Page 8 - Adult C Overview Report - FINAL

This document was classified as: OFFICIAL

based on several previously failed attempts. The worker identified that Adult C was open to

the community-based substance misuse service and contacted them to update and request
contact with Adult C. The inpatient liaison team signposted to DA services that Adult C was
already open to; Adult C did not indicate that she had already had intensive support from
these services.

5.6. The inpatient liaison team advised the ward staff of treatments that would be required if
Adult C remained on the ward and also to undertake a SADQ (severity of alcohol dependence
questionnaire). Adult C then discharged herself, therefore the SADQ was not completed. A

discharge letter was sent to the GP with advice regarding a prescription for magnesium as this
was low on review of the blood test. The pharmacy did not receive a prescription of
magnesium.

5.7. Three days later, Adult C collapsed in the street reportedly having had a seizure and was
conveyed to Accident and Emergency by ambulance. Adult C was treated for an opiate
overdose although Adult C stated that it was an alcohol related seizure. She was admitted to
a ward and persuaded to stay. Adult C was given drugs to combat alcohol withdrawal.

5.8. As per the previous admission, Adult C was assessed by psychiatric liaison team with the
same outcome and actions. Adult C was also again seen by the liaison substance misuse

services. This resulted in a three-way meeting following discharge, where barriers to engaging
were discussed. It is of note that Adult C stated that engagement was difficult due to the level
of alcohol that she was drinking and the impact that had on her memory. It was agreed that
workers would text reminders of appointments. Domestic abuse was also discussed, Adult C
stated that she was still with her partner who was in prison at this point (he had been
remanded in custody for the assault on her). It was also later agreed to move Adult C’s
appointments to a different centre to make attendance easier. Despite this, Adult C then
failed to attend a number of appointments over the next few weeks before finally attending

at the end of month one. Adult C attended with Adult 1. (Adult 1 had been sentenced to a
supervision by the Community Rehabilitation Company).

5.9. During this period, police received a call made by Adult C’s ex father in law stating that Adult
C had assaulted him. This was not progressed as the ex-father in law was not available at a
pre-arranged appointment with police. Three further calls were made on one day midway
through month two. Two were made by Adult 1 and one apparently by Adult C who later
could not remember making the call. The calls appeared to be as a result of both being
intoxicated and arguing. No offences were disclosed, and so no action was taken.

5.10. Adult C requested housing support from DA2 with referrals being made to a housing charity
commissioned to support people to access affordable housing in the private rented sector.

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