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Checks on killer patient superficial A leading psychiatrist and the Auckland District Health Board have been criticised for the treatment of a schizophrenic patient who followed through on threats to kill after being released from psychiatric care. Matthew John Ahlquist was released from the Auckland mental health clinic Te Whetu Tawera in March 2007, nfl jerseys despite threatening moncler jacken outlet to kill staff and having a history of violence. A few weeks later he threw boiling water on Colin Moyle, 55, bashed him Moncler Men down jackets vernet Collar Hooded deep green with a spade and set him on fire at Mr Moyle s Auckland home because he thought he was "demonic". Two psychiatrists later diagnosed Ahlquist with paranoid schizophrenia and he was found not guilty of murder on the grounds of insanity. He is now in the Mason Clinic, a secure psychiatric hospital, as a special patient. Now a Health and Disability Commissioner inquiry Moncler down Men jackets grey rodin Lapel Buttons has criticised the care provided by Dr Thom Rudegeair, the former head of Te Whetu Tawera, and the Auckland DHB. The Weekend Herald has obtained an uncensored copy of the report which says Dr Rudegeair s risk assessment of Ahlquist was superficial and incomplete and failed to identify his "mental health was unravelling". Commissioner Anthony Hill concluded the Auckland DHB did not have appropriate Moncler down jackets Women zip Bady green checks and balances, and system failures led to inadequate communication, discharge planning and follow up care. The inquiry relied on the advice of independent expert psychiatrist Dr Nick Judson, who said it was clear the management of Ahlquist was complex and challenging. But Dr Judson was concerned with the clinical assessment of Ahlquist on his admission to the unit in March 2007, which he said appeared moncler Men coats for black voiron Hooded Buttons to discount the possibility of psychosis. "This led to the development of a treatment plan that was appropriate for what Dr Rudegeair assessed to be Mr Ahlquist s need, but was ultimately unhelpful." Dr Judson said Dr Rudegeair s assessment of Ahlquist s risk was superficial and did not try to explore some of the more obvious indicators such as verbal threats of violence. "The decision to discharge Matthew without any clear cheap moncler jackets uk or effective plan of follow up, into an environment in which it was likely that his psychosis would deteriorate, was inappropriate. "This in my view was a moderate to severe departure from an accepted standard." Dr Rudegeair resigned from Te Whetu Tawera in April 2008, and is now a consultant psychiatrist at the St Lukes Community Mental Health Centre. He championed the "recovery concept" which aims to help patients regain control of their lives which some of his colleagues disagreed with for the treatment of acute patients. Dr Rudegeair told the inquiry he was concerned about being "unreasonably singled out for investigation and criticism. "I am not prepared to accept the inference that is conveyed by your provisional opinion that I was solely responsible for those decisions, or that my initial plan somehow adversely affected the care provided to Mr Ahlquist." He said Ahlquist was not considered a high risk patient at the time of his discharge. He said there was no evidence that Ahlquist was delusional or hostile two elements in his previous violent behaviour for six months before the discharge. "Dr Rudegeair stated that, in his opinion, the attack on Mr Moyle was an unpredictable event," the report said. The Auckland DHB told the inquiry that structural, management and practice changes has been made in the past three years to make mental health care and discharge planning "significantly more robust". Since the age of 21, Ahlquist had received psychiatric treatment after being diagnosed with schizophrenia, aggravated by serious head injuries from a skateboard accident, and by drugs and alcohol. By 2004, Ahlquist had a high level of resentment towards his father. In 2005 an unprovoked Ahlquist tried to strangle his father in the family s kitchen, knocking his mother over and kicking her when she intervened. Both parents were hospitalised, but only a minor charge of common assault was laid Moncler Men T-shirt color pure sky blue by police. A mental health worker wrote to the Auckland District Court with his concerns that Ahlquist could not be treated in the community and should be committed to the Mason Clinic. "Mr and Mrs Ahlquist are now understandably fearful of Matthew. We feel the risk to Matthew s father will rise to an unacceptable level if Matthew is discharged into the community." It is not known if the judge ever saw the letter. No one from Auckland DHB mental health services appeared moncler polo shirts mens to testify in court. Instead of being committed to the Mason Clinic for secure treatment, Ahlquist was released

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