Page 6 - Adult C Overview Report - FINAL
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              the service declined this referral.


       4.10.  Adult C was offered refuge accommodation on several occasions which was initially declined
              but then she did accept a period of five weeks in refuge two months prior to the scoping
              period of this review. This then enabled an acceptance by the intensive service of DA 2.

       4.11.  Adult 1 was again arrested for a further assault, but this did not proceed to trial as Adult C
              withdrew her allegation of assault.


       4.12.  This period also featured involvement from the substance misuse service who were
              attempting to work with Adult C to support her to reduce her drinking. Adult C had been
              admitted to hospital on previous occasions in order to participate in detoxification
              programmes. Adult C always returned to drinking.

       4.13.  This pre scoping period featured numerous contacts with police from Adult C and other
              persons known to her, with complaints of assaults and harassment, usually as a result of
              Adult C and on occasions others, engaged in heavy drinking. This was as well as numerous
              contacts related to violence within the relationship between Adult C and Adult 1.

       4.14.  The Local Authority Safeguarding Team received two referrals in the four months prior to the

              scoping period. Although Section 42 enquiries commenced on both occasions, there were
              delays in being able to speak to Adult C to ascertain her wishes and feelings. Ultimately Adult
              C stated that she did not want a safeguarding intervention and was deemed to have capacity
              to make this decision. It was recognised that Adult C already had the support of relevant
              services.

       4.15.  Mental Health Services also had contact from Adult C in this period requesting alcohol
              detoxification. As this was not a role for secondary mental health services, she was

              signposted elsewhere. There were several other contacts to Mental Health Services resulting
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              in information sharing with the police via the street triage team .

       4.16.  Adult C presented at Accident and Emergency department of the Acute Hospital on numerous
              occasions associated with self-harm and alleged physical assault injuries but more notably
              alcohol related illness and seizures.







             9  The street triage teams work alongside local police forces to reduce the number of inappropriate detentions made under Section 136 of the
             Mental Health Act (MHA) and to make sure that people who need mental health treatment receive it as quickly as possible. The street triage
             team of mental health nurses carry out an immediate assessment to determine whether the person should be held under Section 136 of the
             MHA and if not, whether any follow up is needed from mental health, social or substance misuse services.

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