Page 1151 - 10. 2nd half 2018 New 26-05-21 No Table

Consequently, he was referred for MHA assessment on the 17th of October 2018. Enfield
Adult North Locality Team agreed that he is at risk to others and his behaviour could also
put him at risk from others. Application for 135(1) was made however a judge found
insufficient evidence presented for a warrant. He was referred to a forensic sector following
this event.
On the 25th of October he was arrested as the police were called to his flat regarding him
breaking a harassment order and that day, he allegedly assaulted the police who attended
by spitting. Consequently, he was taken to Wood Green police station. He was found to be
thought disordered with grandiose and persecutory delusions, hypomanic with flight of
ideas and pressured speech. Therefore, MHA assessment was organised. He was detained
under section 2 of MHA and admitted to Dorset ward, Chase Farm Hospital on the 25th of
October 2018.
Mr Cordell explained that the police were conspiring with medics and the council to silence
him as he had uncovered police corruption. He also said his neighbours two floors above
were controlling the neighbour below them and caused them to stamp on the floor and
disturb him. It was reported that he appeared to lack insight into his presentation as he did
not believe he was mentally unwell and was adamant to see a psychiatrist for treatment.
Mental state examination on admission
Mr Cordell is 37-year-old male, mixed origin, slim build. He was wearing casual and dirty
clothes. He engaged in conversation and made eye contact throughout. He was calm and
polite during the interview; no aggression was observed but did become mildly restless at
points. The conversation was one sided with Mr Cordell keen to talk. He presented with
pressured speech and flight of ideas. Mood, subjectively he described as "fine, a bit elated”,
objectively he was elated. Thoughts: He presented thought disordered with tangential
thinking, grandiose and persecutory delusions. He was oriented to time, place and person.
He presented with poor insight - does not want any medications, he does not believe that
has a mental health disorder.
Risk
To self - high
53
Barnet, Enfield and Haringey
Mental Health NHS Trust
Immediate risk to self is low as he denies any thoughts of self-harm or suicide. There are
previous reports of suicide attempt as teenager. However, he is at high risk of being evicted
from his property at present due to deterioration in his mental state and behaviour and his
mental and physical health could be significantly affected if he becomes homeless.
To others - high
He denies thoughts or plans to hurt others. He has clearly documented history of aggressive
behaviour and currently elated.
From others - high, as he can be aggressive towards others, he is at risk of retaliation from
others.
Risk of physical and verbal aggression towards others noted. This in turn, increases risk of
others retaliating, therefore harm towards Mr Cordell.
Past psychiatric history: