How and When to Share information

Martin is 15 year old who has recently been released from a young offenders institute where he has served a three month custodial sentence for robbery.

He is currently on a treatment plan and is being prescribed medication for a long time depressive disorder, with a history of self-harming and mood swings.

Following a recent visit to the CAMHS team, we noticed that Martin’s appearance had changed quite dramatically since being in custody, and he now has taken to wearing army style combat gear and has a fresh homemade tattoo on his forearm which reads ‘White Power Blood & Honour'.

Martin says that he met some new older lads ‘whilst inside’ who gave him the tattoo. Apparently, they have been 'treating him like one of the boys' and giving him free chocolate and smuggled weed to smoke… he tells you they have 'big plans for him' once they get out of prison.

He is an extremely impressionable and vulnerable boy and I wouldn’t want him to get involved in any trouble.

Do you think we should raise this with the Children’s Safeguarding lead?”

Gary has come into A&E with chemical type burns on his hands and forearms. When I questioned him about these, he says that he burnt himself changing a car battery, at which stage he gets up and leaves the consultation room.

He complained about depressive thoughts and informed me that he is totally fed up with the world and blames ISIS, terrorists and Nazis for making the country unsafe and wants to bring it all to an end.

He is a 32-year-old white male who became unemployed after being medically discharged from the army where he worked in the Royal Engineers, Historically he has used cocaine, LSD and Ecstasy but he now mainly drinks alcohol and smokes the synthetic drug ‘Spice’.

Gary's behaviour really concerns me and i'd like to seek more advice about what to do.

Samira is a 19-year-old student currently in remission from leukemia and being treated by the Trust’s cancer treatment centre. During a routine blood count test, she told me she is feeling very depressed, and going through “a particularly difficult time,” despite her positive prognosis.

When I asked her why she feels this way, Samira replied that the collapse of the ‘Islamic Caliphate (State)’ in Syria has robbed her of the chance to migrate and 'find a noble husband willing to lay down his life for his religion'.

Samira confided in me that now needs to find another way of meeting her religious obligations by 'doing something meaningful for her brothers and sisters who have already given their lives protecting the Caliphate'

She has previously talked about her religion as being extremely important to her, but not in these terms.

When I inquired further into her comments Samira refused to respond and 'just told me to forget about it'.

I’m sure it's nothing but Samira is in a very vulnerable place at the moment and don’t want her to come to any harm.

Do you think I should speak to someone from the safeguarding team just in case?

Niall is 18 and works as a healthcare assistant. He has recently come to the mainland but is originally from Northern Ireland where he struggled to find housing or a job. He is a particularly passionate and involved in Irish republican politics. He has read several books on the subject of ‘the Troubles’ in the province and doesn’t believe in the Northern Ireland Assembly stating that it is a 'mouthpiece for Westminster and “talking never solves anything”.

Niall is becoming more and more outspoken at work and has become aggressive towards other staff members who have challenged his behaviours. When I passed his computer last week he was posting information relating to dissident Irish terror groups on a social media platform. I feel that he may be getting drawn into a dangerous situation and I would appreciate any advice on what we should do to prevent this escalating.