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M ental I llnessC oncernsA ll | This an exemplart Inquiry Report, unusually headed by medical member. That may account for the thorough, critical and adverse examination of the lead diagnosis. But also there is an acute understanding of the importance of clinical and social history, and, particularly, the observations of the family. The first contact with the local mentalhealth service goes wrong from the start. Tute is apprehended after visiting and attacking his mother, in a different catchment area from the one he lives in. An Order is initiated by the police and he is taken to the local police station, which leads to a recognition of serious mental illness, the completion of a further Observation Order [ sec 2 Mental Health Act ] but then a ten hour interlude where he is advised by his residential catchment area that he be taken to his home catchment area A&E Department receiving area, to be seen again by a local doctor there. Before admission somewhere else. The Report can find no explanation for this and describes it as unacceptable behaviour. On a Unit which combines acute admission response with an intensive care offer for people too disturbed in other wards, is host to many viisting consultant psychiatrusts , has a large element of agency and locum nursing staff, Tute receives the diagnosis of drug induced psychosis by the consultant psychiatrist. The grounds for that seem to be the rapid response to medication, and the biddable and compliant beahviout of Tute thought to be too early for a medication activity. Comment to come
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