An independent investigation into the care and ... - Hundred Families

Knives
6.17 Mr Z threatened his neighbour with a knife in October 1997. This was reported to
the duty CPN at Manor Gate in December 1997.
6.18 Mr Z threatened neighbours, in December 2007, with a large kitchen knife and was
arrested and fined. Police contacted Manor Gate CMHT to ask for an appropriate adult.
The information was sent through to the youth offending team for action.
6.19 Consultant psychiatrist 1 completed a CPA meeting and wrote to GP 1 on 8 April
2008 to say that Mr Z had told him he had been in trouble with the police in January 2008
for possessing a kitchen knife.
6.20 Mr Z was arrested after brandishing a knife in front of his neighbour in April 2009.
He had become angry with him after the two bumped into each other. Police arrested Mr
Z and he was released without charge. He later made up with his neighbour.
6.21 Locum staff-grade psychiatrist 2 saw Mr Z in his outpatient clinic on 4 September
2009. Mr Z told locum staff-grade psychiatrist 2 of his involvement in two fights earlier in
the year.
Mr Z’s ambivalence about taking medication
6.22 Mr Z was treated with depot injections and latterly with haloperidol tablets.
Regular and recurrent relapses followed a period of non-compliance with medication
throughout his contact with mental health services. The first time was in 1994 and
incidents followed every year until 1997. Mr Z was not seen by mental health services
from 2000 until a relapse in 2004, which also followed a period when he had not been
taking his medication. Mr Z’s mother said he was not taking his medication in the months
leading up to the homicide in 2010. We return to this in section 7.
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