Overview
- Draft recommendations released by the coroner's court include a 24/7 real‑time mental‑health information service, a statewide rollout of the Pacer crisis response, and tighter protocols for tapering antipsychotic medication.
- Police measures under consideration include a NSW trial of warrantless weapons “wanding” in some crowded places, with potential for permanent use subject to assessment.
- Families of victims asked the coroner to refer Joel Cauchi’s former psychiatrist, Dr Andrea Boros‑Lavack, to a regulator following evidence they described as distressing.
- Counsel assisting criticized Dr Boros‑Lavack’s testimony as belligerent and inconsistent and highlighted missed red flags after she weaned Cauchi off antipsychotics and discharged him to GP care.
- Expert evidence to the inquest found Cauchi was floridly psychotic and unmedicated during the April 2024 attack, while Inspector Amy Scott’s rapid intervention to locate and fatally shoot him was deemed justified and life‑saving.