M I C A	PH presented with undefined worries and depression feelings but was eventually diagnosed firmly as suffering from schizophrenia He made many violent threats mostly against women. He responded to medication, but did not accept this need. In a Medium Secure Unit for a year he stayed settled on a depot medication regime. An oral medication had given a problem with weight increase. An appeal Tribunal led to his discharge. It was opposed by psychiatric report which pointed to the likelihood that medication would not be taken In fact he did not accept or comply with oral medication; his reasons for that not given here by the panel. He could pass for competent at point interviews, but there were enough evidence from flare ups that he did not remain well for long. The florid signs of illness were well recognised by his mother who reported him as ill many times. He kept in touch with a psychiatrist who concentrated on building trust in the hope of encouraging greater compliance. PH avoided long term Mental Health Act detention and MHA aftercare leave supervision. The psychiatric advice was that he should be prosecuted for his behaviour and threats, which would get him into control and supervision. The police seems to have seen his behaviour as mental illness and therefore he and his behaviour were a matter for the mental health service to use what provision there was in the Mental Health Act for care, control, treatment, and custody. PH met SS in hospital. She had admissions for eruptions of manic disturbance. Lithium was useful but sometimes omitted it for side-effects, or maybe these were too much, when together with other medication. It was often left out by her. She became pregnant by PH After one eruption she came before the Court which obtained four opinions that she could not be liable to a Section of the Mental Health Act. She was advised to stay with PH She caused a scene there, breaking a fish tank. That night PH killed her with a samurai sword that he had bought two weeks earlier. Go to Comment PH & SS back to Inquiry list back to Home Page