Shane Hardy
PFD Report
Unknown
Alcohol, drug and medication related deaths
Community health care and emergency services related deaths
No published response · Over 2 years old
Response Status
Responses
0
56-Day Deadline
13 Mar 2017
Over 2 years old — no identified published response
About PFD responses
Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.
Source: Courts and Tribunals Judiciary
Coroner's Concerns
(1) Individuals who suffer with addictions and mental health difficulties can fall between the services. Mental health services consider it not to be a mental health issue, and refer to alcohol treatment services. If the individual then refuses to engage with the latter, the individual is left receiving no assistance. Gloucestershire Coroner'$ Court, Corinium Avenue_ Barnwood, Gloucester, GL4 30J Tel 01452 305661 Fax 01452 412618 Katy The long
(2) When multiple agencies are involved in providing support services to an individual, there can be a lack of information sharing between those agencies. No agency is identified as the lead agency for communication purposes
(2) When multiple agencies are involved in providing support services to an individual, there can be a lack of information sharing between those agencies. No agency is identified as the lead agency for communication purposes
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe you have the power to take such action,
Report Sections
Investigation and Inquest
On the 16th March 2017 an inquest was opened into the death of Shane Dean Hardy: The investigation concluded at the end of the inquest on the 5"h December 2017. conclusion of the inquest was Accidental Death_ The medical cause of death was hanging:
Circumstances of the Death
This 29 year old man ("Shane") had history of involvement with mental health services, and his primary problems were linked to his abuse of alcohol and illicit drug substances. He had taken multiple overdoses, often whilst under the influence of alcohol or drugs, and would seek help shortly thereafter. He was living in supported accommodation_ His last telephone contact with alcohol rehabilitation services was on the 14th February 2017_ On the 24th February 2017 he was arrested and placed ligature around his neck He was formally assessed under the mental health act; and was found to not be suffering from a mental health illness_ On the 28th February 2017 Shane was told by his accommodation provider that he was to be moved into different accommodation On the 2nd March 2017 Shane cut himself; took an overdose and was admitted to hospital: The following day he was assessed by a mental health professional: Whilst he referred to a number of life stressors, no evidence of a mental health illness was found He was discharged from hospital on the 3r March: On the 4t March Shane moved into his new accommodation. He was booked into his accommodation, and a welfare check was carried out on the 4th March; On the 5" March Shane collected his script from the pharmacy: On the 8h March 2017 Shane spoke to a security guard at approximately 7 am He enquired when the staff start, and complained about his current accommodation. He did not express any suicidal ideation. He walked from the office to a semi private area just off the main drive. He then placed a belt around his neck At approximately 11.35 am other residents found Shane's body hanging from a tree. Paramedics attended and pronounced him deceased at 11.47 am:
Copies Sent To
2) Solicitors for P3 Housing, DAC Beachcroft LLP Portwall Place, Portwall Lane, Bristol, BS1 9HS
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.