Cornwall news Man, 31, died in cliff fall after mental health and drug use battles UK news
PremierLeague-News.Com - Cornwall - Questions were asked about Daniel Cook's treatment from mental health services
PremierLeague-News.Com - Breaking Sport Transfer News ! A man who struggled with mental health problems and substance abuse died after falling from a cliff, an inquest has heard. The body of Daniel John Cook, aged 31, was found at the foot of Bosigran Cliff near Pendeen by climbers on May 27, 2020. A statement by Daniel's father, Simon Cook, was read during the hearing. He said his son suffered from psychosis which "developed and got worse over the years". But he said in hindsight, there were "possible signs even as a child". You can stay up-to-date on the top news near you with CornwallLive's FREE newsletters – find out more about our range of daily and weekly bulletins and sign up here or enter your email address at the top of the page. He added that as an adult, Daniel was distressed with the state of the world and used to read a lot on the internet and in books, which, mixed with his psychosis, "made him delusional". He said Daniel was very knowledgeable, but it worked against him due to his mental health condition. He said he became very aware of all the different issues in the world, which "troubled him greatly." Simon said Daniel didn't drink alcohol but instead smoked "skunk", which would "make him loopy", and he would drink Red Bull and coffee, which worsened his mental state. Do you need someone to talk to? There are a range of local and national organisations which can provide emotional support over the telephone or internet. 24/7 NHS Mental health response line For support and advice. Call free any time, day or night if you are worried about your own or someone else’s mental health. The team behind the 24/7 open access telephone response line will listen to you and determine how best to help. t: 0800 038 5300 (free) 24 hours a day Samaritans Emotional support to anyone in emotional distress, struggling to cope, or at risk of suicide. t: 116 123 24 hours a day e: firstname.lastname@example.org Outlook South West Offer online support and NHS talking therapies – call 01208 871905 for people aged 16+ years. The Suicide Liaison Service is also available via this number. This is also an NHS funded service, but for adults 18+ who have been bereaved by suicide. Man Down Supporting men's mental health in Cornwall - www.mandown-cornwall.co.uk ‘We are with you’ For support with alcohol, drugs or mental health call 01872 263001 or visit https://www.wearewithyou.org.uk/services/cornwall-truro/. Childline Free, private and confidential service for anyone under 19 where you can talk about anything. Whatever your worry, whenever you need help, anytime. t: 0800 1111 email or chat via www.childline.org.uk Shout 24/7 text service, free on all major mobile networks, for anyone in crisis anytime, anywhere. It’s a place to go if you’re struggling to cope and you need immediate help. Text: 85258 CALM Campaign Against Living Miserably For men who are down or who need to talk, find information and support. t: 0800 58 58 58 5pm - midnight every day or webchat at www.thecalmzone.net Safer Futures Call 0300 777 4777 or visit https://saferfutures.org.uk/ if you or someone else is affected by domestic abuse, sexual violence and those demonstrating abusive behaviours. Valued Lives Supports people who are experiencing mental or emotional distress in Cornwall. t: 0800 260 6759 24/7 crisis line Papyrus Hopeline UK For people under the age of 35 experiencing thoughts of suicide, or anyone concerned that a young person could be thinking about suicide. t: 0800 068 4141 e: email@example.com He believes his psychosis was triggered after he took DMT, a strong hallucinogen drug, adding that it gave him odd hallucinations. The inquest heard how Daniel lived between Cornwall with his dad, and in London with his mother and brother.
News source = PremierLeague-News.Com
. “In particular the fact that Daniel had some involvement with the South London and Maudsley Foundation Trust.” The trust has been supporting him after he was detained under the mental health act for “acting in an agitated fashion” outside the Houses of Parliament.
