Coronial
QLDcommunity

GREER, Tina

Deceased

Tina Louise Greer

Demographics

32y, female

Coroner

O'Callaghan

Date of death

2012-01-18

Finding date

2023-12-21

Cause of death

Unknown

AI-generated summary

Tina Louise Greer, 32, disappeared on 18 January 2012 and is presumed deceased, killed by her partner Leslie Sharman who was involved in her coercive and controlling relationship, including domestic violence. The coroner found inadequate responses by Queensland Police (poor investigation of three DV incidents in 2010, failure to recognise pattern of abuse, lack of DVO applications despite legislative requirements), Salvation Army Fairhaven (failure to refer Tina to DV support services despite her clear disclosures of abuse), and Department of Child Safety (failure to assess DV risk adequately when Lili self-placed with Tina in 2011, lack of holistic assessment despite awareness of DV pattern). While preventative interventions cannot be confirmed to have altered the fatal outcome, the inquest identified systemic failures in recognising and protecting a domestic violence victim. Clinical and procedural lessons centre on integrated DV training, victim-centred care, holistic risk assessment, and inter-agency communication.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

paediatricsaddiction medicinecorrectional health

Error types

diagnosticcommunicationsystemdelay

Clinical conditions

intimate_partner_violencecoercive_controlalcohol_and_substance_misusetrauma_and_abuse_exposure

Contributing factors

  • Domestic and family violence perpetrated by Leslie Sharman over years
  • Coercive and controlling behaviour by partner including physical violence, threats, stalking, isolation
  • Victim's financial and emotional dependence on perpetrator
  • Inadequate police investigation and response to reported DV incidents in 2010
  • Failure to recognise pattern of escalating intimate partner violence
  • Lack of domestic violence order applications despite evidence meeting criteria
  • Inadequate safety assessment and risk assessment by child protection services
  • Failure to refer victim to specialist domestic violence support services
  • Lack of inter-agency information sharing regarding risk factors
  • Victim's distancing from perpetrator prior to death coupled with perpetrator's desperation and escalating threats

Coroner's recommendations

  1. QPS amend Chapter 12.4 section (iv) page 4 of the OPM 'ongoing responsibilities of case officer' to provide regular updates to informant, family and next of kin of missing person (where appropriate), with contact at least weekly for first two months then as officer considers necessary
  2. QPS update Chapter 12 of OPM to provide that in high-risk missing person investigations, consideration be given to appointing a Family Liaison Officer with outlined responsibilities and guidance on frequency of contact matching case officer contact frequency
  3. QPS update Chapter 12 of OPM to provide guidance on circumstances requiring reporting of missing person cases to National Public Register of Long Term Missing Persons
  4. Department of Child Safety, Seniors and Disability Services require all staff to complete mandatory face-to-face training on domestic and family violence informed practice
Full text

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