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Barnet, Enfield and Haringey
Mental Health NHS Trust

will kill her and her children " You fucking bitch, I have a bomb for you, I will get in your block, kill you and your
children At that point, EIS stated that he has gone beyond EIS three year treatment period and therefore they
referred his case to Enfield North Locality Team in June 2018. During the period of next few months (from
June 2018 until October 2018 - they were reported numerous account of harassment and assaults to his
council on his neighbour) Mr Cordell has continued to harass his neighbours and has refused to engage with
mental health services. Few neighbours already moved out from their flats due to Mr Cordell’s aggressive
behaviour and Enfield Council decided to seek possession of Mr Cordell’s flat via the courts. In a recent court
case the judge recommended that Enfield Council re-house Mr Cordell on the proviso that he engages with
the MH Team. However he failed to do that.
In October 2018, Mr Cordell was physically aggressive towards another service user who lives in the same
building as him. Mr Cordell took him by the throat and left him feeling unable to walk around on the floor or
even flush his toilet chain for fear of sparking another altercation (with no basis) about excessive noise.

This triggered a safeguarding process and Enfield Adult North Locality Team decided to organise MHA
assessment as Mr Cordell refused to engage with them.

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Consequently, he was referred for MHA assessment on the 17 of October 2018. Enfield Adult North Locality
Team agreed that he is at risk to others and his behaviour could also put him at risk from others. Application
for 135(1) was made however a judge found insufficient evidence presented for a warrant. He was referred to
a forensic sector following this event.

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On the 25 of October he was arrested as the police were called to his flat regarding him breaking a
harassment order and that day he allegedly assaulted the police who attended by spitting. Consequently, he
was taken to Wood Green police station. He was found to be thought disordered with grandiose and
persecutory delusions, hypomanic with flight of ideas and pressured speech. Therefore MHA assessment
was organised. He was detained under section 2 of MHA and admitted to Dorset ward, Chase Farm Hospital
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on the 25 of October 2018.
Mr Cordell explained that the police were conspiring with medics and the council to silence him as he had
uncovered police corruption. He also said his neighbours two floors above were controlling the neighbour
below them and caused them to stamp on the floor and disturb him. It was reported that he appeared to lack
insight into his presentation as he did not believe he was mentally unwell and was adamant to see a
psychiatrist for treatment.

Mental state examination on admission
Mr Cordell is 37 year old male, mixed origin, slim build. He was wearing casual and dirty clothes. He engaged
in conversation and made eye contact throughout. He was calm and polite during the interview, no aggression
was observed but did become mildly restless at points. The conversation was one sided with Mr Cordell keen
to talk. He presented with pressured speech and flight of ideas. Mood , subjectively he described as "fine, a bit
elated”, objectively he was elated. Thoughts: He presented thought disordered with tangential thinking,
grandiose and persecutory delusions. He was oriented to time, place and person. He presented with poor
insight - does not want any medications, he does not believe that has a mental health disorder.

Risk

To self - high

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