Romuald (Ronald) Zak's Family Plea for Help

Romuald (Ronald) Zak, aged 24, was found dead two days after he was reported missing from his ward at the hospital.

He was last seen on 22nd May 1997 at the interview with doctors. What really happened to him still remains a mystery.

His family desperately pleads for help and more evidence from any witnesses and more supporting independent opinion from honest forensic experts.

To reopen the case and major crime investigation we need more evidence and support from Silence and independent forensic pathologists.

On this website you can access wittness statements, reports and photographs on which you can make your opinion.

 

Romuald (Ronald) Zak

Romuald (Ronald) Zak (24) found dead under a tree outside Graylands Mental Hospital,
a Western Australian Government owned and run mental hospital 

Romuald (Ronald) Zak murdered in Graylands Hospital, a Western Australian Government owned and run Mental Hospital  ..
                                                                            
                     Danuta and Zan Zak, the mother and father of Romuald Zak 

Romuald's death was ruled a suicide but his mother has been battling to
have the case re-opened as a murder investigation and is appealing for information.
See the website here (warning: graphic crime scene photos): http://www.romualdzakmurder.com/index.html
Some pretty interesting observations made about the crime scene photos/ COD in the OPINIONS section that basically suggests there is a strong likelihood that this may have been a murder staged to appear to look like a suicide ... so cover up? police incompetence? suicide? unsolved murder?
Interesting connection - Romuald was found dead 6 months after Ciara Glennon (the third victim of the so called 'Claremont Serial Killer'). Romuald used to work with Ciara at the same law firm and would often speak about Ms Glennon after her disappearance/murder, and visit her grave. It has been speculated by some that his death is perhaps connected in some way to these unsolved murders.

"...Romuald (Ronald) Zak murdered in Graylands Hospital, a Western Australian Government owned and run Mental Hospital  ..

because he knew too much about who was involved in the Claremont Serial Killings  .....however .. unfortunately for those involved in the Claremont Serial Killings  Romuald (Ronald) Zak had already made a sworn statement and tape recording of everything he knew about who was involved in the Claremont Serial Killings which will be produced at the trial of Bradley Robert Edwards .... along with other signed sworn witness statement and tape recordings from other witnesses that have also been murdered to silence them ... to prove that Bradley Robert Edwards is not guilty of the abductions and murders of Jane Rimmer and Ciara Glennon in 1996 and 1997... and that others named in the statements and tape recordings are ... those others named s being involved in organizing, carrying out the Claremont Serial Killings and other abductions and murders in Perth, Western Australia and the cover up of those involved in the Claremont Serial Killings and other abductions and murders in Perth, Western Australia are  powerful and well connected people in Western Australia which include Western Australian Police..." ... says he investigator in the NYT.bz Investigation report ...

The NYT.bz Legal  Investigation Team (NYTLIT) leader, David Rosen has spoken out and stated publicly ...
"  having examined all the evidence and reports prepared by the various experts, there can be no serious doubt that Romuald (Ronald) Zak was murdered in while under the care of the Western Australian Government owned and run Government Mental Hospital, in Graylands/Mt Claremont ....Romuald (Ronald) Zak was last seen when he was interviewed by two doctors on 22nd May 1997 while in  the Western Australian Government owned and run Government Mental Hospital, in Graylands/Mt Claremont .... then the next time Romuald (Ronald) Zak was scene was on the the 24th May, 1997 by a two dogs with the dogs owner .... the fact that no one at Graylands Mental Hospital reported Romuald (Ronald) Zak missing from Graylands hispital on the the 22nd of May, 1997 and it was two days later when the first person saw Romuald (Ronald) Zak's dead body under a tree nearly to Graylands Mental Hospital says that there is no doubt someone or some people working for Graylands Mental Hospital were involved in the murder of Romual (Ronald) Zak and deliberately did not report Romuald (Ronald) Zak missing to the police on the 22nd of May, 1997, which would have been standard procedure when someone is missing from a Government owned and run Mental Institution such as Graylands Mental Hospital ..."
"...Romuald (Ronald) Zak's dead body was found on 24th May 1997 at 2pm by two dogs with their owner, but she did not make a report to the Police but she told another person that she saw a young man’s dead body. A second person was a woman security guard and she found Romuald (Ronald) Zak's  dead body on 27th May 1997 at 7.35 am, but she also did not report her find to the Police. A third person who found Romuald (Ronald) Zak’s dead body was a contractor employee on 27th May 1997 at 9.30 am and he did report his find to the Police, but the Police never interviewed him. He made his one report from the scene...."

Romuald (Ronald) Zak murdered just after being seen by doctors
and while in custody of the staff at Graylands Hospital

http://murderinhospital.com/index.html

Romuald Zak unsolved murder
FAMILY APPEAL FOR HELP

HOME

THE FACTS

CONTACT US

Witnesses

RETICULATION MAINTENANCE WORKER

PEDESTRIAN

SECURITY GUARD

GARDENER

"SILENCE"

Family Plea for Help

Romuald (Ronald) Zak, aged 24, was found dead two days after he was reported missing from his ward at the hospital.

He was last seen on 22nd May 1997 at the interview with doctors. What really happened to him still remains a mystery.

His family desperately pleads for help and more evidence from any witnesses and more supporting independent opinion from honest forensic experts.

To reopen the case and major crime investigation we need more evidence and support from Silence and independent forensic pathologists.

On this website you can access wittness statements, reports and photographs on which you can make your opinion.

Reports

• WA POLICE ACTION REPORT
• POST MORTEM REPORT
• FUNERAL DIRECTOR'S REPORT
• SCENE PHOTOS
• SHERIFF CORONER-MARSHALL
• NEW SCOTLAND YARD
• UNIVERSITY OF ADELAIDE
• UNIVERSITY OF WA
• WA POLICE COMPLAIN ADMINISTRATION CENTER

Forensics

Opinions

http://murderinhospital.com/story.html

Romuald (Ronald) Zak aged 24

http://murderinhospital.com/story.html

His dead body was found by a witness at 2pm on 24/05/1997.

It is interesting to note that the hospital only contacted the family to report that Ronald was missing and there was no other report to indicate that the Police were called to report a missing person or patient.

He was last seen when he was interviewed by two doctors on 22nd May 1997. What really happened to him after that interview, to this day still remains an unsolved mystery. His death is also a mystery.

His family desperately pleads for help and more evidence from any witnesses and more supporting independent opinion from honest forensic experts.

Romuald’s (Ronald’s) dead body was found on 24th May 1997 at 2pm by two dogs with their owner, but she did not make a report to the Police but she told another person that she saw a young man’s dead body. A second person was a woman security guard and she found Ronald Zak’s dead body on 27th May 1997 at 7.35 am, but she also did not report her find to the Police. A third person who found Romuald (Ronald) Zak’s dead body was a contractor employee on 27th May 1997 at 9.30 am and he did report his find to the Police, but the Police never interviewed him. He made his one report from the scene.

One very important eye witness was another contractor employee who on 22nd May 1997 at 2pm saw a suspicious male person standing upright under the tree. This person was standing still and facing away from him, approximately 2 m. away. The person was not slouched, bent over, nor was he collapsed at the knees or similar. He did not see anything unusual and the person was not slumped as would be expected if he was hanging from a tree branch.

The employee had supplied full details that this suspicious person was wearing a black security jacket and black trousers. This witness was never interviewed by Police or called into Court. He made an interview and affidavit and gave it to the family. It is a very conflicting finding from the Coroner about dead Romuald ( Ronald ) Zak on 21st May 1997 , between 1pm and 2pm, despite all evidence from witnesses and reports.

We have already received some second opinion from famous specialists and we received from newspapers an e-mail copy from a witness called “ SILENCE “ . Eye witness “ SILENCE “ is a very important witness from the scene of the crime at the time when Romuald( Ronald )had passed away. His evidence is most important and it strongly supports the view that Romuald (Ronald) had been raped and murdered.

“ SILENCE “, saying……

Second independent opinions from famous specialists:

1. Sheriff Coroner – Marshal from USA
2. Centre for Forensic Science at the University of Western Australia CSI
3. New Scotland Yard
4. Four of UK forensic pathologists
5. Professor and head of Department of Anatomical Science and Forensic Anthropologist
6. UK National Injuries Database Referral

Other reports:

1. Two Western Australian Police Officers Action report from the scene
2. WA Funeral Director on the dead bodies’ condition report at collecting time from mortuary
3. Statement from gardener
4. Security Incident Report body found
5. Forensic Pathologist WA Cadden Post Mortem Report

Above is the evidence that we have. We also have a list of witnesses which had never testified in the Coroner Court.

We are Romuald’s (Ronald’s) family in desperate need for witnesses to come forward and help us expose our son’s Mystery murder, the unknown darkness. To reopen the case and major crime investigation we need more evidence and support from Silence and independent forensic pathologists. Please!

We need your help, not your name

IMPORTANT INFORMATION

Chemical analysis report confirms that in Romuald’s blood there was Temazepan , a sleep inducing medication. This medication was given to Romuald by the medical staff either in tablets or in injections between 20.00 hours or later, during his stay in hospital. Romualds body was dressed in a white T-shirt opened by 3 buttons, which was part of the male uniform of the carers in the closed ward of the hospital. An oversized blue blazer on Romulad was recognized on the photograph by us and by his female friend who worked in this hospital, that the blazer was the property of an unidentified person.