Emergency services at the scene at Bosigran Cliff near Pendeen
(Image: Greg Martin)
Daniel was then given an assessment in the psychiatric liaison unit of St Thomas Hospital and allocated a care coordinator, Aysha Janali. Ms Janali saw Daniel on four occasions across February and March 2020. Mr Cox said: “Then as we all know Covid-19 reared its head and face to face appointments became impossible.” However, contact was made with Daniel over the telephone and he was discharged from the service in May, shortly before he died. Mr Cox said there were "three broad areas of concern raised by the family" which emerged from the inquest into his death. He said: "Those are; that the documentation evidencing Daniel's care and treatment is thin or incomplete, as far as communication is concerned the concerns are; that there's been a lack of communication with the family on the one hand, and the colleagues from the substance misuse service on the other." He continued: "In respect of each of those central issues, I'm clear in my mind that the documentation during the course of Daniel's treatment was thin and missing important details, in particular, rationale for discharging Daniel at the time that took place was not expressly contained in the written record. That's not to say there's not a sensible rationale, it's to say, it's not fully or adequately recorded in the mental health notes we have seen." However, he said that Daniel was given appropriate care from staff. Mr Cox said one of the questions raised by the family was whether Ms Janali was adequately experienced to fulfil her role. He said: "I'm satisfied that's the case. I'm also satisfied that she has seen Daniel on sufficient occasions." He said Covid-19 prevented face to face appointments from taking place. The inquest was also shown a distressing video of Daniel in February 2020, in which he was experiencing a mental health episode. Mr Cox said there were concerns that despite the family submitting the video the trust, it hadn't been seen. He said: "But we've heard evidence from Ms Janali which I accept that it was seen and she reviewed it at the end of February. "What happened as a consequence of that was Daniel was placed in what the trust called the amber zone and further contact was made with him and he was seen again on March 6. "Events after March 6 and with the emergence of Covid-19 must have been incredibly difficult for mental health practitioners across the land. "How do you go from a system of seeing patients face to face to seeing no one face to face on little to no notice?" However, Mr Cox explained contact was maintained through the use of telephones, which he called "far from ideal". He said: "If this time was done over I'm sure better means of communication using Zoom or Teams, or something of that nature, would have been more apparent and readily available." He went on to discuss the lack of communication between the community mental health team and the substance misuse team. During the inquest, Dr M Kelleher and Dr Kyratsous accepted there should have been better communication. Mr Cox said: "The consequence of that is that there was an absence of clarity as to whether the cause for the relapse that Daniel presented with were due to his use of cannabis and skunk on one hand or some underlying organic mental health disorder on the other." Daniel's father had reported seeing him smoking again prior to his death, despite previous attempts to stop and being discharged by the substance misuse team. Mr Cox said that the family were also very concerned after contacting the mental health trust to share their concerns with the treating clinicians. He said: "What's very fairly accepted by the family is that Daniel refused to consent to the trust discussing his treatment with his father and in those circumstances the trust owe Daniel an obligation of confidentiality and they can't discuss his treatment with his father. "That doesn't mean however they can't listen to what his father has to say, and it seems to me that didn't happen here and it would have been better if it had done." Mr Cox said: "What we know is that Daniel came back to Cornwall and was seen by members of his family and while, not presenting in his normal fashion, at the same I don't think he immediately presented in a way that gave members of the family concern he was about to take his own life. "There's nothing in any of the evidence I've read that made them contemplate that as a risk." Mr Cox said Daniel's father was the last person to see him before his death. He said: "What happens is he's seen on May 26, 2020 and appears in reasonable spirits certainly not giving any indication he's about to harm himself, he appears to go off to a walk to an area of the coast." He said the conditions were poor, with thick sea fog rolling in that day. Meanwhile, the grass was wet and the footing treacherous. Toxicological tests revealed the presence of alcohol and cannabis. Dr Morley, who produced the toxicology evidence, said the combination of the two will have increased the risk of falls. Mr Cox said there's a "strong suspicion" Daniel took his own life, but a suspicion "isn't good enough". and a conclusion of suicide has to be based on evidence. He said there was no suicide note, text or email, nothing to indicate that he intended to take his own life. Meanwhile, he said an accidental death was "certainly possible". Mr Cox said: "On the evidence I think the better conclusion to record is that the evidence doesn't further or fully disclose the means by which the course of death has arisen, and in those circumstances the appropriate conclusion to record is an open conclusion." He finished by sending his condolences to the family.
Source = PremierLeague-News.Com - Cornwall