Page 1211 - 10. 2nd half 2018 New 26-05-21 No Table

Mr Cordell has been informed that a referral to a forensic psychiatrist who may want to visit
him on the ward.
Impression was that he presented with persecutory delusions and poor insight into his
condition. Not currently deemed to be a risk to himself or others. He could be at high risk of
losing accommodation if continues untreated. Plan was:
1. For Section 17 leave
2. No medication at present
3. Refer to ward Psychologist - Dr Patkas
He has terrorised our patient (who lives above him) including one occasion taking him by
the throat and left our patient 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.
Simon-Report-06-11-2018.pdf
2225,
NHS
Barnet, Enfield, and Haringey
Mental Health NHS Trust
Opinion and recommendations
1. Mr Cordell suffers from a mental disorder, the symptoms of which at present are
persecutory delusions, grandiose beliefs, and attitude. In addition, he also presented
thought disordered with circumstantial thinking. Probably he has been experiencing
auditory hallucinations too. His condition is complicated by poor insight into his mental
health illness and substance misuse.
2. This illness is currently of a nature and degree to warrant detention under section 2 of
the mental health act.
3. Without this there are risks to his health, principally mental health which is likely to
continue to deteriorate without intervention. He is also at high risk from being evicted
from his current accommodation which could put his mental and physical health at
significant risk. His safety is compromised by possible retaliation from others when he is
behaving aggressively towards other people. As well as the safety of others as he was
aggressive to his neighbours, council employees and police prior to admission.
4. This cannot be carried out in the community as he has limited insight and refuses
intervention, tried for a number of years, and failed.
5. Should he be discharged then he will be referred to the HTT but is not likely to engage.
6. Tribunal need no special arrangements to accommodate Mr Cordell.
Dr Maja Elia
ST6 to Dr Jonathan Greensides Consultant Psychiatrist, Dorset ward

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