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Barnet, Enfield and Haringey

                                                                               Mental Health NHS Trust






         After-Care

         Potentially Mr  Cordell care/treatment would be delivered via the Care Programme
         Approach. I am the allocated Care Coordinator and he will have a responsible clinician in
         the community.

         My role would be first of all to build a relationship with Mr Cordell as I have only met him on
         2 occasions. I will try to motivate him to engage with myself and the multidisciplinary team.
         As his Care Coordinator I will review Mr Cordell regularly independently and with the
         Community RC.

         We have a Team Clinical Psychologist and it would be vital for Mr Cordell to have some
         form of talking therapy. This is on the basis of the stress and anxiety that his mother states
         he suffers from.

         We have  a  Dual Diagnosis  Worker in the team who could  offer drug counselling if
         necessary.

         We  have an organisation called ‘Remploy’  which is funded  by the Local Authority.
         Potentially they could  support Mr Cordell to  find work. They meet  regularly  with clients
         whilst they are in work and also liaise with employers.


         I could support Mr Cordell in making an application for PIP. Alternatively he could get that
         support from ‘Enfield Well-Being Connect’

         The Mental Health Enablement Team could provide support in tenancy management as
         well as support to access education/training and work.

         Opinion and recommendations

         I have met Mr Cordell on two occasions only and I have not had the opportunity to assess
         him in the community. A rapport needs to be established with him.
         On the basis of recent events, history of risks to self and alleged risks towards others, and
         taking into account the views of the MDT on the ward I think that he would benefit from a
         longer stay in hospital.  This is in-order  for the MDT to assess  him comprehensively to
         determine if he has a severe and enduring mental illness such as schizophrenia/psychosis.
         If it is determined that he has a severe mental illness then this should be treated accordingly
         whilst he is in hospital.

         Signed: Soobah Appadoo, CPN

         Dated: 07/11/2018









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