Report of the Inquiry into the circumstances of the Death of Bernard ...

Case review
14.21 The first case review must be held within 24 hours of the plan being opened. It
must be chaired by the unit manager, who must appoint a case manager of minimum
grade Senior Officer or Nurse Grade F. Each case must be treated individually. Care
should be multi-disciplinary and reviews should involve people whom the person has
contact with and/or who can contribute particular insight to the discussion or who the
prisoner feels comfortable with. Examples given are chaplains, members of the prison’s
independent monitoring board, Samaritans, instructional officers and teachers (PSO
2700, Annex 8G and ACCT form).
14.22 The case review team must engage with the person as much as possible,
consider all available sources of information, identify the person’s most urgent problems
and the activities and people best able to provide support, and draw up a care and
management plan (PSO 2700, Annex 8G).
Care and Management Plan (CAREMAP)
14.23 The care planning process emphasises the importance of engaging the person at
risk and starting from that person’s perspective. The record of the plan prompts case
managers to consider:
Action to disable any suicide plan
Action to link the person to people who can provide support
Action to build on any strengths or interests the person may have
Action to encourage alternatives to self-injury
Action to reduce emotional pain caused by practical problems
Action to reduce vulnerability because of mental health problems
Action to reduce vulnerability because of drug/alcohol problems.
14.24 Plans contain a record of: Issues (problems, resources, risk), Goals, Action
required, By whom and when, and the Status of the action (for example, awaiting
appointment).
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