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Progress Notes                                                                         Page 18 of 53



              Enfield AMHP service entry;
              Referral received from Dorset ward for a section 3 MHA assessment for Simon. Currently Simon is under section 2 of the
              MHA 1983/2007 which is due to expire on 23/11/18. He was detained on section 2 on 26/10/18.
              Dr Greensides reviewed/examined Simon today (05/11/18) and felt that Simon is unwell and needing to start on new
              treatment. Dr Greensides does not wish to do this prior to any section 3 as feels that it will not be beneficial to take
              medication against his will unless he is subsequently detained on a section 3 (see Greensides progress notes below)
              However, also, Simon has appealed his section - no confirmed date yet (see Rio entry by Dr BRUCE, Maria on 2 Nov
              2018)

              Furthermore; when I phoned Simon’s mother who I identified to be his Nearest Relative, in order to consult with her
              regarding carrying out a MHA assessment for section3, she argued that she has not been given sufficient time so that
              she could attend the assessment. She requested for notice or more time to enable her attends the assessment when it
              is set up.
              Plan:
              Explore above issues when considering setting up assessment
              N Relative , mother, Lorraine Cordell, mobile, 07807333545 and tel 02082457454 wants sufficient notice to attend the
              assessment

              Simon is appealing his section 2 detention. _______________________________________________________________
              Originator Details: 05 Nov 2018 14:39 Akindele Ogunniyi Nursing Originally Entered By
              Details: 05 Nov 2018 14:48 Akindele Ogunniyi Last Amended By Details: 05 Nov 2018 14:54
              Akindele Ogunniyi Validated By Details: (UNVALIDATED)
              Significant: No Added to Risk History: No
              Contains Third Party Info: No Conceal From Client: Not Concealed  MHA STATUS: On Section 2 of the

              MHA of 1983
              MENTAL STATE: - -- Appeared relatively calm on the ward , though still lack insight into his mental state . Seen
              interacting well with peers and staff . He used his section 17 leave and returned to the ward .
              NB - First medical recommendation for section 3 written up by Dr Greensides and AMHP office informed .
              SOCIAL INCLUSION: - He utilised his section 17 leave and seen interacting well with staff and fellow patients.

              MEDICATION:- He concordant with his prescribed medication
              PHYSICAL HEALTH: — Nil physical health concern .

              INVESTIGATION: - Nil carried out today .
              PERSONAL CARE 6 ACTIVITIES: — He maintained his personal hygiene .
              RISK AND OBSERVATION:- Remains on general observation .

              LEAVE STATUS — He utilised his unescorted section 17 leave . _______________________________________________
              Originator Details: 05 Nov 2018 14:27 Ioannis Patkas Psychology Originally Entered By
              Details: 05 Nov 2018 14:28 Ioannis Patkas Last Amended By Details: 05 Nov 2018 14:28 Ioannis
              Patkas Validated By Details: 05 Nov 2018 14:28 Ioannis Patkas Significant: No Added to Risk
              History: No
              Contains Third Party Info: No Conceal From Client: Not Concealed
              Simon refused to be assessed earlier today. He explained that his admission was not legitimate and he was advised by
              his solicitor not to engage with HCPs. ____________________________________________________________________
              Originator Details: 05 Nov 2018 12:39 Marilyn Cameron Therapy Originally Entered By Details:
              05 Nov 2018 12:41 Marilyn Cameron Last Amended By Details: 05 Nov 2018 13:12 Marilyn Cameron
              Validated By Details: 05 Nov 2018 13:12 Marilyn Cameron Significant: No Added to Risk History:
              No
              Contains Third Party Info: No Conceal From Client: Not Concealed













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