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Psychotic killer acquired no psychological well being care in months earlier than tragedy

A psychotic man who killed a canine walker in Moray woods didn’t obtain any psychological well being therapy within the months earlier than the assaults regardless of issues being raised to docs about his habits, an inquiry has heard.

David Johnstone was 36 when he killed 83-year-old Frank Kinnis and attacked two different pensioners through the incident in October 2019.

4 months earlier, he’d been visited by his GP after his father raised issues about his psychological well being and Mr Johnstone had agreed to interact with psychiatric providers.

Nonetheless as soon as a letter inviting him to attend an appointment with a specialist went unanswered, no additional care was given.

Mr Johnstone was later charged with murdering Mr Kinnis at Linkwood Farm, Barmuckity, Elgin, on October 21. He was additionally charged with making an attempt to homicide Morris and Janette Smith, each 70, on the identical day at Birkenhill Woods, Elgin.

Inquiry being held into his care

Mr Johnstone was acquitted of murdering the pensioner in July 2020 after pleading not responsible on the grounds of a psychological dysfunction that meant he was unable to understand the character or wrongfulness of his actions.

The Crown accepted that plea and in October a choose dominated that Mr Johnstone be detained on the State Hospital at Carstairs for an “limitless” time frame in an effort to shield the general public.

Now a deadly accident inquiry is investigating the psychological well being response to Mr Johnstone throughout a two-day listening to at Elgin Sheriff Courtroom.

GP Dr Kerry Cattanach instructed the inquiry she visited Mr Johnstone at house after his household known as her apply with issues relating to his psychological well being.

After her two-hour home name, on June 25, 2019, she “urgently” referred Mr Johnstone to a specialist psychiatrist.

She described his psychotic signs as “extreme” however deemed she had no quick concern for his security, or that of others, so additional intervention was unwarranted.

Dr Kerry Cattanach leaving Elgin Sheriff Courtroom. Picture: Jasper picture

Dr Cattanach instructed the inquiry: “His father had been in touch the day earlier than with issues about his psychological well being particularly with having delusions round vitality.”

She added: “My impression after having spoken with Mr Johnstone over an extended time frame was that he was affected by psychotic-type signs and had a schizophrenic-type sickness. I stated he wanted an pressing referral.”

He was sharing issues about “computer systems, electrical energy and daylight”, she stated, nevertheless introduced as “calm and coherent” and was not reporting any hallucinations.

Mr Johnstone didn’t, in his opinion, meet the factors for being detained below the Psychological Well being Act as he “didn’t pose a danger to himself or others”.

Additional perception into Mr Johnstone’s sickness and psychological state was shared by way of the disclosure of his GP’s medical notes to the inquiry.

The inquiry heard how Mr Johnstone and his father have been documented as saying his psychological well being had worsened within the three years previous to the deadly incident regardless of “trying up” within the weeks earlier than the physician’s house go to.

‘Do not you understand I’m God?’

Notes additionally disclosed how Mr Johnstone’s brother raised issues, telling medical professionals on one event how his sibling instructed his father: “Do not you understand I’m God?”

Dr Cattanach stated Mr Johnstone’s care was transferred to the secondary care workforce as quickly as her referral was made – however she remained involved sufficient to jot down to him when he missed his appointment with a marketing consultant psychiatrist to remind him that her door was open, too.

Advisor psychiatrist Dr Bruce Davidson, who Mr Johnstone failed to satisfy on July 1 2019 as deliberate, instructed the courtroom that typically psychological well being “peaks and flows”.

Physician’s notes – which weren’t supplied to the Dr Grey’s Hospital marketing consultant – made reference to Johnstone’s 20-year each day hashish smoking behavior, an everyday alcohol consumption and the actual fact he had been signed off his work as a challenge design engineer in Could 2019.

Dr Bruce Davidson leaves courtroom after giving proof to the inquiry in Elgin. Picture: Jasper picture

Dr Davidson stated Mr Johnstone’s referral was “a comparatively typical one” stating it was “common” and that he was “very aware of the reported signs”.

He wrote to Mr Johnstone inviting him to attend an evaluation however that invitation went unanswered. He didn’t observe up with a home name as a result of Mr Johnstone had made it clear beforehand that he didn’t need individuals in his home from him.

Defending that call he stated there was no cause to suppose Mr Johnstone would not have interaction in his personal time and that there was “reassurance” there that there was household involvement and an opportunity that additional issues would “set off” secondary care involvement sooner or later .

That did not occur, nevertheless, and when the assaults occurred 4 months later Mr Johnstone’s case remained “open” regardless of him not having been assessed.

‘There was concern about his psychological state’

“If individuals do not present as much as their evaluation typically you’ll simply shut the case,” Dr. Davidson stated. “However for me, there was concern about his psychological state so I needed to maintain it open so he may contact me slightly than having to be referred once more by way of a GP.”

Dr Davidson additionally clarified that he shaped his opinion purely on the referral letter he acquired following the GP’s home go to and with out having had entry to Mr Johnstone’s medical information or historical past.

He refuted a suggestion by prosecutor deputy Lixiq Solar that he had positioned an “inappropriate onus” on a mentally unwell man to take cost of his personal care and stated there have been “no apparent boundaries” to stop him from understanding and attending the requested appointment.

The inquiry, earlier than Sheriff Olga Pasportnikov, continues on Tuesday.

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