Case Study

Meet Ms B...

Ms B has a diagnosis of paranoid schizophrenia. She requires anti-psychotic medication to manage her condition. Years ago, she was detained under an emergency detention with no previous psychiatric history. She was then detained under a short term detention certificate, then a hospital-based compulsory treatment order.

Ms B was supported by advocacy and was represented by a solicitor at every one of the tribunal hearings. Over the years she has made significant progress and manages in the community under a community based compulsory treatment order (CCTO). She takes antipsychotic tablets daily. There are two measures attached to her CCTO – 1) that she reside at her home address & 2) that she attend her local health centre once a month to receive her medication and to discuss her health with her Community Psychiatric Nurse (CPN).

Her CPN hasn’t seen her in two months now. She has tried to phone her and visit her with no luck. Ms B’s Responsible Medical Officer (RMO) receives a call from Ms B’s solicitor. Ms B has turned up at her solicitor’s office and is in a very distressed state. Her solicitor has managed to convince Ms B to take control of the situation and resolve her non compliance with her CCTO by agreeing to visit the hospital. The solicitor explained to Ms B that if this did not happen, she could be taken into custody and conveyed to hospital.

Opportunity for Reflection

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