Implementation of Tracking Tragedy Recommendations
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.
- Tracking Tragedy 2003 - First Report of the NSW Mental Health Sentinel Event Review Committee
- Tracking Tragedy 2004 - Second Report of the NSW Mental Health Sentinel Event Review Committee [PDF, 787KB]
- Tracking Tragedy 2007 - Third Report of the NSW Mental Health Sentinel Event Review Committee
- NSW Government Response to Tracking Tragedy 2003
- NSW Government Response to Tracking Tragedy 2004
- NSW Government Response to Tracking Tragedy 2007