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Connect Meeting 22.11.07

Connect Meeting 22.11.07. Dr Simon Belderbos Consultant Psychiatrist Edinburgh House. Patient has insight is safe and willing to be assessed. Assess mental state and risk If non urgent Duty following day If urgent 5-9 CATT (via Albany lodge)

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Connect Meeting 22.11.07

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  1. Connect Meeting 22.11.07 Dr Simon Belderbos Consultant Psychiatrist Edinburgh House

  2. Patient has insight is safe and willing to be assessed • Assess mental state and risk • If non urgent Duty following day • If urgent 5-9 CATT (via Albany lodge) • If urgent 9-9 Albany lodge • Assessed by StR and Night CATT

  3. Patient unwilling to be assessed • Risk MHA assessment • Place of safety ? Police • Albany lodge advice MHA assessment • Assessments arranged by Emergency Duty Team (EDT)

  4. EDT for Herts • Mon-Thurs 5.15pm-9am • Friday 4.30pm-9am Mon • Based in Hertford • 2 staff until midnight & 1 thereafter • Co-ordinate MHA Assessment • GP • Sec 12 Dr • ASW

  5. Emergency Oral Medication (What we do) Disturbed behaviour unresponsive to de-escalation Lorazepam 1-2mg &/or Olanzapine 10 mg No response repeat after 45 mins (max 4mg Lorazepam 20mg Olanzapine in 24 hours)

  6. Repeat out of Hours presentations • Close working with Sector CMHT • Allocation of Care Coordinator • Care Plan agreed with patient • May need CPA meetings and frequent regular reviews to establish stability

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