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               Originator Details: 29 Oct 2018 16:56
               Maria Bruce Medical
               Originally Entered by Details: 29 Oct 2018 16:56
               Maria Bruce Last Amended by Details: 01 Nov 2018 16:21
               Maria Bruce Validated by Details: 01 Nov 2018 16:21
               Maria Bruce Significant: No Added to Risk
               History: No Contains
               Third Party Info: No Conceal
               From Client: Not Concealed
               32
               Chase Farm - Dorset Ward
               Formulation Meeting
               CORDELL, Simon P (Mr)
               Present: Dr Greensides (consultant),
               Dr Bruce (FY2)
               Uncle, mother,
               Daizy (staff nurse),
               Ola (student nurse)
               Soobah Appadoo (CC)
               MHA status: Section 2
               PC from Rio:
               1.  17 Oct - referred for MHA due to history of physical and verbal aggression towards his
                   neighbours. EANLT MDT agreed that he is a risk to others and his behaviour could also
                   put him at risk from others. Simon refused to engage with MHA. Application for 135(1)
                   was made - Judge found insufficient evidence for 136. Forensic referral sent on 17/10
               2.  25 Oct - Simon was arrested as the police called to his flat re him breaking a harassment
                   order and he assaulted the police who attended. He was taken to Wood Green police
                   station. Found to be him thought disordered, hypomanic with flight of speech and
                   grandiose delusions. Detained under MHA.
                   Past Psychiatric Hx:
               3.  Disrupted childhood, CSE in paedophile ring, violent father, adolescence in care, under
                   CAMHS
               4.  Self-reports to have tried to hang himself twice at the age of 16 when in a young
                   offender’s institution; He was moved to a high security hospital and kept in seclusion on a
                   number of occasions.
               5.  Denies any contact with MHS between that point and 2014
               6.  March 2014 - Adjustment reaction “anxiety and suicidal thoughts over the last nine
                   months in the context of having a pending court case” offered Sertraline 50mg OD
               7.  November 2014 - Simon’s mother called the HTT. Paranoid psychosis - not deemed
                   sectionable under MHA
               8.  November 2015 - Simon’s mother called the BEH HUB. Simon not eating, not sleeping,
                   paranoid, saying people are talking about him or laughing at him, believes the
                   government is advertising things about him, the TV is talking about him and talking
                   directly to him. Smoking cannabis. Not sectionable under MHA.
                   ■ February 2016 Warrant 135 (1) - not sufficient evidence of mental illness.
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