S117, Probation Licence, MAPPA, ICB Responsibility

Person entitled to S117 pre custody following detention under section 3 following a serious incident of self-harm in the community and remains entitled to S117 as not discharged from S117 prior to, or during custody.

Currently in custody for an offence of assault which took place whilst they were on a Mental Health Ward.

Long history of violence, including carrying weapons. Long history of substance misuse. Significant forensic history including admission to a high secure unit.

Due for imminent release.

MAPPA L3 Case

Probation Approved Premises and Community Accommodation Service Tier 3 applications declined as the risk posed to staff is deemed too high.

Emergency single occupancy accommodation currently being sort but proving difficult due to risks posed to others.

Mental Health presenting as stable in custody, not prescribed any treatment for mental health. No indication that specialist accommodation is required due to their mental health. Care package under S117 not required. Aftercare needs can be met through access to existing services.

ICB and LA have been involved.

Needs and risks to be managed with probation licence/MAPPA Frameworks.

However, as joint commissioners there is still a responsibility to meet needs under S117.

An updated S117 aftercare plan is to be completed by the LA and shared with the ICB for any required input, and the LA have completed a Care Act Assessment, which has not identified any mental health care and support needs.

Chief Operating Officer and Director of Nursing and Quality have been informed of the case due to the significant risk of actual harm to others, and potentially self should their mental health relapse.

Is there anything more the ICB can do at this point?