Page 1319 - 10. 2nd half 2018 New 26-05-21 No Table

Originator Details: 14 Nov 2018 16:33
Laurence Ryan Social Worker
Originally Entered by Details: 14 Nov 2018 16:36
Laurence Ryan Last Amended by Details: 15 Nov 2018 15:19
Laurence Ryan Validated by Details: (UNVALIDATED)
Significant: No Added to Risk
History: No
Contains Third Party Info: No Conceal
From Client: Not Concealed
ENFIELD AMHP SERVICE MHAA
Simon was assessed for further detention under S 3 in the quiet room on Dorset Ward with
Dr Rao S12, Maggie Garrod AMHP, Larry Ryan Trainee AMHP, Lorraine Cordell, Mother,
Jerome, Cousin. Simon was polite and appropriate. At the outset it was noticed that Simon
had a mobile phone in his hand and was asked if he was recording the assessment. I
informed him that he would require our consent prior to recording. He claimed that he had
a legal right to do this. I asked the other professionals present if they objected and they did
not. I reinforced with Simon that consent has to be given. Simon talked at length about his
experiences of being victimised by the police when asked about reason for arrest. He
reported injustices about forged statements, curfew being in place since 2014 which
included any area apart from a residential area. He admitted the police believed he had spat
but denied doing this. There seemed no evidence of thought disorder. There was some
pressure of speech which appeared to be linked to his anxiety that he could be detained
under S3 and his need to give us as comprehensive version of his situation in the shortest
possible time. No ideas expressed of intention to self-harm ideas or of suicidality. Mother
backed up all of his assertions about neighbours making noise. Cousin Jerome claimed to
have heard the noises in the flat which he reported stopped once he considered the
neighbours in flat above saw him leaving the property and he felt they stopped making
noise from then. Denied having any mental health issues but agreed to remain in hospital as
an informal patient and would consider taking medication providing, he is seen by a second
opinion doctor. It is reported that a referral has been made for a Forensic Assessment by the
Care Coordinator and this should be followed up. Dr Rao did not make a recommendation
for detainment under S3 as she did not feel the criteria was met as she was not in a position
to refute the evidence that Simon gave. No evidence of Simon presenting a risk of
harm/safety to himself or others, no obvious risk of neglect.
Conclusion
He does not accept that he has a mental illness but is willing to stay in hospital so that, in his
own words, “Dr Greensides can get to know me better”. Simon will be willing to take
medication if a doctor giving a second opinion can justify the need to him. Simon was
encouraged to cooperate with Dr Greenside and the community team when discharged.
Outcome
Simon is not detained under S3 but remains subject to the conditions of S2 until it's expiry
unless Dr Greensides completed a S23 form to discharge him from section 2.
Report to follow

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