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Barnet, Enfield and Haringey

                                                                          Mental Health NHS Trust









          Opinion and recommendations




         1.   Mr Cordell suffers from a mental disorder, the symptoms of which at present are persecutory
              delusions, grandiose beliefs and attitude. In addition, he also presented thought disordered with
              circumstantial thinking. Probably he has been experiencing auditory hallucinations too. His
              condition is complicated by poor insight into his mental health illness and substance misuse.

         2.   This illness is currently of a nature and degree to warrant detention under section 2 of the mental
         health act.

         3.   Without this there are risks to his health, principally mental health which is likely to continue to
         deteriorate  without intervention. He is also at high risk from  being evicted from  his current
         accommodation  which could put  his mental and physical health at significant risk. His safety  is
         compromised by possible retaliation from others when he is behaving aggressively towards other
         people. As well as the safety of others as he was aggressive to his neighbours, council employees
         and police prior to admission.

         4.    This cannot be carried out in the community as he has limited insight and refuses intervention,
         tried for a number of years and failed.

           5. Should he be discharged then he will be referred to the HTT, but is not likely to engage.

           6. Tribunal need no special arrangements to accommodate Mr Cordell. ___________________









               Dr Maja Elia

               ST6 to Dr Jonathan Greensides

               Consultant Psychiatrist, Dorset ward





















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