Page 4 - TSAB Adult B FINAL (1)
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          4.3.  Josh’s ongoing substance misuse brought him to the attention of criminal justice systems through
              possession of substances as well as theft, possibly as a way of funding his substance misuse habit.

          4.4.  Josh’s substance misuse continued to be a feature in his life with no evidence that he was motivated
              to change this for any length of time. The historical probation report for this review, suggested that
              Josh had stated that he had been drug free for a year and eight months before the scoping period of
              this review. Josh told mental health teams that he occasionally experienced suicidal thoughts in
              reaction to his circumstances and sought help with these.

          4.5.  Josh was diagnosed with type one diabetes mellitus (See Appendix two) when he was 18 years old. His
              lifestyle had always impacted on his ability to manage his diabetes, although it is clear that he
              understood his condition well.

          4.6.  Mental health records indicate a hospital admission for not taking his insulin in 2010, and again in
              2015 for intentional overdoses of illicit substances. Family believe that the 2015 occurrences
              appeared to be due to the death of his grandfather who he was close to and having nowhere to spend
              Christmas. Further stressors occurred when he discovered that a child that he thought was his was
              found not to be on DNA testing when the child was just under a year old. Family say that he had
              formed a strong bond and love for the child. It was also during 2015 that Josh had a significant
              admission related to necrosis of his leg due to injecting into his foot, he spent some time in intensive
              care.

          4.7.  It is recorded that in December 2015, Josh was living in a structured support accommodation setting
              in Area B (See below). After six months, Josh was supported to relocate to Area A where his family
              were. This was two years before the scoping period.

          4.8.  Information from the family indicated that Josh had been supported by his Aunt, Uncle, his sisters and
              cousin for many years. They had offered all types of help and support but nothing that they offered
              made any difference to Josh’s lifestyle in the long term. The family had experienced all kinds of issues
              in trying to support Josh. His sisters and cousin, once they had their own families, found it more
              difficult to support Josh, whilst being mindful of their own children’s safety and well-being. This
              information was not known to any of the professionals during the scoping period of this review.

          5.  KEY PHASES

          5.1.  Throughout this review, housing issues involved two areas of the region. Therefore, for ease of
              reference, Area A is the area where Josh was deemed to have a local connection and had been living
              and Area B is the area where Josh wanted to be housed.

          5.2.  The scoping period was set from March 2018; apart from substance misuse services in Area A, Josh
              did not come to the attention of other services in the scoping period until July 2018 when he was
              brought by ambulance to hospital and was reportedly living rough in Area B.

          5.3.  Information provided by the family indicated that Josh had periodic contact with his sisters and Aunt
              during this period. Mostly contact was initiated by them to check on how he was. His Aunt made

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