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Thursday, 17 July, 2014
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Women raising awareness
New Narre market
Picture perfect for Pateman
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SPORT
July, 2014 Page
1
Propertyy Lift out
Coroner’s call
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Blinds & Curtains
DENNIS Glover has Doveton running through his veins. The Labor speechwriter grew up in the suburb in the 1970s, when his father and many others would stream in and out of the local car factories a mere stone’s throw away from their homes to earn a living. But during a recent trip to Doveton, Dennis was reminded of and dismayed by the snowballing decline of the area’s manufacturing industry, and its broader implications on the suburb. This summer he intends to write a book about how Doveton changed and what can be done about it. Turn to page 12 for the full story. Picture: ROB CAREW
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The new Golf Wagon is here.
Making Doveton work
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A VICTORIAN Coroner has recommended Monash Health change the way it deals with following up the assessment of mental health patients, following the death by suicide of a Narre Warren man in January 2011. Delivering her finding last week Coroner Rosemary Carlin said Peter Nancarrow, who took his own life the day after he was admitted to Casey Hospital more than three years ago, should not have been discharged from the hospital’s Emergency Department because he was never subject to a mental health assessment. But Coroner Carlin was satisfied that the Casey Hospital staff had acted reasonably and appropriately, and said they did not cause or contribute to the death of Mr Nancarrow at his Cranbourne workplace. “Whilst it is abundantly clear that Mr Nancarrow should not have been discharged from Casey Hospital when he was, had that not occurred, I am not satisfied that his death would have been prevented,” she said. Mr Nancarrow had a long history of mood swings and anger management issues, according to the coroner’s finding. Mr Nancarrow’s wife contacted police on Saturday 22 January, 2011, after her husband started acting violently, and two officers soon reported to the premises. He was then taken in an ambulance and accompanied by police to Casey Hospital around 9.45pm, where hospital staff described him as intoxicated and unco-operative. He was to be assessed under Section 10 of the Mental Health Act (MHA) and treated for physical injuries. Coroner Carlin said Mr Nancarrow had been “erroneously discharged from Casey Hospital at 12.48am, prior to a mental health assessment”. “This occurred as a result of miscommunication and misunderstanding be-
tween the Enhanced Crisis Assessment and Treatment Team (ECATT) clinician and the Emergency Department doctor who discharged him,” she said. Coroner Carlin said Mr Nancarrow was an articulate man who, by his own account, knew what to say to ensure his release from hospital. “I accept that if he had been detained at hospital overnight it is likely he would have been released following assessment by a psychiatrist some time the next morning,” she said. Coroner Carlin has now urged Monash Health to introduce a clear written procedure where patients brought into the Emergency Department by police under the MHA cannot be released without a mental health assessment, and without completing a mental health assessment form. She also recommended a written procedure be introduced in the event a patient absconded or was discharged before the assessment. “The precise roles of ECATT clinicians and doctors in dealing with Section 10 patients were informally understood but they were not documented, particularly the responsibility and procedure for discharge,” Coroner Carlin said. “A requirement that the discharging doctor view or sign a completed Mental Health Assessment Form might have prevented the error that occurred here, as it then would have become obvious that no assessment had occurred. “I am not satisfied that the measures introduced since the death of Mr Nancarrow adequately deal with the problem.” A Monash Health spokesman said they were currently considering the coroner’s finding. “Those findings are being reviewed by appropriate staff including senior medical personnel,” he said. “This process will not be completed for several weeks. “Until then Monash Health is not in a position to make specific comments.”
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By LACHLAN MOORHEAD