In January 2004 Ms Randall was referred to the Drug and Alcohol Services Council Joslin Unit for alcohol detoxification. She was treated with diazepam. Her admission continued from 5 January 2004 to 10 January 2004. Her discharge summary which appears in the Drug and Alcohol Services Council notes which were admitted as Exhibit C16b in these proceedings records that she suffered from alcohol dependence with daily drinking for a period of 12 months after development of depression and anxiety. Dr John Antonio Dr Antonio is a Clinical Psychologist employed by Southern ACIS (Mental Health Assessment and Crisis Intervention Service). He gave evidence at the Inquest that on 13 January 2004 Southern ACIS and the Drug and Alcohol Services Council conducted a joint home visit at the home of Ms Randall. They confirmed the view that she was suffering from major depression with heavy use of alcohol. A letter from Dr Brett Larwood, Psychiatric Registrar to Dr Lum refers to this intervention. It suggested that the dose of venlafaxine then prescribed to Ms Randall be increased to a maximum of 300 mg per day. The letter explained that venlafaxine works similarly to a select serotonin reuptake inhibitor (SSRI) up to around 200 mg per day but has additional properties of inhibiting noradrenaline reuptake above that dose and thus becomes more activating that an SSRI beyond that level. Dr Lum in his evidence stated that he was not sure if he had ever received this letter and was not sure if he had ever read it either. He stated that as a result the venlafaxine dosage being prescribed by him for Ms Randall was not increased at that time. It was however increased on 29 June 2004 in accordance with a recommendation in a Noarlunga Health Services discharge summary relating to an admission in June 2004 which will be further discussed later in these findings. The Statewide Mental Health Service notes were admitted as Exhibit C12b. Dr Haider Maghazaji The next major event in the narrative occurred on 7 June 2004 when Ms Randall was admitted to the Noarlunga Health Service having consumed an overdose of codeine tablets. She spent two days in the Emergency Department on that occasion before being admitted to the Morier Ward under the care of Dr Haider Maghazaji who gave
In January 2004 Ms Randall was referred to the Drug and Alcohol Services Council Joslin Unit for alcohol detoxification. She was treated with diazepam. Her admission continued from 5 January 2004 to 10 January 2004. Her discharge summary which appears in the Drug and Alcohol Services Council notes which were admitted as Exhibit C16b in these proceedings records that she suffered from alcohol dependence with daily drinking for a period of 12 months after development of depression and anxiety. Dr John Antonio Dr Antonio is a Clinical Psychologist employed by Southern ACIS (Mental Health Assessment and Crisis Intervention Service). He gave evidence at the Inquest that on 13 January 2004 Southern ACIS and the Drug and Alcohol Services Council conducted a joint home visit at the home of Ms Randall. They confirmed the view that she was suffering from major depression with heavy use of alcohol. A letter from Dr Brett Larwood, Psychiatric Registrar to Dr Lum refers to this intervention. It suggested that the dose of venlafaxine then prescribed to Ms Randall be increased to a maximum of 300 mg per day. The letter explained that venlafaxine works similarly to a select serotonin reuptake inhibitor (SSRI) up to around 200 mg per day but has additional properties of inhibiting noradrenaline reuptake above that dose and thus becomes more activating that an SSRI beyond that level. Dr Lum in his evidence stated that he was not sure if he had ever received this letter and was not sure if he had ever read it either. He stated that as a result the venlafaxine dosage being prescribed by him for Ms Randall was not increased at that time. It was however increased on 29 June 2004 in accordance with a recommendation in a Noarlunga Health Services discharge summary relating to an admission in June 2004 which will be further discussed later in these findings. The Statewide Mental Health Service notes were admitted as Exhibit C12b. Dr Haider Maghazaji The next major event in the narrative occurred on 7 June 2004 when Ms Randall was admitted to the Noarlunga Health Service having consumed an overdose of codeine tablets. She spent two days in the Emergency Department on that occasion before being admitted to the Morier Ward under the care of Dr Haider Maghazaji who gave
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