Romuald’s dead body was placed in the grass on a steeply sloping ground under a tree, of which a small branch, before it was cut, hung 10cm above his chest and around his neck was wound a clean, white shoelace from man’s sports shoes.

The mystery of the cutting of one branch from that tree has not been explained to this day, who and why did anyone cut off a very important piece of criminal evidence. A detective certified in the Coroner’s Court that it was the gardener who cut off the branch. The gardener testified in the Coroner’s Court that he never cut off, before or after Romuald’s death, any branches from any trees because the scope of his duties was only to cut grass. The matter of the mysterious cutting of the branch above the body has not been clarified to this day, who and why it was cut. There never were any samples from the body, clothes, shoelace or gold chain taken for laboratory testing. Court evidence such as the white shoelace from male sports shoes, the gold chain with blood stains, clothing and shoes were all destroyed in the mortuary before they could be sent to the court laboratory for testing.

The pathologist and the detective who were engaged to clarify the case of how and on which branch Romuald hung himself, personally stated that they don’t know how he did it, but he did it they told. A DVD recorded during the time a reconstruction of the hanging scene , based on the pathologist’s autopsy report , confirms a physical phenomenon , that a dead body , after falling from the hight at which the branch was, would never be able to fall into a position at which Romuald’s body was found. Court evidence confirms that a problem which the pathologist and the detective were not able to solve was their inability to confirm whether there was one white shoelace from men’s sports shoes , or two white shoelaces from man’s shoes , or a string form Romuald’s sports trousers around Romuald’s neck. Because there was no examination done as required by regulations in force, the most important evidence which would establish the cause of death was deliberately destroyed and never presented in the Coroner’s Court.

 We, the parents, are defending and will always defend the dignity of our son, because we do not want him portrayed as someone that he was not. Romuald was in deep depression after he found out that his childhood sweetheart got engaged to a much older, divorced man. For three years Romuald took out a restraining order against her, she was aggressive and morbidly jealous, but in spite of all that he loved her very much and waited and believed that one day they will be together again. Romuald personally reported to the hospital asking for specialist help how to live with his pain and his depression after he lost his girl, but he never received any professional help.

Romuald (Ronald) Zak’s chemistry report form Forensic Science Laboratory, presents that there was NO alcohol or any illicit drugs in his body’s system. He had no criminal record with the Police. We have legal access to the Coroner Police forensic photos from the scene where Ronald body was found, and from the autopsy. We can use all the forensic photos and any second opinion to support our case as criminal, and help the police to reopen an investigation into Romuald (Ronald) Zak murder.

Dear witnesses, remember please “HONESTY IS BEST CONFESSION “and you will help our family and our son to stay in “PEACE “for ever.

http://mydeathspace.com/vb/showthread.php?19078-Romuald-(Ronald)-Zak-(24)-found-dead-under-a-tree-outside-Graylands-Hospital

Romuald (Ronald) Zak (24) found dead under a tree outside Graylands Hospital

This is a pretty intriguing case from 1997 in Perth, Western Australia, I just stumbled across the family website today. 

Romuald's death was ruled a suicide but his mother has been battling to have the case re-opened as a murder investigation and is appealing for information. See the website here (warning: graphic crime scene photos): http://www.romualdzakmurder.com/index.html

Some pretty interesting observations made about the crime scene photos/ COD in the OPINIONS section that basically suggests there is a strong likelihood that this may have been a murder staged to appear to look like a suicide ... so cover up? police incompetence? suicide? unsolved murder?

Interesting connection - Romuald was found dead 6 months after Ciara Glennon (the third victim of the so called 'Claremont Serial Killer'). Romuald used to work with Ciara at the same law firm and would often speak about Ms Glennon after her disappearance/murder, and visit her grave. It has been speculated by some that his death is perhaps connected in some way to these unsolved murders.

Here is a link to a Radio National article with some details regarding Ciara Glennon's case (an interview with Una Glennon - Ciara's mother): 
http://www.abc.net.au/rn/relig/spirit/stories/s401612.htm

FYI: Graylands Hospital is a psychiatric hospital - I have heard some pretty awful first hand accounts of abuse by staff by people who have been admitted there in the past.

Anywho ... from the family website:

Romuald (Ronald) Zak, aged 24, was found dead two days after he was reported missing from his ward at the hospital.

He was last seen on 22nd May 1997 at the interview with doctors. What really happened to him still remains a mystery.

His family desperately pleads for help and more evidence from any witnesses and more supporting independent opinion from honest forensic experts.

To reopen the case and major crime investigation we need more evidence and support from Silence and independent forensic pathologists.

THE FACTS:

His dead body was found by a witness at 2pm on 24/05/1997.

It is interesting to note that the hospital only contacted the family to report that Ronald was missing and there was no other report to indicate that the Police were called to report a missing person or patient.

He was last seen when he was interviewed by two doctors on 22nd May 1997. What really happened to him after that interview, to this day still remains an unsolved mystery. His death is also a mystery.

His family desperately pleads for help and more evidence from any witnesses and more supporting independent opinion from honest forensic experts.

Romuald’s (Ronald’s) dead body was found on 24th May 1997 at 2pm by two dogs with their owner, but she did not make a report to the Police but she told another person that she saw a young man’s dead body. A second person was a woman security guard and she found Ronald Zak’s dead body on 27th May 1997 at 7.35 am, but she also did not report her find to the Police. At hird person who found Romuald (Ronald) Zak’s dead body was a contractor employee on 27th May 1997 at 9.30 am and he did report his find to the Police, but the Police never interviewed him. He made his one report from the scene.

One very important eye witness was another contractor employee who on 22nd May 1997 at 2pm saw a suspicious male person standing upright under the tree. This person was standing still and facing away from him, approximately 2 m. away. The person was not slouched, bent over, nor was he collapsed at the knees or similar. He did not see anything unusual and the person was not slumped as would be expected if he was hanging from a tree branch.

The employee had supplied full details that this suspicious person was wearing a black security jacket and black trousers. This witness was never interviewed by Police or called into Court. He made an interview and affidavit and gave it to the family. It is a very conflicting finding from the Coroner about dead Romuald ( Ronald ) Zak on 21st May 1997 , between 1pm and 2pm, despite all evidence from witnesses and reports.

We have already received some second opinion from famous specialists and we received from newspapers an e-mail copy from a witness called “SILENCE”. Eye witness “ SILENCE” is a very important witness from the scene of the crime at the time when Romuald (Ronald )had passed away. His evidence is most important and it strongly supports the view that Romuald (Ronald) had been raped and murdered

http://mydeathspace.com/vb/showthread.php?19078-Romuald-(Ronald)-Zak-(24)-found-dead-under-a-tree-outside-Graylands-Hospital

Romuald (Ronald) Zak (24) found dead under a tree outside Graylands Hospital

This is a pretty intriguing case from 1997 in Perth, Western Australia, I just stumbled across the family website today. 

Romuald's death was ruled a suicide but his mother has been battling to have the case re-opened as a murder investigation and is appealing for information. See the website here (warning: graphic crime scene photos): http://www.romualdzakmurder.com/index.html

Some pretty interesting observations made about the crime scene photos/ COD in the OPINIONS section that basically suggests there is a strong likelihood that this may have been a murder staged to appear to look like a suicide ... so cover up? police incompetence? suicide? unsolved murder?

Interesting connection - Romuald was found dead 6 months after Ciara Glennon (the third victim of the so called 'Claremont Serial Killer'). Romuald used to work with Ciara at the same law firm and would often speak about Ms Glennon after her disappearance/murder, and visit her grave. It has been speculated by some that his death is perhaps connected in some way to these unsolved murders.

Here is a link to a Radio National article with some details regarding Ciara Glennon's case (an interview with Una Glennon - Ciara's mother): 
http://www.abc.net.au/rn/relig/spirit/stories/s401612.htm

FYI: Graylands Hospital is a psychiatric hospital - I have heard some pretty awful first hand accounts of abuse by staff by people who have been admitted there in the past.

Anywho ... from the family website:

Romuald (Ronald) Zak, aged 24, was found dead two days after he was reported missing from his ward at the hospital.

He was last seen on 22nd May 1997 at the interview with doctors. What really happened to him still remains a mystery.

His family desperately pleads for help and more evidence from any witnesses and more supporting independent opinion from honest forensic experts.

To reopen the case and major crime investigation we need more evidence and support from Silence and independent forensic pathologists.

THE FACTS:

His dead body was found by a witness at 2pm on 24/05/1997.

It is interesting to note that the hospital only contacted the family to report that Ronald was missing and there was no other report to indicate that the Police were called to report a missing person or patient.

He was last seen when he was interviewed by two doctors on 22nd May 1997. What really happened to him after that interview, to this day still remains an unsolved mystery. His death is also a mystery.

His family desperately pleads for help and more evidence from any witnesses and more supporting independent opinion from honest forensic experts.

