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experiencing auditory hallucinations, anxious and feeling paranoid (Cardinal and Bullmore, 2012). He was not willing to talk about his experiences and remained silent. In a recent incident that led to his admission on an acute ward on the 23 March 2019, a family member was the one who called the Urgent Care and Assessment Team (UCAT) and reported that Mark had been detaching himself in his bedroom, menacing to end his life because he felt insignificant. The family member also stated that Mark heard voices telling him to kill all his family members because they were not good people, and killing them would be the right thing. Another thing reported was that he had been shouting so loud in the middle of the night, saying that foreign leaders wanted to invade the world and he wanted to stop them. From this presentation, it was inferred that he was unwell. After the two community psychiatric nurses from the urgent care visited him at home, they concluded that he needed inpatient care and treatment in the hospital. During the home assessment, the UCAT team used Initial Screening Assessment Tool (ISAT), and he did not meet the criteria for home treatment. This is what led him to be taken to a hospital.