Articles for category: Investigative

Fires in Los Angeles compels review of tail risk

The tranquillity of a sunny afternoon can quickly transform into a scene of chaos when a wildfire erupts, engulfing homes and livelihoods in its path. Recent events, such as the devastating fires in Los Angeles, serve as stark reminders of the ever-present danger of tail risk. While cutting costs might seem prudent in the short ...

Documentation 2.0

The issue of documentation has been covered from different angles before in: Documentation (June 2023), The Documentation Dilemma (Aug 2024), High level documentation practices (Oct 2024) and Decision-making (Oct 2024). While the publisher and author(s) have used their best efforts in preparing information at this website, they make no representation or warranties with respect to ...

TheEditor

Intersection of Mental Health Act and Capacity Legislation

The case of Tees Esk and Wear Valleys NHS Trust v KAG [2024] EWCOP 38 (T3) and others offers a compelling illustration of the complexities that can arise at the intersection of mental health law and capacity law in the context of medical treatment decisions. This case involved the proposed insertion of a percutaneous endoscopic ...

Higher level documentation practices in forensic psychiatry

Previously covered were the generalities of ‘documentation‘ and the extraction of four key principles: clarity, context, clinical reasoning, and patient engagement. This article aims to get into the actual nuts and bolts of documentation. Good documentation is not for the sake of ‘showing good documentation’. Good documentation is inseparable from providing high quality care. NHS ...

The Barrett Inquiry

John Barrett, a 41-year-old man with a history of schizophrenia and violence, was conditionally discharged from a medium secure forensic psychiatric unit in October 2003 following his conviction for a knife attack in 2002. Despite concerns about his compliance with medication and his capacity to recognise signs of relapse, the clinical team supported his discharge, ...

TheEditor

Forensic psychiatry and other areas of medical practice

Comparing forensic psychiatry with other areas of medical practice may seem a strange thing to do. This article is stimulated by reflection upon the author’s appraisals by the following appraisers: breast surgeon, haematologist, psychiatrists, anaesthetist. The appraisals have all been of good quality. The author of this post has been trained as appraiser as well. ...

Treatment under the Mental Health Act

There are many mental health workers who attitudinally consider ‘treatment’ and related concepts to gravitate around medication. They are wrong. This article will explore the concept of treatment the Mental Health Act 1983 (as amended 2007) for England & Wales. The law and its application are inescapable when treating or caring for people with mental ...

TheEditor

Systems thinking and wicked problems

Systems thinking is a holistic approach to understanding and addressing complex problems by focusing on the interconnectedness and interdependencies of the various components within a system. It shifts the focus from isolated parts to the relationships and interactions between them, recognising that the behaviour of a system is often more than the sum of its ...