Romuald’s (Ronald’s) dead body was found on 24th May 1997 at 2pm by two dogs with their owner, but she did not make a report to the Police but she told another person that she saw a young man’s dead body. A second person was a woman security guard and she found Ronald Zak’s dead body on 27th May 1997 at 7.35 am, but she also did not report her find to the Police. At hird person who found Romuald (Ronald) Zak’s dead body was a contractor employee on 27th May 1997 at 9.30 am and he did report his find to the Police, but the Police never interviewed him. He made his one report from the scene.

One very important eye witness was another contractor employee who on 22nd May 1997 at 2pm saw a suspicious male person standing upright under the tree. This person was standing still and facing away from him, approximately 2 m. away. The person was not slouched, bent over, nor was he collapsed at the knees or similar. He did not see anything unusual and the person was not slumped as would be expected if he was hanging from a tree branch.

The employee had supplied full details that this suspicious person was wearing a black security jacket and black trousers. This witness was never interviewed by Police or called into Court. He made an interview and affidavit and gave it to the family. It is a very conflicting finding from the Coroner about dead Romuald ( Ronald ) Zak on 21st May 1997 , between 1pm and 2pm, despite all evidence from witnesses and reports.

We have already received some second opinion from famous specialists and we received from newspapers an e-mail copy from a witness called “SILENCE”. Eye witness “ SILENCE” is a very important witness from the scene of the crime at the time when Romuald (Ronald )had passed away. His evidence is most important and it strongly supports the view that Romuald (Ronald) had been raped and murdered

https://www.reddit.com/r/UnresolvedMysteries/comments/2ymijv/bizarre_suicide_of_romuald_zak_parents_believe_he/

Bizarre suicide of Romuald Zak, parents believe he was murdered

In late 90s Perth, WA, the body of 24 year old Romuald Zak was found just outside Greylands Mental Health Facility. It looked like a clear case of suicide by hanging, but certain things didn't add up. Most disturbing is the bizarre letter from an anonymous informant called Silence. This website is still active and run by the parents:

http://hospitalpatientmurder.com/index.html

NB: One thing that really stands out for me, is Zaks connection to two of the girls murdered by the Claremont Serial Killer. He was known to Jane Rimmer and worked at the same law office as Ciara Glennon. He died a few months after Glennons body was discovered.

vulpe_vulpes 77 points 2 years ago 

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I don't know whether or not it's a direct link, but there is probably some kind of link there that goes beyond simply knowing the victims. He left flowers on Glennons grave several times.

[–]daturainoxia 1 point 2 years ago 

Agreed. In any case, he's deceased. Any possible link is now gone.

WAPOL bungled this whole thing, in their usual fashion.

Australia Claremont Serial Killer, 1996 - 1997, Perth, Western Australia - #3

http://www.websleuths.com/forums/showthread.php?294568-Claremont-Serial-Killer-1996-1997-Perth-Western-Australia-3/page66

Sutton 8^th January, 2016

 Originally Posted by silver tongue 

does anybody have any info on romuald zac as far as i can find out he was found hung on the grounds of graylands hospital ,[ he was a patient], on the 21st may 1997 2 mths after the CSK .ended, He [supposedly] worked with CG, his mother swears he was murdered http://dahois.com/www/ romuald zac murder.com.html

Not to deter from the ongoing Berlina debate, but I think Romuald Zak is worthy of discussion. 

IMO, he is not Mystery Man and he was not involved in killing anyone. 

It was reported that Romuald worked with Ciara and he knew Jane. But I can't figure out how he knew Jane, when he last saw her, the nature of their relationship, or anything else. 

Imagine working somewhere and one co-worker is killed by a serial killer, and two months later another co-worker dies of a very suspicious suicide.

I did read online Ciara had signed Romuald's good-bye card from the law firm, so he may have been a former employee. The strangeness of this depends on if Romuald died of suicide or homicide.

Last edited by Sutton; 01-09-2016 at 02:17 AM.

8^th January, 2016 papertrail

 Originally Posted by Sutton 

Not to deter from the ongoing Berlina debate, but I think Romuald Zak is worthy of discussion. 

IMO, he is not Mystery Man was he not involved in killing anyone. 

It was reported that Romuald worked with Ciara and he knew Jane. But I can't figure out how he knew Jane, when he last saw her, the nature of their relationship, or anything else. 

Imagine working somewhere and one co-worker is killed by a serial killer, and two months later another co-worker dies of a very suspicious suicide.

I did read online Ciara had signed Romuald's good-bye card from the law firm, so he may have been a former employee. The strangeness of this depends on if Romuald died of suicide or homicide.

As I understand it, Romuald's death was originally classified by WA police as a suicide and the 1st Coroner's inquest also came to that conclusion. A subsequent inquest delivered an 'open finding'. 

Romuald was last seen at Graylands Hospital as a patient, on 22 May 1997, and disappeared that afternoon. This date is 347 days from Jane Rimmer's abduction 9 June 1996. 

A couple of things I have read recently have prompted me to look closely at the dates LW spent at Graylands.

There is another 'suicide' that occurred after Romuald at Graylands, with the 'victim' found in very similar circumstances. Both Romuald and this 'victim' were found outside the perimeter fenceline.

Attached are 2 photos; hard to believe these are the same guy !

When I first looked at these photos, I though the 1st attachment could show he was MM. 2nd photo is on his gravestone at Karrakatta cemetery. He is buried 2 rows back from Ciara Glennon.

 Attached Images

•  Romuald Zak.JPG (31.9 KB, 21 views)
•  Capture.PNG (512.4 KB, 32 views)

Report on the death of

Romuald (Ronald) Zak (24) found dead under a tree outside Graylands Hospital 

Coroner to investigate Graylands deaths

Coroner to investigate Graylands deaths

Posted 25 Oct 2012

 

http://mydeathspace.com/vb/showthread.php?19078-Romuald-(Ronald)-Zak-(24)-found-dead-under-a-tree-outside-Graylands-Hospital

Romuald (Ronald) Zak (24) found dead under a tree outside Graylands Hospital

This is a pretty intriguing case from 1997 in Perth, Western Australia, I just stumbled across the family website today. 

Romuald's death was ruled a suicide but his mother has been battling to have the case re-opened as a murder investigation and is appealing for information. See the website here (warning: graphic crime scene photos): http://www.romualdzakmurder.com/index.html

Some pretty interesting observations made about the crime scene photos/ COD in the OPINIONS section that basically suggests there is a strong likelihood that this may have been a murder staged to appear to look like a suicide ... so cover up? police incompetence? suicide? unsolved murder?

Interesting connection - Romuald was found dead 6 months after Ciara Glennon (the third victim of the so called 'Claremont Serial Killer'). Romuald used to work with Ciara at the same law firm and would often speak about Ms Glennon after her disappearance/murder, and visit her grave. It has been speculated by some that his death is perhaps connected in some way to these unsolved murders.

Here is a link to a Radio National article with some details regarding Ciara Glennon's case (an interview with Una Glennon - Ciara's mother): 
http://www.abc.net.au/rn/relig/spirit/stories/s401612.htm

FYI: Graylands Hospital is a psychiatric hospital - I have heard some pretty awful first hand accounts of abuse by staff by people who have been admitted there in the past.

Anywho ... from the family website:

Romuald (Ronald) Zak, aged 24, was found dead two days after he was reported missing from his ward at the hospital.

He was last seen on 22nd May 1997 at the interview with doctors. What really happened to him still remains a mystery.

His family desperately pleads for help and more evidence from any witnesses and more supporting independent opinion from honest forensic experts.

To reopen the case and major crime investigation we need more evidence and support from Silence and independent forensic pathologists.

THE FACTS:

His dead body was found by a witness at 2pm on 24/05/1997.

Thread: Romuald (Ronald) Zak (24) found dead under a tree outside Graylands Hospital

Mental Health Bill reaches the upper house and Coroner
reports on deaths of 10 Graylands Hospital patients

https://www.mhlcwa.org.au/latest-news/mental-health-bill-reaches-the-upper-house-coroner-reports-on-deaths-of-10-graylands-hospital-patients/

We note that the Mental Health Bill 2013 has reached debate in the Upper House.

We urge you to read and consider carefully the recent findings of the Coroner about ten deaths of Graylands Hospital patients, and “Professor Stokes (now the Acting Director Of Health) in his 2012 damming report into the practices of WA psychiatrichospitals where in he found  that information management across mental health is a key area for improvement; that there is an absence of a single point of authority with described responsibility for accountability for patient care;  leadership is lacking; relationships within the service is lacking; use of  non-psychiatrist mental health clinicians increases the level of risk to patients, especially where there is the risk of self-harm;  governance is fragmented and variable; there is no articulate Clinical Service Plan for delivering mental health services, and there was no robust uniform clinical accountability across the system. One outcome of the state of the WA mental health services is the deaths of patients, as demonstrated in at least one of the recent Coronial Findings about 10 deaths of Graylands Hospital patients.

At least, we urge you to read of the death of Ms Williams and then consider if the Mental Health Bill has done as much as it can to overcome the impediments to  poor standards of care delivered to these most vulnerable members of our community. Ms Williams was 19 years old.

