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Referral received from HCRHT to followed up by ECRHT 27/08/16.
Assessment carried out by HCRHT. Simon presented as courteous and polite on
approach. Explained to HCRHTT staff that he had been detained illegally and
was placed in hospital without reason. Denied making threats to neighbours,
denied any mental health problems. Explained that he had been put on
medication and has remained concordant whilst on the ward despite not wanting
to have medication, as he feels "I do not suffer with any mental health problems"

Circumstances leading to admission to Haringey Ward: Arrested at his home
address after his mother raised concerns about his mental state - he was allegedly verbally
threatening towards his neighbour and possibly neighbour's children. Simon's mother called
police who arrested him. He was seen by the Referral FME at Wood Green police station,
referred for MHA.
Summary History of Paranoid thoughts regarding neighbour watching/listening to him.
First HV by ECRHTT 28/08/16.
Simon was adamant that the Tribunal (26/09/16) had discharged him from
Section and is not willing to take medication anymore. Appeared slightly elated in
mood, pressured speech.

M/R by Dr Akande 07/09/16.
Patient complained that the olanzapine was making him feel very tired. He
appeared mentally stable in spite of his talkativeness which the Dr stated he later
understood to be his normal self. Simon stated that professionals have
misunderstood it as a symptom of a mental illness.

ECRHTT TPM 16/09/16.
Patient no-longer considered to be in acute crisis. _____

History of non-compliance with medication.

Risk to self: low
Specific Risk / Risk to others: low
Safeguarding Risk from others: low
concerns and Disengagement: highly likely to disengage
specific Substance misuse: denied using drugs, cigarettes or alcohol
management
plans FORENSIC Hx: frequent contact with police from a young age. Simon reported
that he has been to prison in the past. Subject to an ASBO due to playing loud
music.

Early Relapse Aggression towards neighbour/neighbour’s children. Increased paranoia
Indicators / regarding neighbour.
Management
Plan EIP to monitor mood/mental state.

CONTACT TELEPHONE NUMBERS:
To access our services in hours (9am-5pm) please contact the Care Coordinator within the
relevant team.

For out of hours emergency response please call the Crisis Resolution and Home Treatment
Teams (CRHTT):

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