« Previous | Contents | Next »
Listen
ANNEX E
GUIDANCE ON TYPE OF INFORMATION REQUIRED WHEN CONSIDERING ABSOLUTE DISCHARGE
1. Current formulation:
- Current understanding of situation by RMO;
- RMO's current diagnosis and the state or presence of mental disorder of any kind; and
- RMO's view of continuing risk to the patient themselves or the public.
2. Details of the patient's conduct under supervision:
- A full comprehensive Community Care Assessment from local authority services to support the viability, safety and effectiveness of the proposed absolute discharge.
- what is the multidisciplinary team's current understanding of the factors underpinning the index offence and previous dangerous behaviour;
- what change has taken place in respect of those factors ( i.e. to affect the perceived level of dangerousness);
- what is the outward evidence of change i.e. in relating to staff, patients and victim? Give specific examples;
- how has the patient responded to stressful situations?;
- has there been any physical violence or verbal aggression in the last year?;
- co-operation with psychiatrist, overall mental health and current medication;
- co-operation with social worker;
- employment status/prospects; and
- sexual attitudes and intimate relationships and their relevance.
3. An opinion from the RMO that the patient no longer presents a serious risk to the public.
4. Social situation:
- resourcefulness, motivation;
- personal and domestic hygiene;
- way of spending their time;
- employment status and prospects;
- physical fitness/exercise taken;
- interests and hobbies;
- family contacts/support; and
- social contacts.
5. Future Plans:
- how the patient's situation would change, if at all;
- what plans the patient has and how realistic these are;
- whether the patient would continue in contact with social work and psychiatric services informally;
- how contact might be expected to change;
- whether the same support services would be available to the patient if given absolute discharge; and
- what plans the services have in place in the event of relapse.
« Previous | Contents | Next »