In my opinion as a Principal Solicitor of the Mental Health Law Centre and ex intensive care charge sister, it is unlikely that Ms Williams would have died as she did, had there been CCTV surveillance of her room. The MHLC has been agitating for CCTV recording (without monitors) in all places of authorised hospitals. Perhaps had the relevant staff been aware of CCTV surveillance, they might have carried out their duties according to an appropriate standard of care to safeguard Ms Williams? The Mental Health Commission and the Minister for Mental Health have refused to introduce this standard into the revised mental health bill currently before the parliament. Furthermore, there are no overarching general civil penalties in the Mental Health Bill for a breaches of a standard of care

We will send you a briefing note to assist you in the Upper House debate in the next day or so.

Antoinette WILLIAMS

http://www.coronerscourt.wa.gov.au/_files/Williams_Antoinette_2014.pdf

Antoinette Williams was a 19 year old aboriginal girl from Broome who died as an involuntary patient at Graylands following a drug overdose administered by hospital staff and the RFDS.

On 10 October and 11 October 2012, Ms Williams presented to Broome Hospital following alleged suicide attempts. She was referred to Graylands Hospital for psychiatric treatment. On a flight with the Royal Flying Doctor Service, Ms Williams was given over double the maximum dosage of haloperidol during the flight. It was thought that Ms William should be admitted to a general hospital because of the overdose but RPH and SCGH were not told of the dosages that Ms Williams had been given and so they refused to admit her.  On admission to Graylands, the receiving psychiatrist did not accept the evidence (wrongly) on the chart of how much haloperidol Ms Williams had been given. Nonetheless, extra monitoring was ordered, but not implemented. Over the course of 17 hours, Ms Williams’s conscious state declined, unobserved. Rigor Mortis had set in before the staff discovered she was dead notwithstanding the order to observe her vital signs every 15 minutes.

Kevin Maxwell COLLINS

http://www.coronerscourt.wa.gov.au/_files/Collins_Kevin_finding_2014.pdf

Mr Collins was a 50 year old man who died at Graylands as an involuntary patient. His cause of death was pandemic influenza A1H1N1 (swine flu), the impact of which was exacerbated by his chronic obstructive pulmonary disease. He was diagnosed with schizophrenia in 1986. Mr Collins was a morbidly obese man and a heavy smoker. He was in and out of psychiatrichospital after his 1986 diagnosis, until his final admission in 2010, where he was administered Clozapine. It was known that Mr Collins’ blood oxygen saturation levels were well below normal. His chronic obstructive pulmonary disease, sleep apnoea, obesity, tachycardia and smoking placed him at greater risk from Clozapine’s side-effects than would have been for a patient in better physical health.

Clozapine’s side effects are widely known within the mental health service, and include flu like symptoms, and some psychiatrists do not use Clozapine in certain situations. In Mr Collins’ situation, one psychiatrist did not agree with his treating psychiatrists’ administration of the drug, stating he was afraid of the drug and would not have prescribed it.

Prior to his death, Mr Collins complained of sedation from the drug, but his treating psychiatrist decided to stop other medication and increase his Clozapine intake at a slower rate. On the night of his death, Mr Collins’ condition deteriorated but he was uncooperative as to management of his health. At 4.30am he had a raised temperature at 37.9º (high), low blood pressure at 80/60 (very low), pulse at 88bpm, normal (for the deceased) oxygen saturation at 92% (low) and shallow fast breathing at 66 breaths per minute (extremely fast).38. At 4.40am the deceased stopped breathing and was unable to be resuscitated. Arguably, this respiratory rate should have generated an urgent response to Mr Collins’ condition.

On the basis of the post mortem the Coroner concluded that the cause of death was bronchitis (pandemic influenza A/H1N1 2009) in a man with chronic obstructive pulmonary disease.

Luke Isaac FORKIN

http://www.coronerscourt.wa.gov.au/_files/Forkin_finding_2014.pdf

Mr Forkin was a 28 year old man who was an involuntary patient at Graylands when he committed suicide on 30 November 2010. Mr Forkin was absence without leave at the time of his death. Mr Forkin first presented in 2005 with suicidal tendencies and auditory hallucinations. He diagnoses included schizophrenia, drug withdrawal, polysubstance abuse, acute mood and behavioural disturbance due to drug use,  antisocial personality traits and finally personality disorders. His treating psychiatrist believed that personality disorder was not a treatable mental illness but the Chief Psychiatrist, Dr Nathan Gibson disagreed.

Nurses at Graylands are required to make entries on specialised forms each time a patient goes on ground access. While it was clear that the deceased went on escorted ground access once in the morning and unescorted ground access twice in the afternoon on 29 November 2010, the only record made related to the first ground access.  It was accepted by the ward co-ordinator responsible for the day shift that the failure to ensure that the records were properly entered was inexplicable and unacceptable. Systemic issues were also notes as to the delay in commencing the AWOL procedure.

Clinicians should not be placed in a conflicted position as a consequence of the requirements of the Mental Health Act 1996. The Coroner found that the provision to clinicians of education about Mental Health Act should occur and noted that the Chief Psychiatrist had developed an orientation and training package to be rolled out in September and October of 2013 for all consultant psychiatrists.

It is to be  hoped that specialist legal input was sought in the development of this package, as it would be from psychiatrists if lawyers were developing a clinician manual.

Tom FOSKI

http://www.coronerscourt.wa.gov.au/_files/Foski_finding_2014.pdf

Mr Foski was a 51 year old man who died as an involuntary patient at Graylands from Congestive heart failure in association with ischaemic and hypertensive heart disease.

Mr Foski first admission to Graylands was in 1986, the 1^st of 21 admissions in total. He was first diagnosed with anti-social personality disorder and then schizophrenia, but noting an intellectual impairment. He suffered from polydipsia, which led to hyponatraemia and congestive cardiac failure, which necessitated admissions to general hospitals. There is significant research to show that the physical health of involuntary patients is much lower than in the broader community. Mental health staff are rarely equipped nor trained to deliver complex health care around such risky states as hyponatraemia and CCF. One wonders how often Mr Foski’s polydipsia was reviewed by a specialist as to its cause, and its management by the MHS.

Mr Foski died on 6 May 2012. He had over $60,000 in his bank account that was managed by the Public Trustee. Perhaps this could have been better spent making his long life in Graylands a more comfortable and for ongoing private specialist management of his polydipsia.

Amanda Alison GILBERT

http://www.coronerscourt.wa.gov.au/_files/Gilbert_Amanda_finding_2014.pdf

Amanda Gilbert was a 48 year old woman who died as an involuntary patient at Graylands from Bronchopneumonia, ischaemic heart disease, chronic renal failure and past hypoxic brain injury.

1981-1985  when she was 19yo – 24 yo, Ms Gilbert was in and out of Graylands. She was diagnosed with psychogenic psychosis and anorexia nervosa.

1985 when she was 23 she attempted suicide by hanging, causing an hypoxic brain injury.

1985-1987, she was transferred between Graylands and aged care facilities.

1987 when she was 26 she became a Graylands long term inpatient for the rest of her life, because no services would accept a young person with a brain injury and unmanageable anti-social behaviour.

1987 – 1997 for ten years when she was 25 – 35 years old, she was assaulted frequently and regularly, both physically and sexually. She needed protection, which she did not get until funding was made available.

1997 commencement of funding for one-to-one care, there was a vast improvement in the deceased’s care since the assaults were curtailed and she could be accommodated in an open ward.

1988 prescribed lithium to improve her quality of life.

1993 onwards lithium prescribed continuously. Lithium levels and creatinine levels were monitored for evidence of renal failure.

1997 Graylands records 26 reported incidents of attempted sexual assaults by male patients over a six month period

1998 lithium levels were rising again, so lithium medication was stopped because of risk of renal failure

1998 in August the deceased admitted to Sir Charles Gairdner Hospital with aspiration pneumonia. While there she developed malignant hypertension, acute renal failure and diabetes insipidus. The pneumonia and the hypertension were difficult to control. Both the renal failure and the diabetes insipidus were thought to be caused by lithium.

1998 -2008 the deceased suffered several falls, a number of which required attendance at Sir Charles Gairdner Hospital for treatment of injuries.

In 2005 Ms Gilbert’s renal function continued to decline and she was diagnosed with osteoporosis, vitamin D deficiency and hyperparathyroidism secondary to chronic renal failure.

2007 Ms Gilbert’s renal function deteriorated further.

July 2007 the deceased saw renal physician Dr Wai Lim at Sir Charles Gairdner Hospital. Dr Lim diagnosed the deceased as suffering from ‘chronic renal impairment secondary to renovascular disease/hypertensive nephrosclerosis +/- lithium toxicity’.

2010 Ms Gilbert died on 22 January from complications of renal failure caused by lithium toxicity after spending more than half of her life at Graylands hospital, where she was regularly physically and sexually assaulted throughout the years.

Ritchie GORDON

http://www.coronerscourt.wa.gov.au/_files/Gordon_Ritchie_finding_2014.pdf

Mr Gordon was a 49 year old aboriginal man who died as an involuntary patient at Graylands whose cause of death was unascertainable. It could have been from an epileptic seizure, cardiac arrhythmia and paralytic ileus/bowel obstruction, which the coroner found to have been from natural causes. Mr Gordon was diagnosed with chronic schizophrenia, organic brain syndrome and alcohol and drug abuse.

