"When his mental state deteriorates it happens slowly and the signs are apparent to people around him, and I think that provided the hostel staff and supervisors were properly briefed a relapse would be detected at an early stage."
"1) [PH] continue to take and receive medication as prescribed. 2) [PH] accept and comply with regular supervision by a consultant psychiatrist and social supervisor. 3) [PH] reside at suitable specialist accommodation which provides 24 hour trained nursing care and daytime trained psychiatric nursing care and appropriate security. 4) [PH] shall not leave the accommodation without an escort."
"Once suitable accommodation has been identified, a detailed Care Plan is provided to the Tribunal and approved by them. The Care Plan is to deal with, inter alia, (a) security levels in the building and grounds; (b) the level of care and supervision on a 24 hour basis including monitoring of [P.H.]'s psychiatric state, in particular with regard to his attitude to women; (c) the provision of escorts outside the accommodation; (d) contingency plans in the event of a relapse."
"The unanimous evidence before the Tribunal was that [PH] no longer complied with the statutory requirements for detention in hospital. We accept that evidence. [PH] continues to suffer from chronic paranoid schizophrenia for which he receives necessary medication, with which he is compliant. He continues to express fixed delusional beliefs concerning women's responsibility for causing disasters and some other beliefs about crustaceans, nevertheless, he has not shown any aggressive behaviour for 7 years and that last incident was related to a mistaken absence of medication for which [PH] was not responsible [PH] has been in an institution for many years and the transfer to a new, less secure environment could prove stressful but the uncontroverted evidence from the RMO and [PH]'s independent psychiatrist, Dr. Somekh, was to the effect that if there were a relapse it would be apparent and detected rapidly by trained staff. We recognise the difficulty in finding appropriate specialist accommodation to meet [PH]'s needs and management of possible risks, including a relapse, which is why we consider it appropriate for him to be subject to recall."
"(1) Where application is made to a Mental Health Review Tribunal by or in respect of a patient who is liable to be detained under this Act, the tribunal may in any case direct that the patient be discharged, and (b) the tribunal shall direct the discharge of a patient liable to be detained otherwise than under section 2 above if they are satisfied (i) that he is not then suffering from mental illness, psychopathic disorder, severe mental impairment or mental impairment or from any of those forms of disorder of a nature or degree which makes it appropriate for him to be liable to be detained in a hospital for medical treatment; or (ii) that it is not necessary for the health or safety of a patient or for the protection of other persons that he should receive such treatment "
"(1) Where an application to a Mental Health Review Tribunal is made by a restricted patient who is subject to a restriction order, or where the case of such a patient is referred to such a tribunal, the tribunal shall direct the absolute discharge of the patient if satisfied (a) as to the matters mentioned in paragraph (b)(i) or (ii) above of section 72(1); and (b) that it is not appropriate for the patient to remain liable to be recalled to hospital for further treatment. (2) Where in the case of any such patient as is mentioned in subsection (1) above the Tribunal are satisfied as to the matters referred to in paragraph (a) of that subsection but not as to the matter referred to in paragraph (b) of that subsection the Tribunal shall direct the conditional discharge of the patient. (7) A Tribunal may defer a direction for the conditional discharge of a patient until such arrangements as appear to the Tribunal to be necessary for that purpose have been made to their satisfaction; and where by virtue of any such deferment no direction has been given on an application or reference before the time when the patient's case come before the Tribunal on a subsequent application or reference, the previous application or reference shall be treated as one on which no direction under this section can be given."
"Everyone has the right to liberty and security of the person.
"Everyone who is deprived of his liberty by arrest or detention should be entitled to take proceedings by which the lawfulness of his detention should be decided speedily by a court and his release ordered if his detention is not lawful."
"in view of his long incarceration, [P.H.] would require (initially at least) a significant amount of support in terms of his interaction with the public and with the outside world."
Showing the 50 most senior of 67.