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Fitness to Plea for Bipolar Patiemts

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I am currently shadowing a junior doctor, and two weeks ago  we had a patient who attempted to commit sucide. 

The patient has been on risperidone for a year prescribed by the local GP and not once was she ever referred to CAMHS

Couple of weeks prior to her sucide attempt she was diagnosed with Type 2 Bipolar and was prescribed quetiapine starting with 100mg to 300mg. 

Last week, we received a letter from her solictor informing us that she will be attending court for a theft charge and a Fitness to plead assesment has been requested by the court.

However the  Junior doctor I am shadowing has never completed one before, and the consultants we have on our unit are Locums and they change every day.

Questions....

  • In relation to the depressive illness of the patient what do we look out for, while carrrying out the assesment.
  • How should the report be structured 
  • Do we charge for the services
  • What questions do we ask, and what will be satisfactory for the court and the patient.
  • Would the recent sucide attempt, and recently prescribed medication form our desicion that the defendent isnt fit to plead.

 

 

Your help will greatly be appreciated. 

 

 

 

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