1996 to 1998, Mr Gordon was a long term patient at the Graylands Rehabilitation Centre. Mr Gordon 1998 transferred to Sherwood Hostel for 3 years.

2001 in and out of both Graylands and Swan Valley Centre

2002 Mr Gordon developed a protruded abdomen and at times suffered from hyponatraemia from the excessive drinking of water.

2005 Mr Gordon was found dead on the Graylands, Murchison Ward veranda at 10:30pm. He had been dead for a number of hours.

Evidence by a psychiatrist was that the level of nursing staff on Mr Gordon’s ward at the time of his death was the lowest for any inpatient unit in Western Australia. She said that it is difficult to engage in active rehabilitation and take people out into the community with the level of staffing.

Gregory Laurence HUNT

http://www.coronerscourt.wa.gov.au/_files/Hunt_finding_2014.pdf

Mr Hunt was a 53 year old man who died as an involuntary patient at Graylands from suicide by hanging.

1976 diagnosis of Schizophrenia

1976 – 2009 in and out of Graylands over 40 times, numerous suicide attempts and threats.

2009 until 2010 Mr Hunt was imprisoned during which time was transferred back to hospital for treatment for his mental illness When he completed his sentence and was transferred back to Graylands.

On 22 February 2011, Mr Hunt was found dead by suicide on the ward. The treating psychiatrist had noted that there were no suicide risks on this final admission and it was a suicide caused by impulse.

The Coroner found that Graylands should continue to attempt to identify and, if reasonably practicable, remove potential ligature points as an ongoing improvement of the facility.

This would be particularly important in areas where patients are unsupervised or where there are low patient staff ratios.

Aaron Luke PRISGROVE

http://www.coronerscourt.wa.gov.au/_files/Prisgrove_finding_2014.pdf

Luke Prisgrove was a 33 year old man who died as an involuntary patient at Graylands from suicide by hanging.

2001 and 2002: Mr Prisgrove attempted suicide.

11 July 2012 he told nurses that he had attempted suicide in the Graylands chapel. Following this, the nurses removed all items that were classified as risky.

On 12 July 2012, Mr Prisgrove was found hanging in his room from the handle of his suitcase.

Graylands acknowledged that their standard of care was not sufficient by changing its policy to keeping newly admitted patients on the same level of observations as was in place at the transferring hospital.

Mr Prisgrove was administered medication without an independent assessment or clear authorisation for it. This revealed another unacceptable standard  because an audit of the documentation of PRN medications was implemented.

The Graylands ward was found to be not fit for its purpose in safeguarding Mr Prisgrove, indeed it was acknowledged as appalling for observation of someone at risk, and that there were too many patients for that type of ward. A review of the model of care for nursing was also instigated, suggesting that it needed improvement.

Sarah Jane RUTHERFORD

http://www.coronerscourt.wa.gov.au/_files/Rutherford_Sarah_finding_2014.pdf

In 2009Ms Rutherford was a 28 year old woman who died from multiple injuries from suicide. In 1999, Ms Rutherford was diagnosed with Bipolar II Disorder. She had been a patient at Graylands Hospital.

Robert Kenneth SCOTT

http://www.coronerscourt.wa.gov.au/_files/Scott_Robert_2014.pdf

Mr Scott was a 28 year old man who died as an involuntary patient at Graylands from suicide.

1997 Mr Scott was first diagnosed  with schizophreniform psychosis. Mr Scott was in and out of Graylands until his final admission in 2008.

In  May 2008, Mr Scott left Graylands without approval. Nursing staff only noticed Mr Scott was missing around 5:00pm but only reported him to the police as AWOL at 10:00pm that night citing they hoped he would return. Mr Scott was found in the afternoon of 22 May 2008 hanging in the backyard of his uncle’s house.

We note in acknowledgement of room for improvement, after the death of Mr Scott, the policy with respect to absconding patients was changed to require involuntary patients who were considered to be at risk of harm to themselves or others to be declared AWOL if a search of the grounds and local surrounds does not locate them quickly. More recently, a procedure has apparently been adopted whereby absconding patients are declared AWOL immediately unless it is documented in their management plan that there is reason to delay the AWOL process.

There is also now a new process of disseminating changes to policies by placing them in a ‘14 day file’ on each ward. Staff are required to read the updated policies and sign a sheet to show that they have done so. In addition, on-going training has been introduced at Graylands to target high-priority areas, which include the management of absconding patients.

Claremont Mental Hospital for the Insane has a Shadowy Past

http://www.health.wa.gov.au/crc/outcomes/docs/ghp-2010.pdf

The former administration block of the Claremont Mental Hospital for the Mentally Insane is still standing on Heritage lane, Mount Claremont

“Claremont l Hospital for the Mentally Insane”, the original name for the Claremont Mental Hospital, was planned as a state-of-the-art mental hospital – a “one stop shop” where WA’s mentally ill patients could be housed, cared for, treated and hopefully discharged. Built on a hilltop to the north of Claremont, it has sweeping views towards Perth and the Indian Ocean, and had its own water supply, generators, farm, in house laundry, workshops, and stables.

Originally built in 1903, it replaced the over-crowed and dilapidated Freemantle Lunatic Asylum, which closed in 1909, and for decades it was Western Australia’s principle long stay psychiatric hospital .

Dr Philippa Martye, who works at the Centre for Clinical Research in Neuropsychiatry, a joint UWA/Department of Health, research centre based at Graylands Mental Hospital, is researching the history of Claremont Mental Hospital  and its successors, Swanborne and Graylands Hospitals.

Parents still seeking answers after suicide of son Aaron Prisgrove -Parents still seeking answers after suicide of son Aaron Prisgrove ...

ABC700 × 700Search by image

Parents still seeking answers after suicide of son Aaron Prisgrove at Graylands Hospital - ABC News (Australian Broadcasting Corporation)

http://www.abc.net.au/news/2014-05-01/questions-over-graylands-suicide-remain/5421852

Parents still seeking answers after suicide of son Aaron Prisgrove at Graylands Hospital

By Andrew O'Connor 1 May 2014

`

There's no reason, there's no clinical assessment or no clinical rationale for taking him off the one-to-one care that he was on prior to getting to Graylands.

Aaron Prisgrove's father, Dick Prisgrove

We read that as some sort of inevitability that Aaron was going to die, in which case, why was there a need to make him involuntary?

Aaron Prisgrove's father, Dick Prisgrove

After almost three years and two coronial inquests into the suicide of their son, Dick and Ella Prisgrove say they are still waiting for answers.

Aaron Prisgrove hanged himself in Graylands Hospital in July 2011, just hours after he had been sent there as an involuntary patient. He was 32.

His parents have spent the last three years hunting for information, seeking documents through Freedom of Information requests and asking questions in an effort to understand how their suicidal son could have died under the watch of trained mental health professionals.

They had pinned their hopes on the WA State Coroner, which has now released the inquest findings into 10 deaths of involuntary patients in mental health facilities.

But the Prisgroves say the report into their son's death has not delivered closure, and leaves their deepest doubts about their son's death lingering.

"We think there are some clinical questions here that need to be answered that haven't been answered or addressed by the coroner himself," Mr Prisgrove said.

Son had history of depression before suicide attempt

Aaron attempted suicide while working in the Pilbara.

He had a history of depression and heavy alcohol use, and had recovered from the removal of a brain tumour on his pituitary gland which caused a rare condition of uncontrolled growth called acromegaly.

Following his suicide attempt he was flown to Perth by the Royal Flying Doctor Service and admitted to Royal Perth Hospital (RPH).

While being treated at RPH, he left the hospital and attempted suicide again, and was made an involuntary patient before being transferred to Graylands Hospital.

There, he was admitted and sent to a room with his bag - the bag he ultimately used to kill himself less than three hours later.

The Prisgroves believed their son was not properly assessed when arrived, should never have been allowed to keep his bag, and was inadequately monitored once placed in a room.

They dispute the conclusion by coroner Barry King that the care provided to their son Aaron was reasonable in the circumstances.

"He (Aaron) gave clear indications that he was unwell. He'd tried to hang himself only 12 or 24 hours beforehand whilst at Royal Perth Hospital before being sent to Graylands," Mr Prisgrove said.

"And yet there's no reason, there's no clinical assessment or no clinical rationale for taking him off the one-to-one care that he was on prior to getting to Graylands."

Nurse allowed Aaron to go to room out of sight

When Aaron arrived at Graylands, the ward was busy.

He was seated in a waiting area, in clear view of nursing staff, but became anxious. He was given a small dose of diazepam. He told nurses he wanted to lie down and rest.

A nurse allowed him to go to a room, but the coroner noted it was "remote from the nurse station, making visual monitoring of the deceased impossible, but the nurses had no other option at the time if the deceased was to be allowed to lie down to rest".

The coroner said the nurse's decision was based on their view that in his current state, Aaron was not at immediate risk, that he would be monitored every 15 minutes, and that the furniture in the room had been modified to make it difficult for someone to hang themselves.

