Finding into death of Selina Cecilia Te Nohu Tilley

AI-generated summary

Selina Tilley, a 45-year-old woman, died from multiple injuries sustained during domestic violence perpetrated by her partner Kenneth Mahoney. Over 15 months, Tilley experienced repeated physical assaults, with police involvement documented on multiple occasions. Although an intervention order was made in February 2007 prohibiting contact, Tilley applied to vary it in September 2007 after the couple sought counseling. Critical systemic failures included: (1) failure to notify the original police complainant of the variation application, despite formal requirements; (2) lack of communication between Quantum Support Services, Latrobe Community Health Service, and her GP—each held information about risk but operated in isolation; (3) premature closure of her family violence worker file before a risk assessment or safety plan could be established. Her GP examined assault-related injuries in February 2007 but did not inquire about safety or explore family violence further at subsequent visits. These coordination gaps and communication failures meant Tilley's cumulative risk was never comprehensively assessed.

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