The jury recommended improved supervision and care for vulnerable young people, focusing on ensuring availability of staff to fulfill prescribed care requirements in medical facilities.
The inquest revealed systemic issues in mental health care, highlighting Shane O'Connor’s lack of the 24/7 supervision necessary for his well-being prior to his tragic death.
Shane O'Connor had a close yet complex relationship with his mother, emphasizing the need for integrated care approaches for families dealing with mental health crises.
Following Shane’s death, the inquest raised alarming concerns regarding the practices and regulations governing the treatment of youths in crisis, demanding urgent reforms.
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