MHO STUDY FORUM

4th October 2012

Why would anyone want to be a Mental Health Officer?

The challenges that keep us going!

Day 1

Out Patient appointment – allow to try voluntary treatment despite history – named

person feeling they can cope

Out Patient notes make clear that if any further concerns should be detained

Day 1

Restricted information relating to police involvement / child protection information

from another local authority

Day 20

Concerns reported by Children and Families Team

GP advising client to go to hospital

A+E informed patient that they could be brought back by police

Police returning client to hospital with police escort

Day 20

Duty doctor following information on TRAK to detain

Visit to named person by DASAT (Domestic Abuse and Sexual Assault team, Police)

Day 21

Phone Call from police (Public Protection Unit / DASAT) and Team Manager Mental Health

Phone call from RMO to duty MHO for assessment under Section 44 MH(C+T)(S)A

Phone call to Named person to request their views re possible detention under Section 44

Day 25

Appropriateness of named person

Information provided by named person confirmed significant risk to others

Day 26

Phone call from police – no locus for further involvement

Day 32Meeting with client including questioning him

regarding information obtained from named person

Day 40

Mental Health Tribunal Hearing under Section 50 (Patient’s right to apply for revocation of short-term

detention certificate )

Application not upheld

Day 42

Threats of harm made by client to female nursing staff

Day 43 CTO application completed including

information from named person

Day 52

Named person has legal representation – named person saying they had not requested

this

Preparation for tribunal

Day 53

Mental Health Tribunal – request by named person’s lawyer for interim order – named person present

Interim CTO hospital based granted

Information re past history from client’s lawyer

Day 54

Discussion with RMO and AWI and MHO manager re application under rule 68 (Excluding persons from hearings in

exceptional circumstances)

Day 57

Named person reporting client no longer making statements that would support risk to named

person

Day 62Discussion with named person’s lawyer – not

willing to continue acting if change of instruction

Day 76

Mental Health Tribunal hospital based CTO granted

Major faux pas – not checking source of evidence – not in nursing notes

Day 112

Named person reporting unhappiness at any discussion of client’s past behaviour

Day 127Named person reporting that she would inform

staff that client’s passes home were going well even if they were not

Day 144

Client discovered to have been going home without agreement of RMO

Named person not reporting this to ward staff