentation.
                 Plan:
                 I did not think his presentation today would meet criteria for detention
                 under the Mental Health Act and Simon is willing to engage with services
                 although not to take medication at the moment. He declined contact with
                 the Crisis Resolution Home Treatment Team as he does not feel he is in
                 crisis but took the crisis number 020 8702 3800. We have referred him to
                 the Early Intervention in Psychosis service for an assertive and consistent
                 approach to his on-going management consistent with a least restrictive
                 and proportionate response to his symptoms.
                 When his case is accepted by the Early Invention Service, we will then
                 close the case to this service.
                 Yours sincerely, ELECTRONICALLY SIGNED
                 Dr. Jane Cushion Consultant Psychiatrist Enfield Assessment Service



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               The Doctor’s Folder / pub Book Issue: 5!
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