“…[the mother] reports that [the father] had been drinking heavily for a number of days – ‘several beers’. He stopped about 5 days ago. She reports that whilst drinking he was getting delusions. She also states he becomes aggressive. She states that he has not slept for a few days and reports that he sees demons. She believes he has some sort of illness. Since stopping drinking five days ago, these symptoms seem to have carried on. He has gone into town and been seen talking to himself. [The mother] reports that this has happened about two or three times before …”
“[The father] is presenting as acutely unwell and seems to be in some distress. He seems unable to hold a meaningful conversation and seems rather guarded and suspicious of professionals. His family are very concerned about him, having supported him earlier at A & E. His wife [the mother] is supportive of his hospital admission. There are a number of concerns regarding the potential risks which [the father] may pose to others and himself. These include risks to children, which are currently being investigated by the Child Care Management Team.”
“…[the father] denies all incidents which have been documented on admission regarding his behaviour towards the children and his beliefs regarding the devil. As you are aware, he has previous history of alcohol abuse. At present, he is planning to stay abstinent, but it is difficult to predict his commitment and engagement in the future. If he starts to consume excessive amounts of alcohol, then this can increase deterioration of his mental health and the risk of aggression. There is a risk of development of mental disorder in the future, if he continues to consume alcohol. This can increase the risk to others, as according to notes there is a history that, prior to admission when he was unwell, he was pushing his wife and the children and he also believed that there was a devil in his children. The positive factor in his history is that when he became unwell on this occasion, his wife was able to take steps to maintain safety. She left the family home with the children a day before his admission. His family was able to approach services to get help and they brought him to A & E for assessment and treatment. His wife [the mother] stayed involved during his admission on the ward.”