This is the kind of Assertive Outreach that could have prevented Calocane (and the next one). Well-staffed and well-trained teams of community nurses and HCAs who are legally empowered (more on this later) to insist, impolitely and forcibly when necessary, that every patient who disengages, DNAs appointments, refuses their tablets and/or depots and refuses community engagement blah blah (*a) will from now on –
1) Take their tablets ‘right now, in front of me’,
2) ‘Get in the car now. You will attend your consultant’s appointment’
3) Hear these words, ‘You can have your depot now at your GPs clinic or we’ll take you in, waste the rest of your day and it will be Nurse Ratched (other bogeyman nurses are available) who gives it. (*b)
*a) I could bang on about all the additional problems these patients cause as they deteriorate – dangerous driving, (*c) drugs and alcohol, attracting dealers (and all the filth those parasites bring), making their neighbours’ lives a misery, rats, violence, crime, drug and drink fuelled late night parties, revolving door of arrest – mental health get-out-of-jail-free-card – release – misery – arrest – ad nauseum.
*b) For any persons of a liberal disposition reading this (I recommend you stop now) who’s tempted to channel their inner Toynbee to spout ‘what-about-isms’ about imaginary co-operative patients receiving such rough treatment (which would be unjustified if they were real people) try hard to imagine Calocane instead. Now picture his victims. No, I didn’t think you’d be able. Goodbye. Sleep safely in your bed.
*c) I keyworked a patient who was arrested after a lot of dangerous driving (miraculously no-one, including himself was hurt) whereupon police found him not to be the full shilling and he came to our secure ward. You see, he didn’t need to stop and check if a car was coming at T – junctions because he had X-ray vision and could see through the buildings to either side. He also had – I’m having to translate this for readers because hallucinations, altered perceptual states and delusions about superhuman powers don’t fit neatly into the precise world of words and descriptions we use – a kind of time machine in his head that allowed him to skip forward and check if a car was coming.
Leave a Reply