Deemed a high suicide risk, Aaron had been on one-to-one care at RPH with a nurse assigned to continuously monitor him.

At Graylands, that was scaled back to checks every 15 minutes.

Ten minutes after the last 15-minute check, Aaron was found hanged in his room.

A nurse had been assigned to conduct the 15-minute checks but the Prisgroves had doubts that the required checks had been done.

The coroner rejected those concerns, saying: "I see no basis for a finding that the record of observations was false."

The coroner believed the supervision, treatment and care of Aaron Prisgrove was "reasonable in the circumstances".

"They (Graylands staff) took steps, which in the circumstances of the deceased presentation, and in the context of their considerable experience, the policies under which they operated, were reasonable to protect the deceased from that risk."

"There is no evidence to support a conclusion that the deceased was simply placed in his room and ignored thereafter."

Parents say failure to remove bag was 'catastrophic'

The Prisgroves believe the failure to remove Aaron's bag was a catastrophic error, but the coroner saw it differently.

He concluded that even if the nurses had removed his bag, there was no guarantee Aaron would not have tried another method to end his life.

"Not having his bag would not mean that the deceased could not have used another ligature, for example one fashioned from an article of clothing, with which to hang himself," the coroner said.

The Prisgroves say the coroner seems to be suggesting there was nothing anyone could do.

"We read that as some sort of inevitability that Aaron was going to die, in which case, why was there a need to make him involuntary?" Mr Prisgrove said.

While the coroner concluded Aaron's death could not be blamed on inadequate care, he highlighted problems with facilities and resourcing.

"While I have found that the quality of supervision, treatment and care of the deceased by staff at Graylands was reasonable in the circumstances, one of those circumstances was the unsuitability of Smith Ward for the purpose for which it was being used," he said.

He said the lack of appropriate facilities for mental health patients was being addressed in a move he described as "welcome".

The Prisgroves are now considering the findings and their options.

"We need to go through these in detail and be a lot more objective. And I think we need some outside help to do that," Mr Prisgrove said.

"It's very hard to be totally objective when we're so close to the situation."

http://www.abc.net.au/news/2014-05-01/dick-and-ella-prinsgrove.jpg/5423116

Posted 1 May 2014, 12:24am

Dick and Ella Prisgrove still have questions over the treatment for Aaron.

Topics: suicide

WA methylamphetamine purity at highest level  30^th December, 2016

By Tom Wildie  30^th December, 2016

http://www.abc.net.au/news/2016-12-30/big-rise-in-methamphetamine-purity-in-wa/8154472

The purity of methylamphetamine in WA is at the highest level ever recorded, prompting a warning from health authorities.

+3

The State Government's chemical analyst, ChemCentre, said testing had shown a dramatic increase in the purity of the drug over the past 18 months.

ChemCentre illicit drug laboratory team leader Lecinda Collins-Brown said the agency tested more than 8,000 samples of illicit substances submitted by police this year.

"In 2010 the average purity was approximately 30 per cent for methylamphetamines," she said.

"Since then it has been steadily increasing and in 2014, the average methylamphetamine purity in samples that we were analysing here at ChemCentre was approximately 60 per cent.

"In the past 18 months that has increased again to approximately 75 per cent."

Ms Collins-Brown said the increase was probably a reflection of market demand for the drug.

"If drug users are wanting better-quality drugs and dealers can supply those drugs, then the average purity of seized drugs is likely to increase," she said.

Consequences could be death: ChemCentre

St John Ambulance asked revellers to take responsibility for their actions this New Year's Eve after recording a spike in meth-related incidents in November, with expectations December's levels would be similar.

"Last month we saw a 30 per cent increase in the use of methylamphetamine or people affected by methylamphetamine, leading to aggression, motor vehicle accidents, trauma which could have really being avoided," St John Ambulance general manager James Sherriff said.

ChemCentre has warned users it is impossible to know the purity of a drug by looking at it, as the powders are visually indistinguishable.

"If an individual was to consume same amount of each powder the effect is going to be significantly different," Ms Collins-Brown said.

"The consequences of that could be catastrophic, the person could become quite unwell or even die."

Mr Sherriff said changes to the chemical compound of meth was a factor in the number of incidents recorded in November.

"People who have taken it in the past and are used to taking it in the past are taking the drug like they used to take it, and it has really critical and adverse affects," he said.

opics: drugs-and-substance-abuse, police, community-and-society, wa

Crystal methamphetamine or 'ice'" 

http://www.abc.net.au/news/2016-12-30/crystal-methamphetamine-ice/8154602

Crystal methamphetamine or 'ice'  30 Dec 2016, 8:26am

The purity of methamphetamine in WA has jumped to 75 per cent on average.

Shocking Before-And-After Drug Use Photos

https://www.youtube.com/watch?v=LANc5GtFg1s

Published on Oct 3, 2015

Top 10 most disturbing transformation photos of people that were addicted to narcotics.
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Description:
It’s hard to think of any drug prevention strategy more effective than simply being exposed to a real drug addict. Witnessing the degradation and deterioration of a drug abuser whose addiction has taken its toll offers a first-hand perspective on just how powerless certain people are against the potent sway of heavy drugs, not to mention the toll that they take on the body.

In 2014, drug treatment assistance website Rehabs.com put together a graphic, stunning compilation of photos that captured the physical regression of chronic drug abusers through their head shots. This rather pointed effort, which gathered the mug shots of those arrested multiple times for drug- and/or drug-related offenses, served to highlight the potentially catastrophic health effects of drug abuse in a raw, visceral and impactful manner. Physical changes seen through these images include skin lesions, decayed or missing teeth, open sores and premature aging, among other noticeable symptoms. It is important to note that not all of the deterioration and facial change seen within these people is necessarily the cause of drug use, but illicit substances have surely assumed at least some responsibility for the visible toll taken on these 10 individuals.

The Rehabs.com webpage aimed to serve as a source of education and inspiration, not only for those who came upon it but also for the addicts featured on the site. Lest anyone feel that the images are being used to shame, embarrass or exploit those in need of help, the website includes a disclaimer that not only invites users to request the removal of their photo, but also offers financial assistance for those seeking treatment. It also acknowledges that the images shown represent only the most extreme cases of drug abuse, but makes sure to mention that those featured in the images likely never anticipated such a slippery slope towards extreme addiction.

The statistics on drug abuse are pretty stunning. In 2013, over 24 million people reported that they had taken illicit drugs or abused prescription medication in just the past month alone. One year earlier, more than 1.7 million people had been admitted into treatment programs for substance abuse. While certainly representing a staggering number, that doesn’t address the vast majority of drug users in need of help. And although statistics can be impactful in their own right, the personal cost of drug abuse is probably best represented in the faces of those most affected by it.

Different drugs carry their own common side effects. Meth is known to cause facial wasting and open sores, cocaine can be an appetite suppressant and lead to weight loss, ecstasy often causes teeth grinding and even marijuana can age and pale the skin over time with excessive use. But even more than the symptoms of any one drug, the most damaging impact of substance abuse might be the mental side of the addiction, where recreating that high becomes a driving force in the addict’s life and leads to self-neglect. These 10 addicts wear the heavy cost of their drug abuse on their faces, plain for anyone to see.



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https://ancestrysearch.wordpress.com/2012/10/08/claremont-hospital-for-the-insane/

Finding Family

One woman's obsession with family history.

Claremont Hospital for the Insane

Jess

19 comments

October 8, 2012

As Mei and I drove along the maze of streets in Mt Claremont it wasn’t long before we lost all sense of direction and found ourselves going around in circles. Instead of becoming frustrated we chose to laugh it off and finally approached Heritage Lane feeling light-hearted and cheery and eager to see the building that played a big part in the life of my Great Great Grandmother, Matilda Maria Hurst.

Through my research I’d seen many photos of the Claremont Hospital for the Insane so I had some indication of what to expect. As we drove up the hill we kept our eyes peeled for the heritage building. Coming close to the end of the Lane, Mei slowed the car and we both looked at the building to the left of us. Despite having seen photos of what the administration building looked like, seeing it in reality was somehow different. For several seconds we simply stared and wondered if this was it. Thinking back, why we even questioned it is laughable. A big sign out the front located on the grassed area of the roundabout indicated that redevelopment of the heritage site was full of wonderful opportunities.

Once the car was parked in the driveway, we sat for a few moments and looked at a well proportioned building with a balcony and archway over the entrance. Boards covered the windows and both they and the building itself were scrawled with graffiti tags; a testament to the time it has stood empty. Our cheery moods vanished and we were both immediately struck with hesitation. I had come prepared with my camera but at that moment, neither of us wanted to get out of the car. I don’t often get weird vibes from buildings but as I sat and looked at the administration building, I felt terribly uncomfortable. Even now when I think of it, shivers run up and down my spine.

Given the history, I’m sure our reaction was understandable. Built in the early 1900s in response to massive criticism against the Fremantle Mental Asylum, it’s purpose was to be a new and improved home for the mentally ill. It opened its doors in August 1903 and from 1905 to 1909, patients were transferred from Fremantle Asylum to the Claremont Hospital for the Insane. It remained in use for over 80 years until its closure in 1987.

