DM about to dangerously discharge

Just read back over the whole post and this stood out:
I can't help but think there is some sort of connection with the 'mild seizures' she had durjng the longest hospital stay. The brain scan came back clear but all I can say is that she has been 'changed' since then.
She's like a truculent, obstructive toddler; won't cooperate and confused. She also had a varying hold on reality. Her eyesight has also rapidly deteriorated

This is exactly the same as my Nan. She had a massive stroke and within a fortnight she was like this. She was also suicidal and self-harming. Lost sight in one eye and was hallucinating and accusing people of raping her. She lost all inhibitions and became very self centred.
It was vascular dementia and it is very rapid. The change in her personality was so fast and so shocking.
She had a few TIA and started having seizures too.
The hospital reckoned she was fine and it was a fight to get them to listen to us. Fortunately, SS were brilliant and the SW got her out of there and into a lovely home.

My nans carehome applied for DoL in April 2019. It was finally granted in January 2020.

I'd push for the section as then you won't have any costs to pay.

Thanks for the good wishes, I will update my post after the meeting. Funnily enough Mum has stopped asking to go home now, not sure she really remembers it as home anyway as when she was there, she wsa always asking to go home (common in dementia patients apparently).

Hi @DorsetCamping I had no idea about the section 3 implications either until mum was put onto it and I asked on here! I would imagine if she has not been diagnosed within 28 days or needs further treatment in hospital then the will put her on s3. I don't know anything about DOLs and when that is used instead. You re right that is has a huge impact on aftercare though. I got the impression that our SW was not too impressed that mum had been put on a s3 but I could be over thinking it! It does mean as pp has said that all their aftercare is paid for altbeit only up to their local limit which in my mum's case is not a lot. If she does go into a home I would not want her to go to any of the ones the sw suggested.

We didn't get an admissions meeting so it sounds like they are on the ball. I would question what will happen when the s2 is up, I don't think at the moment they will be able to say whethe s3 or DOLs is more likely.

Hope all goes well, we have a ward discharge meeting tomorrow so hopefully will be able to move mum to somewhere more comfortable than the ward.

You'd need deputyship in this case (if no POA)- look up how to apply on HMGov website

Right now she will be under a section 2 of the MHA (first 28 days for assessment), after then they will decide whether to detain her under s3 of MHA (up to 6 months) or a DOLs.
If she gets detained under s3 MHA she would be entitled to s117 aftercare planning and services which are free if related to her mental health needs for which she was sectioned. Ie. If Ward team feel she needs residential care home on discharge, it will be non chargeable (free) as under s117 aftercare arranged by adult services

If she does not go into s3 but instead her s2 lapses and she goes into a DOLs whilst in the ward, her future care remains chargeable (if not CHC level) . You'd need to talk to a hospital social worker anyway as you can see it's slightly complicated and around what lawful basis consent & needs for placement occurs

There are also different arrangements with some hospitals during coronavirus period

Oh goodness, I’m really relieved so I can’t imagine how you’re feeling!
I’m really glad OP, for all of you x

i haven't RTFT but are you sure it's not some form of dementia.

i'm pleased for you she's been sectioned at last and hope they come up with some solid diagnosis and care/treatment plan for her.
in my experience and as already mentioned on here, there comes a point when you have to advise them that they're on their own if they won't cooperate with care plans and so forth, telling everyone that you'll sort them out won't be happening. i've been through this a few times now with aunts uncles in laws and my mother and it doesn't get any easier. it's how hard you as the daughter/niece have to push back at social services that amazes me and how SS will lie through their teeth good luck going forward whatever the outcome is.

That’s great news. It’s entirely possible that with treatment her capacity may improve and she comes out of section. Sending best wishes

She has to give an address of residence to the courts. The address will be Hospital A , Dorset. She can’t move to Care Home B, while the case is not concluded, she has to remain at address given.
She is therefore in the NHS hands until you get ‘ownership’ and OPG certification through.
This is not necessarily bad news.

dorset Take a breath. It’s all happening at once for you. We are in Scotland so it won’t quite be identical but it will work out. Because she is sectioned her care is nhs so you won’t be paying at the moment. As soon as you make an application to the courts her address must remain constant. so she can’t be moved out to a care home funded by you.

By the way, in an ideal world everyone should set up POA. There are cases where people have been eg in a coma after an accident, and their spouse has not been able to access funds as no POA set up.

As Rinse says, if she is under a section, she should be able to access an Independent Mental Health Advocate.

Is there anything urgent that needs doing with her finances ir the house that you might need help with.

My DM got an advocacy officer assigned to her as well as a social worker.
We applied via a solicitor to get legal aid for the guardianship application.
Whole process took 5 months.
Our situation was complicated by my DF dying while she was six weeks into section.