Page 980 - 10. 2nd half 2018 New 26-05-21 No Table

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 obvious risk of neglect. As a
result, he was not sectioned.
It was decided that as a result of this, there was
no reason for Simon to remain on an acute
psychiatric ward as we are unable to treat him.
He was discharged as a result, with Dr
Greensides emailing his CC about arranging an
O/P consultant review and emailed the forensic
consultant regarding an O/P forensic opinion.