Since then it has stood empty. All the old male and female wards have been demolished and all that remains today is the administration building at the front, the male and female nurses’ quarters (to the left and right), Montgomery Hall (at the back) which was the old dining and performance hall and the kitchen and stores (in the middle). The below aerial photograph printed in the Sunday Times in 1922 illustrates the layout of the hospital grounds. Though it’s not the easiest to make out, the administration buildings are in the middle with the male and female wards fanning out on either side.

Despite our trepidation and the creepy feeling we got just from looking at the building, we didn’t sit in the car forever; I had to get some photos. Luckily for me (I suppose because of the redevelopment) most of the fencing which I’d seen surrounding the entire complex in other peoples’ photos had been removed and we were able to walk around the entire perimeter.

A quick search on the internet brings up forums and comments where adventurous people have posted about their experiences after managing to get inside to have a look. It is a place associated with much pain and suffering and because of this, it also tends to draw ghost hunters. Naturally, quite a few people believe the building is haunted. I’m not too sure what I believe without having gone inside. From the outside we saw nothing untoward; all we experienced was an overwhelming intuitive feeling and to be honest, that was enough for me.

To see some photos of the inside of the Claremont Hospital for the Insane, please visit the site 6000Times (http://www.6000times.com/2010/01/swanbourne-abandoned-mental-crazy.html).

With bad weather thwarting our original plans to draw, thanks must go out to Mei who suggested checking out the asylum and then very kindly drove me there. Share the love and visit her blog! http://libertineeats.com/

RE INQUEST INTO THE DEATH OF ROMUALD TODD ZAK; EX PARTE ZAK [2006] WASC 186

JURISDICTION : SUPREME COURT OF WESTERN AUSTRALIA

IN CHAMBERS

CITATION : RE INQUEST INTO THE DEATH OF ROMUALD TODD ZAK; EX PARTE ZAK [2006] WASC 186

CORAM : MURRAY J

HEARD : 15 AUGUST 2006

DELIVERED : 15 AUGUST 2006

PUBLISHED : 25 AUGUST 2006

FILE NO/S : CIV 1452 of 2006

EX PARTE

DANUTE ZAK
Applicant

Catchwords:

Coronial inquest - Application to declare findings void and to reopen inquest - Grounds discussed - Approach to be taken by Court

Legislation:

Coroners Act 1996 (WA), s 52

Result:

Certain findings declared void

Order made to reopen inquest

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Category: A

Representation:

Counsel:

Applicant : Mr J G Staude

Amicus Curiae : Mr B P King for the Hon Attorney General

Solicitors:

Applicant : Bradley & Bayly

Amicus Curiae : State Solicitor

Case(s) referred to in judgment(s):

Anderson v Blashki [1993] 2 VR 89
Attorney General v McCann, unreported; FCt SCt of WA; Library No 940186; 11 April 1994
Chief Commissioner of Police v Hallenstein [1996] 2 VR 1
Re Zappelli; The Attorney General for the State of Western Australia [2000] WASC 183

Case(s) also cited:

Davis (Dec), In re [1968] 1 QB 72
Rapier (Dec), In re [1988] QB 26

Page 3)

1 MURRAY J: In April 1997 the deceased, then aged 24, was admitted to Graylands Hospital. He was provisionally diagnosed as suffering from a schizoaffective disorder and a diagnosis of psychotic depression was also made. He mentioned on a number of occasions that he was considering suicide. He had attempted suicide about a year before his admission to hospital, since when he had been receiving treatment both as a patient in Graylands Hospital and elsewhere. He was transferred to a closed ward and he was last seen by nursing staff at about 1.30 pm on 21 May 1997.

2 Later, when he could not be found, a search was made for him, without success. His body was found by a gardener at about 9.30 am on 27 May 1997 in the grounds of the hospital near the Frankland Centre, a special secure unit.

3 Shortly before the deceased's death, the Coroners Act 1996 (WA) had come into operation. It was proclaimed to do so as from 7 April 1997. Under s 22(1)(a), an inquest was required to be held because the deceased was, immediately before his death, a "person held in care". That term is defined in s 3 to include a person who is an involuntary patient within the meaning of the Mental Health Act 1996 (WA). I understand that was the situation of the deceased after he was returned to Graylands Hospital.

4 Under s 25(1) the Coroner was required to find, if possible, not only the identity of the defendant and the particulars needed to register the death, but how the death occurred and the cause of death. It is with those matters that the present application is concerned. In addition, under s 25(1):

"Where the death is of a person held in care, a Coroner must comment on the quality of the supervision, treatment and care of the person while in that care."

5 After investigation, the inquest was held on 12 August 1998. A Sergeant of police assisted the Coroner and Graylands Hospital was represented by counsel. The transcript is before me in evidence. It seems to me that, not surprisingly, attention was particularly focused on the need for the Coroner to make the comment provided for in s 25(3). The gardener who found the deceased was called, as was the inquiry officer who gave evidence of his finding of the deceased, in situ, the taking of photographs and the presentation of his report. Oral evidence was also given by the security manager of Graylands Hospital, and a number of members of the nursing staff who had had contact with the deceased at

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various times, as to the circumstances of his care and treatment immediately before he absconded from the hospital. A consultant psychiatrist, who had had his treatment, and a psychiatric registrar who had been similarly involved with the deceased, were also called.

6 Otherwise, the evidence consisted of the receipt of various reports and statements. The pathologist, Dr Cadden, was not called. His post-mortem report was presented to the Coroner. The report recorded Dr Cadden's attendance at the scene where the body was found on 29 May 1997. The report presents the findings briefly and then in more detail. In summary, they were that the doctor found that:

"Decomposition with putrefaction change was readily evident. A ligature and ligature marking was present about the neck. The circumstances and findings are in keeping with death on account of ligature compression of neck (hanging)."

In addition, the doctor found pulmonary congestion, but no evidence of injury before the death.

7 Mr and Mrs Zak, the parents of the deceased, were present at the inquest, but neither appears to have been called to give evidence. They were not represented. Mrs Zak makes the present application pursuant to s 52 of the Act. Any person has standing to apply under that section for an order that some or all of the findings of an inquest are void. If the Court makes such a declaration it may order the State Coroner to hold a new inquest, or direct a different coroner to do so, or to reopen, or direct another coroner to reopen, the inquest and re-examine any finding.

8 The terms of s 52(3) are important. They are as follows:

"The Supreme Court may only make an order if it is satisfied that -

(a) it is necessary or desirable because of fraud, consideration of evidence, failure to consider evidence, irregularity of proceedings or insufficiency of inquiry;

(b) there is a mistake in the record of the findings;

(c) it is desirable because of new facts or evidence; or

(d) the findings are against the evidence or the weight of the evidence."

(Page 5)

9 In this case, the applicant relies upon the submission that the jurisdiction of the Court would fall to be exercised under par (3)(a) on the ground that an order declaring void some of the findings was necessary or desirable on or because of consideration of the evidence, and under par (3)(c) on the ground that an order was rendered desirable because of new facts or evidence.

10 At the conclusion of the hearing, the Coroner reserved his decision on the inquest and on 21 August 1998 published his findings as required by the Act, s 26, in the form of a record of the investigation. The record concludes:

"There is no evidence before me that suggests that the deceased received other than adequate care, supervision and treatment whilst at Graylands Hospital. I find that Mr Zak hanged himself in the grounds of Graylands Hospital between 1330 hours on 21 May 1997 and 0930 hours on 27 May 1997 whilst in a disturbed state of mind. I find that death arose by way of suicide."

11 The challenge made by the present application is as to the findings how death occurred and the cause of death. There is no challenge or application to declare void the comment on the quality of the supervision, treatment and care of the deceased while a patient in Graylands Hospital, on the basis that that course is arguably open to the Court.

12 Having heard argument and read the papers, I granted the application. I declared void the findings made by the Coroner on 21 August 1998, that the deceased had died by hanging and his death was a suicide. To allow complete flexibility in what was to follow, I did not order that a new inquest was to be held. I chose to make the order in terms of s 52(2)(b). I ordered the State Coroner to reopen or direct another coroner to reopen the inquest and to re-examine the findings which I had declared void. This was the clear thrust of the application.

13 It seems that Mrs Zak has carried the burden of a continuing investigation into the death of her son. She had access to photographs taken at the scene and at post-mortem, together with a transcript of the inquest and other documentary exhibits. She made contact with Associate Professor Dadour and Mr Napper of the Centre for Forensic Science at the University of Western Australia. They have provided reports, and I was provided also with a powerpoint photographic presentation produced by Mr Napper. It presents the photographic evidence, upon which his report

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relies, with much greater clarity than was otherwise available in the hard copy annexures to his report.

14 Associate Professor Dadour provides a report effectively as a forensic entomologist. Using the photographic evidence, he estimates that the deceased was in the place where he was found for a minimum of 24 hours, but no longer than 48 hours after his death to the time when the photographs were taken.

