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Progress Notes                                                                        Page 26 of 53



              Dorset Ward
              Admission meeting

              CORDELL, Simon P (Mr)
              Present: Dr Greensides (consultant), Dr Elia (ST6) Dr Bruce (FY2) MHA: Section 2




              Interview with Patient
              Simon confirms his problems began in 2013. He moved into his premises in 2013 - there was evidence of CO poisoning
              in the flat and all the boiler systems and alarms had to be replaced.

              Simon has been held on curfew for a long time for organising a party and ?wrongly accused of damaging the premises.
              Also was accused of burglary and handling of stolen goods - he was found innocent on both accounts.
              Simon reports having had a “relationship” with his current partner Katy for the last ?20 years. She has a son from a
              previous relationship.

              The problems with the neighbours have been going on for 4 years now. Simon is concerned about his neighbours, in
              particular to how their behaviour might affect their child. 6 flats in total in his council building - the neighbours that
              are problematic are 2 floors above Simons. These particular neighbours bang on the water pipes, stamps on the floor
              (this echoes through the flat between) - this happens first thing in the morning and goes on through the day.

              Simon believes his neighbours sit in their flat eavesdropping on Simon’s whereabouts. When he enters the bathroom
              they enter their bathroom and flush the toilet a lot. Simon has Video and Audio recordings throughout his flat in order
              to prove his innocence. There is a husband and wife living there as well as a new born baby. Simon reports he can here
              this family talking but he cant make out what they are saying - he denies them saying anything negative about him
              “they’ve never spoke to me”.
              Simon has personal information about his neighbour which he feels is proof of ?tax evasion - he reports the family own
              50 houses in the UK. The neighbour has changed their surname in order to accommodate some scheme to avoid ? tax
              - Simon reports he has “100% evidence” that this is true and feels it is relevant to him because of how they are treating
              him. Simon believes what the neighbours are doing is a hate crime.
              Simon denies ever having felt like the TV was talking to him or that the council was advertising his information. Simon
              does feel his personal information is being advertised somehow - friends have approached him and have information
              about him he believes can only have come from secure computer systems.

              Simon is not concerned about his tenancy at the moment - he states he has recordings that prove his innocence. Simon
              is aware the council has told him to stay away from his neighbours - since this time he states he hasn’t approached his
              neighbours. He wants to publish a book about what has been going on. Simon does not appear to accept that he has
              become fixated on this issue.
              Simon does not think his problems with his neighbours are in any way due to him having a mental health problem.
              Simon wouldn’t like to take medication as he doesn’t feel he needs it and is concerned medication may impact his
              ability work. He is particularly concerned that the medication will “dope him out”.
              Simon states he has a good family support network. He is happy to see the ward psychologist.

              Simon has bee informed that a referral to a forensic psychiatrist who may want to visit him on the ward.



              Impression:
              Presenting with persecutory delusions. Limited insight. Not currently deemed to be a risk to himself or others. Could
              be at risk of losing accommodation if continues untreated.


              Plan:
              1.  For Section 17 leave

              2.  No medication at present
              3.  Refer to ward Psychologist - Dr Patkas




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