Recommendation · source text
For all mental health service clients with a forensic history, full facts should be obtained so that an accurate and enduring clarification of significant risk can be established.
Source · Investigations in the NHS
Independent investigation: Judith Kimber, Portsmouth (2004)
South East
Incident 21 Sep 2004
Subject Judith Kimber
Index summary
Paranoid Schizophrenic with history of violence fatally smothers mother
Recommendations
Recommendation · source text
For all those clients with a forensic history of violence, a record of such risk and any contributory factors should be maintained. This record should be kept with the patient’s documents and be readily available for all those accountable for the client’s treatment and management.
Recommendation · source text
A formal recording of the team decision to de-allocate a Care Co-ordinator for all individuals should be made in the team meeting minutes and the CPA documentation completed.
Recommendation · source text
On de-allocation of a Care Co-ordinator, a formal record should be made in the CPA documentation of contingency arrangements and significant risk.
Recommendation · source text
Issues of significant and potential risk at times of illness or relapse should be recorded as a caution in the ACMS/SWIFT computer records.
Recommendation · source text
The PCT must ensure that there is regular and appropriate risk training for all mental health professionals involved in the assessment or treatment of clients.
Acceptance status
No Response Published
6
Total recommendations
6