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Implementation of Tracking Tragedy Recommendations

Implementation of Tracking Tragedy Recommendations

Overview

Reporting on and monitoring implementation of the recommendations made by the NSW Health Mental Health Sentinel Event Review Committee (SERC) in its Tracking Tragedy Reports is a key project for the Mental Health and Drug and Alcohol Office (MHDAO).

The Minister for Health established SERC in 2002 as a Ministerial Advisory Committee to provide an independent review of deaths in which consumers of public mental health services were involved as suicide victims or as suspected perpetrators of homicide. The Committee's objectives are to identify systemic problems and advise on opportunities for improving the safety and quality of service delivery for consumers of mental health services and the wider community. It produced its first Tracking Tragedy report in 2003, its second report in 2005 and its third report in 2007. The fourth report, Tracking Tragedy 2008 and the NSW Government Response will soon be released and will be available on the NSW Health website. The 2003, 2004 and 2007 reports and the NSW Government response to them can be accessed through the links below.

The role of MHDAO in relation to Tracking Tragedy reports is to:

Develop NSW Government responses to the Tracking Tragedy reports;
Consider and agree to the most appropriate and effective way to address supported recommendations by:
- Documenting what is already in place that may address recommendations, either partly or wholly; and
- Identifying any gaps that require further work or additional information to support finalisation of recommendations.
Initiate and manage projects to address recommendations, or negotiate with other MHDAO teams to undertake this
Prepare progress reports for the Mental Health Priority Taskforce on the implementation of the Tracking Tragedy recommendations.

Implementation of Tracking Tragedy Recommendations

Overview

Health Professionals