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Progress Notes
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Originator Details: 15 Nov 2018 05:00 Bibi Khodabux Nursing Originally Entered
By Details: 15 Nov 2018 05:05 Bibi Khodabux Last Amended By Details: 15 Nov 2018
05:05 Bibi Khodabux Validated By Details: 15 Nov 2018 05:05 Bibi Khodabux
Significant: No Added to Risk History: No
Contains Third Party Info: No Conceal From Client: Not Concealed
1:1 with Simon who looked calm and relaxed. He interacted well and said he was happy with the support of his family
and pleased with the outcome of the MHA assessment yesterday. He said he will remain on the ward at present but
refused to take his medication. Has slept well. ____________________________________________________________
Originator Details: 14 Nov 2018 16:33 Laurence Ryan Social Worker Originally Entered By
Details: 14 Nov 2018 16:36 Laurence Ryan Last Amended By Details: 15 Nov 2018 15:19 Laurence
Ryan Validated By Details: (UNVALIDATED)
Significant: No Added to Risk History: No
Contains Third Party Info: No Conceal From Client: Not Concealed ENFIELD AMHP SERVICE
MHAA

Simon was assessed for further detention under S 3 in the quiet room on Dorset Ward with Dr Rao S12, Maggie Garrod
AMHP, Larry Ryan Trainee AMHP, Lorraine Cordell, Mother, Jerome, Cousin.
Simon was polite and appropriate. At the outset it was noticed that Simon had a mobile phone in his hand and was
asked if he was recording the assessment. I informed him that he would require our consent prior to recording. He
claimed that he had a legal right to do this. I asked the other professionals present if they objected and they did not.
I reinforced with Simon that consent has to be given.
Simon talked at length about his experiences of being victimised by the police when asked about reason for arrest. He
reported injustices about forged statements, curfew being in place since 2014 which included any area apart from a
residential area. He admitted the police believed he had spat but denied doing this. There seemed no evidence of
thought disorder. There was some pressure of speech which appeared to be linked to his anxiety that he could be
detained under S3 and his need to give us as comprehensive version of his situation in the shortest possible time .
No ideas expressed of intention to self-harm ideas or of suicidality. Mother backed up all of his assertions about
neighbours making noise. Cousin Jerome claimed to have heard the noises in the flat which he reported stopped once
he considered the neighbours in flat above saw him leaving the property and he felt they stopped making noise from
then.
Denied having any mental health issues but agreed to remain in hospital as an informal patient and would consider
taking medication providing, he is seen by a second opinion doctor. It is reported that a referral has been made for a
Forensic Assessment by the Care Coordinator and this should be followed up.
Dr Rao did not make a recommendation for detainment under S3 as she did not feel the criteria was met as she was not
in a position to refute the evidence that Simon gave. No evidence of Simon presenting a risk of harm/safety to himself
or others, no obvious risk of neglect.
Conclusion
He does not accept that he has a mental illness but is willing to stay in hospital so that, in his own words, “Dr
Greensides can get to know me better”.

Simon will be willing to take medication if a doctor giving a second opinion can justify the need to him.
Simon was encouraged to cooperate with Dr Greenside and the community team when discharged.

Outcome
Simon is not detained under S3 but remains subject to the conditions of S2 until it's expiry unless Dr Greensides
completed a S23 form to discharge him from section 2.
Report to follow __________________________________________________________________________________________
Originator Details: 14 Nov 2018 10:19 Debajyoti Choudhury Medical Originally Entered By
Details: 14 Nov 2018 10:19 Debajyoti Choudhury Last Amended By Details: 14 Nov 2018 10:19
Debajyoti Choudhury Validated By Details: (UNVALIDATED)
Significant: No Added to Risk History: No
Contains Third Party Info: No Conceal From Client: Not Concealed

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https://rio.beh-mht.cse.thirdparty.nhs.uk/rio/Reports/RiOReports.asp 08/01/2019