The question about whether or not he was suicidal in telling me have to send the man' is significant but unanswered. We saw 'you’ll no suicidal signs in his contacts with the program. He was always making plans and optimistic. It is a guess why he was carrying a knife, but it seems he was fearful and did so for protection. The responding officer talked with me at length before acting he — gathered information appearance, history, current problem, — instant offense [referring to the 1981 incident that brought Noble into the mental health system]. Marvin having a weapon was not addressed. He had not been known to carry a knife. It was not the first time the police had been used to detain him. The SIR identifies four areas of change to be implemented in the future: Consider more aggressive medication regime. Consider going out to find client at the first no show event. Consider meeting in person with all the officers that will respond in preparation for a potentially explosive situation. Consider hospitalization at the first sign of any threatening self-defensive response to paranoid ideation for evaluation of what may appear to be bravado. CALIFORNIA DEPARTMENT OF MENTAL HEALTH In the Mendocino County Mental Health Services request to Director’s DMH for review of the circumstances surrounding Mr. death, he asked Noble’s DMH staff to an objective review of the actions of the staff of the “conduct Mendocino County Department of Mental Health in requesting law enforcement and asked there is need for improvement either in . . . intervention,” “whether policies and procedures or in the judgement of the clinicians It was also involved.” requested that DMH respond directly to the Chair of the Board of Supervisors and the County Administrative Officer.
The question about whether or not he was suicidal in telling me 'you’ll have to send the man' is significant but unanswered. We saw no suicidal signs in his contacts with the program. He was always making plans and optimistic. It is a guess why he was carrying a knife, but it seems he was fearful and did so for protection. The responding officer talked with me at length before acting — he gathered information — appearance, history, current problem, instant offense [referring to the 1981 incident that brought Noble into the mental health system]. Marvin having a weapon was not addressed. He had not been known to carry a knife. It was not the first time the police had been used to detain him. The SIR identifies four areas of change to be implemented in the future: Consider more aggressive medication regime. Consider going out to find client at the first no show event. Consider meeting in person with all the officers that will respond in preparation for a potentially explosive situation. Consider hospitalization at the first sign of any threatening self-defensive response to paranoid ideation for evaluation of what may appear to be bravado. CALIFORNIA DEPARTMENT OF MENTAL HEALTH In the Mendocino County Mental Health Services Director’s request to DMH for review of the circumstances surrounding Mr. Noble’s death, he asked DMH staff to “conduct an objective review of the actions of the staff of the Mendocino County Department of Mental Health in requesting law enforcement intervention,” and asked “whether there is need for improvement either in . . . policies and procedures or in the judgement of the clinicians involved.” It was also requested that DMH respond directly to the Chair of the Board of Supervisors and the County Administrative Officer.
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