Finding into death of Sacha Timothee Louis Lefebvre

Contributing factors

• homelessness and lack of stable housing
• non-compliance with cardiac medications
• chronic anaemia
• ischaemic heart disease with double vessel coronary artery atherosclerosis
• inadequate access to primary healthcare
• mental health comorbidities including anxiety, obsessive-compulsive disorder, and psychiatric symptoms
• substance use (amphetamine and cannabis)
• systemic barriers to healthcare access for homeless populations
• lack of coordinated wrap-around support services at scale
• social determinants of health (poverty, housing affordability crisis)

Coroner's recommendations

1. That the Victorian Government, in line with recommendations outlined in the reports from the Legislative Council Legal and Social Issues Committee on The rental and housing affordability crisis in Victoria and the Inquiry into Homelessness in Victoria, consider including the right to adequate housing in the Charter of Human Rights and Responsibilities Act 2006
2. That the Victorian Government consider the suitability of the Better Health and Housing Program (BHHP) for further rollout in conjunction with other public hospitals and specialist homelessness sector providers across the state