Lack of mental health risk assessment training and timely referrals

Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals. ?Every quote shown was checked by code to appear word for word in the original report.

• 2014 → 2024Helen Kerr9 years 10 months after William Hafele · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight failures in assessing mental health risk: the earlier cites lack of training for risk assessments, the later notes that clear information about declining mental health was not explored or weighted in triage.

  William Hafele · 24 Nov 2014

  “- In relation to the Police, specific training with regards to risk assessments for mental health patients was lacking”

  Check it in the source

  Helen Kerr · 18 Sept 2024

  “(1) Cogent information about Ms [name redacted] declining mental health was provided repeatedly to Surrey and Borders Partnership secondary mental health teams from the refuge support workers. It was not explored with them, and insufficient weight was given to”

  Check it in the source

  Stated action in the response to the earlier report

  “The Force's Missing Person Policy (MPP) is currently under review. The existing MPP, a policy jointly produced with NHS partners, is a comprehensive document setting out the way in which risk can be assessed and appropriate levels of responsibility: e the risk assessment process to identify whether people missing from mental health and medical care establishments should be categorised as being low, medium or high risk as identified by certain criteria; and e the responsibility for identified enq”

  Earlier report in the app · Later report in the app