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ANNEX D
GUIDANCE ON TYPE OF INFORMATION REQUIRED WHEN CONSIDERING CONDITIONAL DISCHARGE
1. A full risk assessment and management plan should be submitted and should include the following information:
- progress in hospital;
- an opinion of whether the mental disorder the patient suffers from is such that it is no longer necessary to continue to detain the patient in hospital in order to protect the public from serious harm;
- a copy of the minutes of the Care Programme Approach or pre-discharge multidisciplinary team meeting convened prior to conditional discharge. This should include details of who will be responsible for the patient's psychiatric and social work supervision in the community, including, if appropriate, details of Community Psychiatric Nurse ( CPN) involvement;
- frequency and nature of supervision;
- details of how the patient will occupy his/her time on conditional discharge;
- details of the patient's existing drug treatment and which symptoms, if any, of their mental illness remain;
- details of the patient's attitude and compliance with treatment and relationship with therapists;
- details of the patient's current attitude to the index offence, other dangerous behaviour and any previous victims;
- is the victim or victim's family living in the locality in which it is proposed to transfer the patient and if so what is known about the victim or victim's family;
- how has the patient responded to leave of absence out with the hospital? Has he been fully tested?;
- details of the support the patient obtains from his family/friends;
- whether alcohol or illicit drugs have affected the patient in the past and contributed to the offending behaviour. If so, what is the patient's current attitude to drugs and alcohol. What specific therapeutic approaches have there been towards substances abuse. Whether the patient will be subject to alcohol/drug testing;
- what issues, if any, still need to be addressed; and
- is it necessary to alert the Police to the patient's discharge and if not, why not?
- would you wish any additional conditions to be added to the warrant e.g. no alcohol, no unsupervised contact with children, regular drug testing, prohibited from visiting a certain area;
2. For patients with mental impairment, please include the following additional information:
- how has the patient benefited from treatment/training;
- is their behaviour more acceptable? Please give evidence;
- is the patient's behaviour explosive or impulsive? Please give evidence; and
- does the patient now learn from experience and take account of the consequences of their action? Please give evidence.
3. Where a nursing home is proposed as accommodation, the Care Commission must be consulted. (This will be done by SEHD following notification of the care home name and address.)
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