Alexi Susiluoto
4 Apr 2025 · Coroner R Brittain · Inner North London
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. fragmented treatment of dual diagnoses
“substance misuse and mental health treatment is routinely provided by different organisations, despite close interplay between these conditions and that this can result in significant complexities for agencies caring for the same patient”
2. homelessness exacerbates care fragmentation
“the review is not taking into consideration the additional issues that arise when a patient with dual diagnoses is also homeless”
Linked reports
Identical hazardConfidence 0.90 · high
Earlier report
“it is a matter of concern that he did not have ready access to a dual-diagnosis service locally”
This report
“That substance misuse and mental health treatment is routinely provided by different organisations, despite close interplay between these conditions and that this can result in significant complexities for agencies caring for the same patient”