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M ental I llnessC oncernsA ll | 'R' was found to be mentally ill with schizophrenia, whilst being detained in prison. He was then moved on a transferring Order [ 28 days ] to the local Kent psychiatric services, which was not where his family connections were, and that stay became extended assuming an MHAct authority ( which did not exist ) for a further four months. The diagnosis confirmed and the response to neuro-leptic medication established, he was eventually placed in the local community, initially on his own, but this failing, then in supported accomodation, being maintained on a depot regime. He felt restless movements on this and it was changed to other oral medication, finally being treated with clozapine which requires regular blood monitoring for a dangerous side effect, and therefore got frequent contact with visting community care mental health nurses. He never really achieved independent living, usally deteriorating in personal and domestic maintenance after a while, and then failing to collect medication. At the end of one of these lapsing phases, he did not display obvious deterioration to point visiting, which was hoping to re-engage him. One day after a failed visit, he could not be approached until the following day, but the next day stabbed two people in the locality, one of them dying.
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