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illness not believing they have a mental health problem and don't require treatment. Says
               she is happy to encourage her son to engage with services as far as possible.
               Originator: HAGUE; Angela 19Jun 2018, 14:33 [Nursing]
               Home visit today as arranged with Amal Pomphrey from EIS. Client previously under EIS
               from 2015 discharged in January this year, difficult to engage. History well known so not
               repeated.
               Simon was friendly and welcoming into his home. Put his pet dog outside in the garden,
               visible through patio doors. Dog appeared in good health though Simon reported that his
               dog is stressed about his neighbours the police and mental health services to the point it has
               chewed some of the fur off his front paws.
               Simon stood for some time keen to talk about the evidence he has gathered against the
               police, and local authority, has taped and logged everything on a website. Showed his
               website says not live as yet, all he has to do is click a button and it will show how he has
               been unfairly treated by the local authority and police. Website and all written video and
               audio recordings linked. Showed a couple of examples CCTV inside his flat, conversation
               with ASBO team and written documents. Also showed us paper files that the has maintained
               in large ring binders, containing copies of e-mails and all correspondence. Informed us that
               he tapes all conversations he has with health, local authority, and police staff. Has CCTV
               cameras placed internally and externally around his flat.
               Spoke of how his issues began many years ago trouble with the police over holding illegal
               parties. Reported that he is currently not going out feels afraid. No restrictions placed on
               him regarding going out other than not allowed in Industrial areas or 24-hour venues such
               as Mac Donalds or Tescos. Reported recently in court with regards to his neighbour,
               representing himself does not feel he needs a solicitor. Recommendation is that he has an
               assessment with a psychiatrist. However said he will not attend as the letter has not been
               properly dated and stamped and therefore believes he is not bound by it.
               Mental state:
               Simon was casually dressed, his hygiene appeared fair. He maintained good eye contact and
               rapport. His speech appeared slightly pressured difficult to interrupt but not irritable when
               interrupted.
               Grandiose ideas around his intelligence, says he is a millionaire property from wealthy
               relatives who have deceased, successful businesses, earning hundreds and thousands of
               pounds. Paranoid about his neighbours, believes they and others have spread information
               that he may have had herpes. Paranoid delusions believe his neighbours are deliberately
               following him from room to room banging on his ceiling. Believes they want to kill him.
               Though he did not express any thoughts of wanting to harm anyone. Believes he is being
               paid to look after vulnerable people in poor situations.
               1828,
               Appears to be a mood element to his condition pressured speech grandiose, tangential
               jumping from topic to topic. However reported that at times his mood can be depressed and
               upset by his neighbours. On one occasion he drank some liquid in an attempt to poison
               himself, found by mother and taken to A&E discharged. Denied having any current suicidal
               ideation or thought to harm himself.
               There was no evidence of any hallucinations. Personality appears to be intact.
               Simon appears to lack insight, asked if he believes he has a mental health condition denied
               this said he has never taken medication as he does not believe he has any mental health
               problem to require medication.
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