Ask a Psychiatrist and Get Answers to Mental Health Questions ASAP
Local Resolution Meeting
Following my letter of 27 June, which I note was not adequately addressed; I write to request a local resolution meeting with Dr Sherrin as per Dr Curran's letter of 13 July to discuss my outstanding concerns which are outlined below.
The aim of this meeting is to get oral reasons to the above questions as I do not believe my outstanding concern regarding Dr Barnett’s diagnosis has been adequately addressed.
I believe the hospital/psychiatrist must provide both oral and written reasons at the time of the decision of mental health assessments. I do not believe Dr Barnett provided any reasons for his diagnosis both at the assessment and in his report dated 21 April 2010. [Please note, I realised after sending this letter that my police complaint could be used as a reason for the diagnosis; although I was coerced into talking about it and I believe the Trust were aware of what was going on. And, I am not sure if my complaint is adequate to diagnose me with paranoid schizophrenia.]
I am also requesting the reasons for Dr Barnett’s diagnosis in writing post meeting date.
I understand that the Trust may need to contact me prior to the meeting and confirm I have no objections to this. My contact number is XXXXX(NNN) NNN-NNNN
I would like to make it clear that this meeting is not to discuss inaccurate or false statements written about me throughout the assessment. Dr Fisher has given me an opportunity to discuss this in his letter of 12 April, but I wish to address this at a later date.
I would appreciate it if a meeting could be arranged as soon as possible and to that end I look forward to hearing from you by close of business on 1 August 2011.
Local Resolution Meeting held 12 September 2011...
The Trust's response (date 11 October 2011) post meeting date is as follows;
This is just to remind you that we discussed queries regarding how Dr Barnett's team reached a diagnosis. We had a discussion about diagnostic criteria as set forth by the World Health Organisation (WHO) and that we used the operationalised criteria as in the latest edition of the International Classification of Disease Chapter 5 which is the chapter for mental health. I gave an overview about how we reached diagnoses and that there are usually symptoms and signs as reported by you that would fulfil the criteria for the diagnosis reached.
I gave you a print-out about the relevant chapter on the International Classification of Disease for you and you were quite happy about that. Since that time Dr Barnett was on special leave and the SHO in your case is no longer working for us, we could not have any of them in person at the meeting to explain in more detail how the diagnoses was reached by them at that time. You made me aware of your concerns that there was a diagnosis of a paranoid schizophrenia in the GP notes which, in your view, predated the meetings with Dr Price's team at our surgery. Since the GPs have their own filing system and are not part of our Trust, I can not comment on that. You would need to go into your GP practice to discuss it yourself or ask the Primary Care Trust for City & Hackney if they would want to start an investigation for that. Since you are also no longer a patient of our CMHT I would suggest going with any further queries to your GP practice.
I hope this is helpful.
Consultant Psychiatrist Associate Clinical Director
I would like to know;
1. Are the above letters justified?
2. My GP made an entry of paranoid psychosis and delusional disorder in my medical records on 21 April 2010; although I was not diagnosed until 25 August 2010. Is this right?