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Mr Cordell is a 37 years old man with previous diagnosis of F29X - Unspecified nonorganic
               psychosis. He has been known to CAMHS service in the past and to Adult Mental Health
               Services since 2014. However, he has not been engaging with the services in recent years
               despite numerous attempts from mental health teams.
               Mr Cordell become significantly unwell in mental health in 2014. He deteriorated
               significantly in mental state but he refused engage with mental health service and declined
               to take medication. Consequently, he had to be detained under Section 2 of MHA in 2016.
               He was treated with medication (Olanzapine) during the admission but soon after discharge
               he stopped taking his medication. He continued to be seen by Early Intervention service
               following a discharge but he continued to refuse any treatment for his condition. This led to
               further deterioration in mental health. When Mr Cordell is unwell, he presents with
               persecutory delusions about his neighbours, council staff and the police. As a result of
               paranoid beliefs, he becomes more aggressive and threatening especially towards
               neighbours. From 2016 to January 2018 there were numerous complaints from neighbours
               reported about Nr Cordell’s acts of harassment and antisocial behaviour. This led to an
               interim injunction order (harassment order) to be issued against Mr Cordell, at the
               Edmonton County Court, in January 2018. Mr Cordell breached the order on multiple
               occasions. It has been reported that his neighbours have been assaulted, harassed and have
               received threats from Mr Cordell. In addition, Mr Cordell disengaged with EIS.
               In April 2018 further deterioration in mental health was observed when he contacted the
               police and complained about the neighbours making noise. EIS team was contacted and
               they offered to review Mr Cordell but he refused to work with them again.
               On the 1st of June he was arrested for harassing his neighbours and breaching the
               injunction order against him. He threatened his neighbour who was at the time with her two
               children that he
               52
               Barnet, Enfield and Haringey
               Mental Health NHS Trust
               will kill her and her children " You fucking bitch, I have a bomb for you, I will get in your
               block, kill you and your children At that point, EIS stated that he has gone beyond EIS three
               year treatment period and therefore they referred his case to Enfield North Locality Team in
               June 2018. During the period of next few months (from June 2018 until October 2018 - they
               were reported numerous accounts of harassment and assaults to his council on his
               neighbour) Mr Cordell has continued to harass his neighbours and has refused to engage
               with mental health services. Few neighbours already moved out from their flats due to Mr
               Cordell’s aggressive behaviour and Enfield Council decided to seek possession of Mr
               Cordell’s flat via the courts. In a recent court case, the judge recommended that Enfield
               Council re-house Mr Cordell on the proviso that he engages with the MH Team. However,
               he failed to do that.
               In October 2018, Mr Cordell was physically aggressive towards another service user who
               lives in the same building as him. Mr Cordell took him by the throat and left him feeling
               unable to walk around on the floor or even flush his toilet chain for fear of sparking another
               altercation (with no basis) about excessive noise.
               This triggered a safeguarding process and Enfield Adult North Locality Team decided to
               organise MHA assessment as Mr Cordell refused to engage with them.
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