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The review was commissioned by the Minister for Health and Wellbeing in response to the Coronial Recommendation of the inquest into a death in a rural area. The Coroner recommended that a comprehensive review be conducted in relation to clinical resources in respect of mental health services in all rural regions in South Australia.

A team of three reviewers were commissioned to undertake the review. On 6 July 2022 an interim recommendation was made which related to safe and high quality mental health care. Work is underway by Regional Health Networks in collaboration with the Department and the Office of the Chief Psychiatrist on the response to these interim recommendations.