CORONIAL LAW – manner of death – involuntary patient – consideration of medical care, mental health care, and treatment provided by Hospital – assessments undertaken as to whether the deceased was a mentally ill person or mentally disordered within the meaning of s. 14 of the Mental Health Act – whether medical treatment and interventions during the admission were appropriate and adequate in the context of the legislative scheme then in operation (admission pursuant to orders made by Burwood Local Court under ss. 33(1)(b) and 33(1D)(b) of the Mental Health (Forensic Provisions) Act 1990 (now repealed) – whether intervention or medical treatment of chronic mental illnesses or mental health conditions other than any acute drug intoxication implemented before discharge – whether a longer period of admission available and or necessary for treatment and stabilisation of mental state and function – time and circumstances of discharge from Hospital and communications between NSW Police Force officers and clinical staff of Hospital