Lousia Ovington independent investigation report ... - NHS North East

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LIST OF ABBREVIATIONS 160 List of abbreviations AOT: Assertive Outreach Team CAS: Community Addictions Service CMHT: Community Mental Health Team CO: Community Order (Probation) CPA: Care Programme Approach CPN: Community Psychiatric Nurse CPS: Crown Prosecution Service CRO Community Rehabilitation order CRT: Crisis Resolution Team/Service CT: Computerised tomography DBT: Dialectical Behaviour Therapy EEG: Electro-encephalogram ESMI: Easington Substance Misuse Initiative MAPPA: Multi-Agency Public Protection Arrangements MAPVA: Multi Agency Protection of Vulnerable Adults MARAC: Multi Agency Risk Assessment Conference MDT: Multidisciplinary Team Meeting MHA: Mental Health Act NECA: North East Council for Addictions OASys: Offender Assessment System (Probation) OT: Occupational Therapy PAI: Personality Assessment Inventory PICU: Psychiatric Intensive Care Unit PSR: Pre- sentence Report (Probation) PTT: Psychological Therapies Team RMO: Responsible Medical Officer SHA: Strategic Health Authority SSIDs: Social Service Information Database TEWV: Tees Esk and Wear Valleys NHS Foundation Trust
Bibliography 1. Effective Care Coordination in Mental Health Services –Modernising the Care Programme Approach NHS Executive policy booklet October 1999 2. Care Programme Approach Department of Health 1990 (HC)90 23/LASSL(90)(11) 3. National Service Framework for Mental Health - Modern Standards and Service Models Department of Health 1999 4. Mental Health Act 1983 5. Mental Health Act Code of Practice Department of Health 1999 6. Clinical and multidisciplinary records provided by several mental health services in England and Scotland during the period 1995 -2006 7. Mental health records provided by Partnerships in Care 8. Social Services records 9. Probation records 10. Police records 11. Court records BIBLIOGRAPHY 12. Report of the Trust Independent Review panel into the Care and Treatment of 2006/140 – Tees, Esk and Wear Valleys NHS Trust February 2008 13. National Service Framework Mental Health Policy Implementation Guide – Department of Health 2001 14. Multi Agency Public Protection Arrangements for Vulnerable People – Association for Directors of Social Services 1997 15. Building Bridges (LASSL995)56 Arrangements for Inter Agency Working for the Care and Protection of Severely Mentally Ill people 16. Still Building Bridges CI(99)3 The Report of the National Inspection Arrangements for the Integration of the Care Programme Approach and Care Management – Department of Health 1999 17. Multi Agency Public protection Arrangements (MAPPA) – National Probation Service 2001 161
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REPORT TO THE NORTH EAST STRATEGIC
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Contents CONTENTS Page Preamble 6 I
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Introduction and terms of reference
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The panel met on 14 occasions, tota
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CHAPTER 1 - NARRATIVE OF KEY DATES
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This opinion was referred to by man
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20 May 1998 to 12 January 1999 CHAP
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60. As was common in 1998, there we
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women. Registrar 1 prepared a very
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77. One of the major components of
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visit to see him. A little later, o
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93. The final report from the psych
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surprised and told the panel that h
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• Consultant 9,in his evidence to
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129. Although Louisa Ovington conti
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there was “some latitude” in th
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61 14th offence 62 15th offence 63
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176. Social Service staff did respo
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78 21st offence 204. However Louisa
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hours. They did not have access to
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210. CPN 2 also completed a risk as
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Chapter 2 - Evaluation of the healt
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CHAPTER 2 - EVALUATION OF THE HEALT
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During Louisa Ovington’s first ad
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Kneesworth House Louisa Ovington co
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The conclusion drawn by the psychol
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On 10 July 2001 Louisa Ovington att
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take part in several sessions of a
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COMMENT CHAPTER 2 - EVALUATION OF T
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CHAPTER 2 - EVALUATION OF THE HEALT
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CHAPTER 3 - OUTLINE OF MENTAL ILLNE
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CHAPTER 3 - OUTLINE OF MENTAL ILLNE
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CHAPTER 4 - THE CARE PROGRAMME APPR
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The essence of CPA is to ensure car
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Chapter 5 - Involvement with police
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89 ibid The guidance states that th
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DS1 told the panel bluntly that, in
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and social care agencies. The panel
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CRO with a condition of psychiatric
Page 109 and 110: COMMENT The probation officer estab
Page 111 and 112: CHAPTER 5 - INVOLVEMENT WITH POLICE
Page 113 and 114: COMMENT CHAPTER 5 - INVOLVEMENT WIT
Page 115 and 116: CHAPTER 6 - RISK ASSESSMENT AND MAN
Page 117 and 118: CHAPTER 6 - RISK ASSESSMENT AND MAN
Page 119 and 120: • South West Durham Mental Health
Page 121 and 122: CHAPTER 7 - PROVISION OF MENTAL HEA
Page 123 and 124: The policy changes were driven by t
Page 125 and 126: • Past psychiatric history; • S
Page 127 and 128: CHAPTER 8 - USE OF THE MENTAL HEALT
Page 133 and 134: Given the multiplicity of agencies
Page 135 and 136: CHAPTER 9 - CONCLUSIONS AND RECOMME
Page 139 and 140: Some of the risk assessments from a
Page 143 and 144: • Recommendation 16. Trusts shoul
Page 145 and 146: f) Use of “talking therapies” C
Page 147 and 148: professional who had seen her withi
Page 149 and 150: i) Joint working CHAPTER 9 - CONCLU
Page 151 and 152: their procedures for formal contact
Page 155 and 156: LIST OF RECOMMENDATIONS • Recomme
Page 157 and 158: LIST OF RECOMMENDATIONS • Recomme
Page 159: LIST OF RECOMMENDATIONS • The pol
Page 164: INTRODUCTION 28 North East Strategi
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