Mental health homicide review reveals inadequate risk management and poor communication between professional agencies are ‘common themes’

An independent review of 26 mental health homicides committed in London between January 2002 and December 2006 is recommending further independent investigations into all 26 cases to ensure that lessons for improving the capital’s mental health services are learned. The review also identified common themes, including, in order of prevalencde among the 26 cases: inadequate risk assessment and management; poor communication between professional agencies; inadequate application of care programme approach (CPA); insufficient response to the patient’s non-engagement; lack of or inappropriate use of mental health act; failing to listen to carers; and non-conpliance with medication.

The report makes recommendations in relation to the 26 cases and provides a useful toolkit for for carrying out independent reviews of mental health homicide cases.

The full report, including the toolkit, produced by Veritas and Capstick can be downloaded at:

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