15 Mr Napper retired from senior positions in the Police Services of the United Kingdom and Australia to take up his present position. His report is wide-ranging. It is the report of an investigator concerned with various aspects of the depictions in the photographs which cause him concern. There is no need for me to discuss his report in detail, but it includes the following concerns. There appears to him to be little evidence of the decomposition and putrefaction reported by Dr Cadden. He sees various unexplained bruises on the torso and head of the deceased. He finds the conclusion that the deceased hanged himself difficult to understand, having regard to the final position of the body and the tree against which it was found. He doubts whether the pathology supports the conclusion of hanging, and he cannot rule out, he says, strangulation by another, the scene then being staged to give the appearance of a death by suicide.

16 A similar report with wide-ranging concerns of this kind was obtained from a Detective Chief Superintendent Cook of the Metropolitan Police Service Serious Crime Group, New Scotland Yard, London. He also questions whether the evidence presented to him depicting the deceased in the place where he was found is consistent with death by hanging, and he agrees that the face of the deceased "would appear to have been subjected to some blunt trauma". He raises other matters of concern.

17 A report was also obtained from a Detective Sergeant McDonald of the Sheriff or Coroner's Office of Placer County in California. This reporter boldly expresses the view, on the basis of what he describes as the "limited or incomplete investigative records provided" that the deceased was subjected to trauma before his death, re-dressed after that assault or death, the ligature was fixed and he was moved to the position where he was found at which time, he agrees, the deceased was not in an advanced state of decomposition. He had been there, Detective Sergeant McDonald suggests, no longer than two days.

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18 There is evidence of a tree limb which was originally just above the torso of the deceased having been removed by the use of a chainsaw. Detective Sergeant McDonald expresses the view that it must have been removed prior to the deceased being placed in the position where he was found. Some red twine was found attached to a higher tree limb. Detective Sergeant McDonald says it has no obvious connection to the death of the deceased.

19 Finally, a report has been obtained from a Professor Hennenberg. He is a biological anthropologist and anatomist. He holds a chair in anthropological and comparative anatomy and is the head of the Department of Anatomical Sciences in the Medical School at the University of Adelaide. He also viewed the photographs of the deceased in the place where he was found, and those taken at post-mortem. After more detailed discussion of the various matters which struck the Professor as being of concern, he suggests that there were indications of:

" … significant struggle preceding death and serious head injuries that could lead to the death of Mr Zak. Therefore, there are no grounds for suspicion of suicide while evidence of physical abuse possibly leading to homicide or murder is substantial. Since there is no evidence of struggle under the tree where the deceased has been found, the injuries had to be inflicted in some other location and the body moved to the place it was found in."

20 The previous Act, the Coroners Act 1920 (WA), s 14, was in terms which were quite different from s 52 of the 1996 Act. Section 14 of the 1920 Act was inherited from the UK. Paragraph (b) allowed the Supreme Court to make its order, particularly to "quash the inquisition" on the inquest:

"Where an inquest has been held by a coroner, that by reason of fraud, rejection of evidence, irregularity of proceedings, insufficiency of inquiry, or otherwise it is necessary or desirable, in the interests of justice, that another inquest should be held;"

21 The authorities upon the former s 14 were considered by Hasluck J in Re Zappelli; The Attorney General for the State of Western Australia [2000] WASC 183. His Honour accepted that the relevant criteria to decide an application under s 14 were as follows, at [11] and [12]:

(Page 8)

"There is no requirement that a different verdict will probably be arrived at if a fresh or second inquest is held. It is sufficient if there is a possibility that the result of a second inquest will be different from the first. It is not necessary that the evidence relied upon be 'fresh' in the sense that such a term is used in deciding appeals in a traditional way. … economic, social and humanitarian factors may be taken into account. The interest of the relatives of the deceased and the community in having the circumstances of a death fully exposed and thoroughly evaluated are matters that should be taken into account."

22 Section 52 of the 1996 Act appears to be taken directly, word for word, from s 59 of the Coroners' Act 1985 (Vic). My attention was drawn to two cases decided upon that legislation.

23 In Anderson v Blashki [1993] 2 VR 89, Gobbo J, at 92, said:

"Section 59 enables findings to be declared void if the Court is satisfied that it is necessary or desirable to do so because of consideration of evidence. What does consideration of evidence mean? It cannot mean that a finding can be set aside because evidence was considered by the Coroner. If it means, as one assumes, possible avoidance because of the way in which the Coroner considered evidence, that still leaves the matter in an extremely ambiguous light. Doing the best I can with this unclear, somewhat incomprehensible phrase, I conclude that it must mean by reason of some error of law or misdirection or error of fact."

Gobbo J went on to express the view that subs (3)(d) would require the Court to consider the whole of the evidence given before the Coroner to determine whether the findings were against the weight of the evidence, and it is evident that his Honour took the view that the phrase "consideration of evidence" referred to a consideration given to the evidence before him or her by the Coroner.

24 The decision of Hedigan J in Chief Commissioner of Police v Hallenstein [1996] 2 VR 1 was cited to me. At 12, his Honour cited the passage from Anderson v Blashki, to which I have referred above, before continuing at 12-13:

"It seems to me that if the court was satisfied that it was necessary or desirable, because of the way in which the evidence was considered, that a finding ought to be declared

(Page 9)

void, the difference between that conclusion and the conclusion that a finding is against the evidence and the weight of the evidence is more apparent than real.

Notwithstanding that it is not generally desirable that variance in interpretation ought to be indulged in unless necessary, I would go further than Gobbo J because it seems to me that the language referred to empowers the court, having considered the relevant evidence, to set aside a finding if it concludes that it is necessary or desirable to set it aside, based on that consideration."

His Honour went on to observe that, viewed in those terms, the section reposed a very wide discretion in the Supreme Court and, with respect, I am comfortable with that interpretation. I note that in speaking about "the evidence" it is the evidence before the Coroner to which his Honour refers, but on one point his Honour speaks of the way in which that evidence was considered by the Coroner, whereas later he refers to the consideration of the evidence by the Court.

25 Attorney General v McCann, unreported; FCt SCt of WA; Library No 940186; 11 April 1994, is a decision of the Full Court concerned with s 14 of the 1920 Act. The application was grounded on alleged insufficiency of inquiry or that it was otherwise necessary or desirable in the interests of justice that another inquest should be held. The case concerned new evidence or at least evidence which was additional to that which was before the coroner. The Court held that it was sufficient if it was possible, in the light of the whole of the evidence now available, that there might be a different verdict. There must be something more than mere speculation, but it is not necessary for this Court to itself find the facts if the "evidence" is capable of acceptance.

26 Of course, in that regard one should not overlook the fact that, under s 41 of the 1996 Act:

"A coroner holding an inquest is not bound by the rules of evidence and may be informed and conduct an inquest in any manner a coroner reasonably thinks fit."

27 Reference to the Second Reading Speech of the Hon Cheryl Edwardes, the Attorney General of the day, delivered in the Legislative Assembly on 22 June 1995, makes it clear that the 1996 Act was intended to address a number of very important deficiencies in the Act of 1920, but there was, in that speech, no reference to s 52, or any discussion of the

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reason why it may have been thought to be desirable to move from the former s 14 to adopt the equivalent provision of the Victorian Act, despite the criticism of the section by the Supreme Court in that State.

28 In my view, the proper interpretation of s 52(3) is firstly that it is the "findings" of the inquest which may be challenged by the application. In my opinion, those are the findings referred to in s 25(1) of the Act, distinguished from mere comment on matters not central to the Coroner's function.

29 I think the discretion to order that a new inquest be held or to reopen an inquest is a wide one, but it is confined, because the discretion may only be exercised if the Court is satisfied that the matter can be brought under some provision of s 52(3). Putting to one side the question of a formal mistake in the record, the width of the discretion is made apparent by the use of the word "desirable". Given that the Coroner necessarily now will be investigating a death, it will be necessary or desirable to set aside findings, having regard to the public interest in the completeness of the investigation and inquest, and having regard to the recognised private interests in achieving that result.

30 Section 52(3)(a) and (b) are provisions which refer to the evidence and proceedings before the Coroner. It is the adequacy of those proceedings and that investigation with which the subsection in these paragraphs is concerned. The evidence may need to be reviewed and the task may be an onerous one. So be it. In my opinion, in this case there is no ground to suppose that the Coroner's inquiry or the consideration of the evidence before him is demonstrative of error in the findings now under challenge.

31 This is an application which, in my opinion, turns upon the new facts or evidence which have now been brought forward. They make it desirable, having regard to the considerations to which I have referred, that I should make the order I did, declaring the findings as to the manner and cause of death to be void. Paragraph (3)(c) refers to new facts or evidence. This Court might find those facts, but in this case I would not do so. I have regard to the new evidence in the form of the reports and expressions of opinion to which I have referred above. I have no doubt that, having regard to s 41, they are admissible before the Coroner holding an inquest. But the matter may be resolved by further investigation, and that is why I did not order that a new inquest be held, but ordered that the inquest be reopened to re-examine the findings to which my order refers.

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32 At the moment, there is evidence in the sense of new factual material and new opinions, which casts doubt on the findings made as to manner and cause of death and which, if accepted, would quite possibly (indeed almost certainly) lead to different findings. For those reasons I was satisfied that the findings should be set aside and the inquest reopened.

Citation report