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Progress Notes Page 38 of 53

Dorset Ward Admission meeting
CORDELL, Simon P (Mr)
Present: Dr Choudhury (CT1) Dr Bruce (FY2)

MHA: Section 2

PC:
17 Oct - referred for MHA due to history of physical and verbal aggression towards his neighbours. EANLT MDT agreed
that he is a risk to others and his behaviour could also put him at risk from others. Simon refused to engage with MHA.
Application for 135(1) was made - Judge found insufficient evidence for 136. Forensic referral sent on 17/10
25 Oct - Simon was arrested as the police called to his flat re him breaking a harassment order and he assaulted the
police who attended. He was taken to Wood Green police station. Found to be him thought disordered, hypomanic with
flight of speech and grandiose delusions. Detained under MHA.

Past Psychiatric Hx:

• Disrupted childhood: CSE in paedophile ring, violent father, adolesence in care, under CAMHS
• Self reports (from Rio) to have tried to hang himself twice at the age of 16 when in a young offenders institution;
He was moved to a high security hospital and kept in seclusion on a number of occasions.
• Denies any contact with MHS between that point and 2014
• March 2014 - Adjustment reaction “anxiety and suicidal thoughts over the last nine months in the context of
having a pending court case” offered Sertraline 50mg OD
• November 2014 - Simon’s mother called the HTT. Paranoid psychosis - not deemed sectionable under MHA
• November 2015 - Simon’s mother called the BEH HUB. Simon not eating, not sleeping, paranoid, saying people are
talking about him or laughing at him, believes the government is advertising things about him, the TV is talking
about him and talking directly to him. Smoking cannabis. Not sectionable under MHA.
• February 2016 Warrant 135 (1) - not sufficient evidence of mental illness.
• August 2016 admitted under Section 2 of the MHA following custody at Wood Green station for threats to kill -
section 2 reversed on appeal. Discharged on Olanzapine 5mg and followed up by EIS. Reports non compliance on
discharge. Discharged from EIS Dec 2016 due to non engagement.
• Tenancy breach pre action letter 15/10/18 from Enfield council- antisocial behaviour since 2016, 48 accounts of
threatening and abusive behaviour
• July 2018 Psychiatric assessment by Dr Dinakaran “Mr Cordell is currently suffering from symptoms of
Schizoaffective Disorder and presents with florid psychotic symptoms”
Past Medical Hx: Crohn’s noted on Rio. Has not attended GP since 2015
Current Medications: nil on SCR, NKDA

Interview with Patient

Simon feels he is in hospital because the police have “falsified” a report that led to him being kept on a curfew for
years.
He proceeded to talk at length about circumstance that led him to be charged for handling of stolen goods and
suspicion of burglary in 2013. He believes the case was handled poorly and is sure the police were conspiring against
him. “The abuse of process by the civil service was unreasonable”.

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