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NEUROPSYCHIATRY  December 2006

NEUROPSYCHIATRY December 2006

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Subject:

Advice Request from Alan Carson

From:

Alex Mitchell <[log in to unmask]>

Reply-To:

[log in to unmask]

Date:

Tue, 12 Dec 2006 17:10:33 -0000

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (35 lines)

Dear Colleague

I would be very grateful for any advice available on facilities
offering long term care for patient with brain injury who represent a
significant forensic risk. The man in question has been in high security
care in the State Hospital, Scotland for the last 9 years. He is severly
impaired cognitively between 1-5th centiles on most tests. he is
periodically violent but this is usually well contained by nursing
staff. he id however considered to require a 3 nurse escort both inside
and outside the grounds of the state hospital. He is sexually
assaultative and an opportunistic thief. He absconded on 2 or 3
occasions from low secure settings. He has had a very comprehensive
treatment (4 years) prior to transfer to the state hospital in a
neurobehavioural unit with no effect. the reason for transfer to the
state hospital was a potentially homicidal attack on a member of nursing
staff.

Any suggestions would be most welcome- or indeed confirmation that you
are unaware of anywhere. We (Lothian health Board) have to give evidence
that we have either found a less secure placement or that there is no
such place to the court within 3 months.

many thanks for any help

alan carson

Dr Alan J Carson MBChB MPhil MD MRCPsych
Consultant Neuropsychiatrist and Part-time Senior Lecturer
Robert Fergusson Unit and Department of Clinical Neurosciences
Royal Edinburgh Hospital
Morningside Terrace 
Edinburgh
EH10 5HF
tel: 0131 537 6896
fax: 0131 537 6857

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