Scott Donoghue

“It was evident that the lack of consistency in staff dealing with Mr [name redacted] care was a factor in his ability to engage and be honest with those having oversight of him at a very fragile time in his treatment.”

“Evidence was heard that the HBTT system is a nationwide treatment as an alternative to hospital admission and although peoples' care in HBTT had improved, a real continuity of staff could only occur with a substantive change which would include additional funding, recruitment of appropriate staff and an ability to retain staff.”

“It is worthy of note that this is the 2nd inquest heard within 3 weeks in this jurisdiction whereby inconsistency of care staff has been cited as an issue in a suicide.”

“Mental Health is a rising problem and it is my understanding that 115 people die by suicide every week. Acknowledgement of the important work undertaken by HBTT and the need to give the very best support to those who have taken the, often difficult, step of seeking help with their care is a matter that requires imminent attention”