PJQ was an 18-year-old in state care who died from multidrug toxicity (GHB, amphetamines, benzodiazepines) after being discharged early from a residential rehabilitation program. She had complex trauma history, PTSD, and polysubstance abuse. Following early discharge from the Gippsland Youth Residential Rehabilitation Program on 15 February 2022, her care team struggled to secure appropriate short-term bridging accommodation. Instead of remaining in planned rehabilitation in Traralgon until her rental property became available on 11 March 2022, PJQ stayed in unsafe environments and resumed substance use. The coroner found that greater flexibility in considering short-term accommodation options (such as Airbnb or motel) during this critical transition period could have provided safer bridging accommodation and potentially prevented her death. The case highlights systemic gaps in post-care housing availability and planning for vulnerable care leavers.
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Specialties
paediatricspsychiatryaddiction medicineemergency medicine
post-traumatic stress disorderpolysubstance abusesubstance use disordertrauma historymultidrug toxicity
Contributing factors
Early discharge from residential rehabilitation program without adequate contingency planning
Lack of secure short-term bridging accommodation options after early program discharge
Vulnerable transition period following state care exit at age 18
History of trauma, PTSD, and polysubstance abuse
Reduced tolerance to illicit drugs following period of abstinence
Unsafe accommodation environment at Dandenong house
Inability to remain in Traralgon near planned tenancy and employment
System rigidity regarding accommodation options (motel and Airbnb rejected)
Coroner's recommendations
That the Department of Families, Fairness and Housing incorporate a guideline in its risk assessment framework for considering the suitability of short-term accommodation options for children whose Care by Secretary Order is shortly due to expire, which: (a) promotes flexibility; and (b) recognises the importance of safe and stable accommodation during the critical transition period.
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