Page 1378 - 10. 2nd half 2018 New 26-05-21 No Table

ALLERGY STATUS:
2 Weeks TTAs supplied, if Crisis Resolution and
Home Treatment Team flu they will
manage mental health medications and update GP on
discharge
Please follow prescribing guidance on monitoring
patients taking antipsychotics including weight, LFTs,
prolactin etc.
90,

Admission
Summary

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
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.
On initial review he had pressured speech, difficulty
interrupting, appeared elated in mood, and had
grandiose beliefs e.g. started talking about owning a
couple of local festivals and engaging in multiple
charities involving children. At the time he has limited
insight; he does not want any medication, and has
never believed he has a mental health disorder.
His UDS was positive to THC.
He immediately appealed his section. The tribunal was
done on 8/11/18 which he lost.
On 5/11/18, Dr Greensides reviewed the patient and
made an application for Section 3 as there are risks to
his health and to others. It was felt that it would not be
beneficial to take against his will unless he is
subsequently detained on a section 3. However, there
was a delay in the assessment so he was started on
Risperidone 2mg ON which he refused to take.
He had a MHAA for a Section 3 on 14/11/18; it was
felt that there was no evidence of Simon posing a risk
of harm/safety to himself or others and there was no