Coronial

14 results for opioid substitution therapy

NSW2022-11-08

Inquest into the death of Andrew Gilbertson

42y · Male·methadone toxicity

…der, died from methadone toxicity while in custody at Long Bay Correctional Centre. He was not enrolled in opioid substitution therapy but had diverted methadone in the past. He failed to attend a scheduled Drug and Alco…

forensic medicinepsychiatrysystemdelaymethadone
SA2019-06-07

Coroner's Finding: AZAPARTI Wyatt William

45y · Male·mixed drug toxicity (methadone and pregabalin) with possible contributing factor…

…ty involving methadone and pregabalin, with possible contribution from morbid obesity. He had a history of opioid use and chronic pain from a foot injury. Despite requesting entry to the prison methadone substitution pro…

correctional healthpain medicinemethadone
NSWcommunity2023-08-08

Inquest into the death of Simon Miles

42y · Male·heroin and methylamphetamine toxicity

…e he had prior drug contacts rather than with his partner in Griffith. Expert opinion indicated his severe opioid dependence would have justified more vigorous advocacy for Opioid Substitution Therapy (OST), which he dec…

addiction medicinepsychiatrysystemcommunicationheroin
VIChospital2021-02-24

Finding into death of Shae Harry Paszkiewicz

40y · Male·Mixed drug toxicity

…endence and incarceration, died from mixed drug toxicity five days after being found unconscious following opioid injection. He had been released from prison on 6 December 2017 on a Drug Treatment Order, and died on 12 D…

emergency medicinetoxicologysystemcommunicationheroin
VIC2023-10-30

Finding into death of Darren James Fielding

29y · Male·Methadone toxicity

…es Fielding died in custody at Middleton Prison on 26 May 2018 from methadone toxicity. He was on day 6 of opioid substitution therapy (OSTP) when he received his prescribed 10mg methadone dose. Expert evidence concluded…

pharmacycorrectional healthmedicationsystemmethadone
NSW2025-08-22

Inquest into the death of Michael Black

33y · Male·stab wound to the chest

…l was not actively monitored and remained covered for 40 minutes; (5) Michael had requested assessment for opioid substitution therapy since reception on 28 February but had not been assessed by 22 April, contributing to…

correctional healthaddiction medicinediagnosticsystembuprenorphine
QLD2021-09-02

Batalha, Benjamin John

35y · Male·Not determined

…information sharing on urine drug screening results between QCS, PMHS, and PHS; therapeutic urine testing; opioid substitution programs; prisoner education on substance misuse risks at reception; and enhanced behavioural…

psychiatrycorrectional healthsystemdiazepam
NSW2023-02-03

Inquest into the death of Roy Roberts

33y · Male·Prolonged epileptic seizure resulting in gastric content aspiration and cardiac …

Roy Roberts, a 33-year-old Aboriginal man, died at Long Bay Correctional Complex from a prolonged epileptic seizure resulting in aspiration and cardiac arrest. He had experienced three prior seizure-like episodes in Apri…

emergency medicinegeneral practicediagnosticcommunicationmethadone
SAhome2025-11-27

Coroner's Finding: Gifford, Paul Douglas

36y · Male·acute neck compression due to hanging

…, died by hanging while on home detention bail. He had a long history of substance abuse (methamphetamine, opioids), mental health issues including borderline personality disorder, childhood sexual trauma, and prior suic…

psychiatryaddiction medicinemethamphetamine
NSWprison2021-11-19

Inquest into the death of Danny Whitton

25y · Male·Multiple organ failure due to acute paracetamol poisoning

…iveness was diminished by the time of hospital arrival. Systemic failures included poor prisoner access to opioid substitution therapy driving illicit drug use, ready availability of stockpiled paracetamol, and misunders…

emergency medicinetoxicologydiagnosticcommunicationparacetamol
VIChospital2012-06-08

Finding into death of Donna Maria Mousely

46y · Female·Hypoxic brain injury due to combined drug toxicity

Donna Mousley, aged 46 years with long-standing panadeine forte and diazepam dependence, presented to an addiction medicine specialist seeking management. Dr C. prescribed methadone 40mg on 9 November 2010 after consulta…

addiction medicinegeneral practicecommunicationmethadone
WAhome2016-02-10

Inquest into the Death of Shayne Andrew BERRY

44y · Male·Combined drug effect (oxycodone and benzodiazepines)

… then misused the medication intravenously in combination with his regular benzodiazepines. He had reduced opioid tolerance following 21 months without opioid replacement therapy. The prescriptions themselves were not in…

general practicepharmacologysystemcommunicationoxycodone
SAhome2002-05-23

Coroner's Finding: DAVIES Nicole Memory Faye

17y · Female·mixed drug toxicity

… Davies, 17, died from mixed drug toxicity after rapid methadone dose escalation during early maintenance therapy. She presented with clear signs of intoxication (drowsiness, slurred speech, incoherence) yet received he…

general practiceaddiction medicinediagnosticmedicationmethadone
VIChome2023-01-30

Finding into death of Veronica Nelson

37y · Female·complications of withdrawal from chronic opiate use and Wilkie Syndrome in the s…

Veronica Nelson, a 37-year-old Aboriginal woman with opioid dependence, was arrested on minor theft charges, remanded in custody following a bail hearing, and held at…

general practiceaddiction medicinediagnosticsystembuprenorphine/naloxone

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