"It is my view that further exploration is needed with regards to impact of the acquired brain injury and the impact of this on his mental health and offending behaviours, in additon [sic] to the completion of the recommended inteventions [sic] as detailed in the psychological assessment report. In addition, until an appropriate support care package is put in place, I do not believe [the Applicant's] risks can be effectively managed in the community."
"...He also has a history of several head injuries. 6.2 Following a head injury in 2017 there is a Neurologist letter diagnosing him with post concussive syndrome, left hearing loss and tinnitus, anxiety and depression. The Neurologist's plan was for an MRI head and EEG. The EEG was reported as normal. No results of MRI found in records. 6.3 His most recent head injury was this year, 2023. No MRI following 2023 head injury. [The Applicant] reported poor memory and attention. He attributed this to the many head injuries that he has suffered. He reported that Tinnitus is ongoing. 6.4 He reported that he has been taking Pregabalin for pain for 12 years."
"At the time of writing, [the Applicant] has no active referrals to Psychology Services. An Independent Neuropsychological Report ([Dr F],12/11/2023 ) in [the Applicant's] current Parole dossier notes that he has experienced a number of head injuries, which may be impacting upon his functioning. However, the assessment further highlights that it was difficult to assess this due to the confounding effect of [the Applicant's] anxiety and depression. The report provides a recommendation that the impact of these head injuries is explored further through an MRI. Once [the Applicant's] health-related factors, including anxiety, depression and head injuries, are understood and addressed through Health services, consultation between Psychology Services and [the Applicant's] Prison Offender Manager could support with identifying a progression pathway for him ."
"Complex case manager, [S], is in the process of finding out who would now request and fund this MRI. The MRI is required to confirm whether [the Applicant] has an ABI. From this, sentence planning would progress. Until the completion of an MRI, Probation are unable to provide a sufficient risk management plan to manage [the Applicant's] risk and effectively support his individual needs. I would ask if the Parole Board are able to direct completion of an MRI."
"After careful consideration, the Panel Chair was of the view that an MRI scan is not required by the panel to support the risk assessment, but it is clearly required by the Probation Service to formulate a risk management plan. It is a matter for the Probation Service to provide a viable risk management plan so that the Parole Board can fairly consider whether [the Applicant's] risk can be effectively managed in the community . On this basis, the Panel Chair respectfully declines the request."
" [The Applicant] has not completed any offending behaviour work since his transfer to [Prison A]. This is largely due to there being ongoing discussions regarding an MRI being requested to assess for an acquired brain injury (ABI). This was following a recommendation from a neuropsychological assessment which took place in 2023; however, this has become stuck with queries around where the funding would come from and who would source this MRI. Until there is confirmation around whether [the Applicant] has suffered an ABI, it is not deemed suitable for him to undertake psychological work or offending behaviour programmes. I have made enquiries with the mental health team to ascertain whether an MRI would be funded due to the recommendation from the neuropsychological assessment, however, I have been informed that the GP does not find a clinical need for this and therefore it would not be funded at [Prison A]."
"At present, I do not feel that [the Applicant] can be safely managed in the community. It is vital that [the Applicant] has access to the most suitable support/treatment pathway for his needs, and currently this is not in place. I am in consultation with Enhanced Reconnect, Intensive Intervention Risk Management Service, Offender Personality Disorder Pathway Service and Adult Social Care to ensure the most effective care package and risk management plan is in place ahead of re-release . Whilst there are various pathways to take, professionals have indicated that [the Applicant] would benefit from undertaking an MRI scan to ascertain whether he has an acute brain injury. Once this is confirmed, agencies involved will be able to provide more accurate and tailored support for [the Applicant] and would also provide the Probation Service with the necessary information for a robust and effective risk management plan to be put in place. With regards to accommodation, [the Applicant] does not currently have accommodation to be released to. If released at this stage, he would be required to reside at an approved premises. However, as recommended in the neuropsychology report completed in 2023, an MRI is required to explore a possible ABI. Confirmation of an ABI would allow the necessary referrals to be completed based on what is appropriate for his needs, including accommodation. If an ABI is confirmed, [the Applicant] would be assessed for specific pathways such as residential treatment at [a complex mental health needs hospital] which would involve 1-1 psychologically informed interventions. [The Applicant] would be able to access this during his time in prison, as a transfer to their secure unit."
"Whilst there are various pathways to take, the neuropsychological report completed in 2023 recommended that [the Applicant] would benefit from undertaking an MRI scan to ascertain whether he has an acute brain injury (ABI). Once this is confirmed, agencies involved will be able to provide more accurate and tailored support for [the Applicant] and would also provide the Probation Service with the necessary information for a robust and effective risk management plan to be put in place. Until such things are in place, I feel [the Applicant] would not have the necessary tools or wrap around support to succeed in the community..." "...Completing intervention work with [the Applicant] will prove difficult under [sic] services have a full understanding of his needs and his ability to understand his licence. We are in agreement with the neuropsychologist report completed in 2023 which recommended an MRI scan to explore if [the Applicant] has an ABI. If an ABI is confirmed, the Probation Service are able to explore a specific pathway through guild lodge who would be able to look in to tailored 1-1 work with [the Applicant] and a throughcare package to support him in the community ..." " [The Applicant's] case has been discussed in a complex case panel over the past few years and there are ongoing discussion about whether [the Applicant] suffers from an acquired brain injury (ABI)..." "...From a probation perspective, an ABI would need confirming to ensure [the Applicant's] risk management plan is tailored to his risks and specific needs. Until then, Probation is unable to confirm the correct pathway for [the Applicant] or be certain that [the Applicant] is able to fully understand what is expected of him if subject to further period on licence."