Deceased
JBV
Demographics
unknown
Coroner
Coroner Sarah Gebert
Finding date
2026-03-16
AI-generated summary
JBV died following complications of alcohol use disorder and related medical conditions. The case highlights the importance of comprehensive assessment and appropriate management of patients with substance use disorders in community settings. Key clinical lessons include: ensuring thorough initial assessment and documentation of medical and psychiatric history; recognising withdrawal syndromes and associated complications; maintaining appropriate follow-up and monitoring; and coordinating care between multiple providers. The coroner's finding emphasises the need for integrated care pathways for patients with complex alcohol-related conditions, clear communication between services, and awareness of medical risks in this vulnerable population.
AI-generated summary — refer to original finding for legal purposes. Report an inaccuracy.
I convey my sincere condolences to JBV's family for their loss.
I direct that a copy of this finding be provided to the following: Senior Next of Kin
MAV Barwon Health The Hader Clinic Senior Sergeant Anthony Creanour Detective Senior Sergeant Mark Guthrie, Victoria Police, Coronial Investigator Senior Constable Jeremiah Quinn, Victoria Police, Coronial Investigator Signature: Coroner Sarah Gebert Date: 16 March 2026 NOTE: Under section 83 of the Coroners Act 2008 ('the Act'), a person with sufficient interest in an investigation may appeal to the Trial Division of the Supreme Court against the findings of a coroner in respect of a death after an investigation. An appeal must be made within 6 months after the day on which the determination is made, unless the Supreme Court grants leave to appeal out of time under section 86 of the Act.
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