A teenager who died from a fatal overdose was scheduled to visit a drug and alcohol worker for help on the day of his death.
Tyrone Woxwold, 15, was found lying on the floor of an apartment in Richmond, south-east Melbourne, on 24 November 2019.
Emergency services were called to the unit after his mother, Carolyn Woxvold, found her son unconscious.
Tyrone could not be saved and health officials ruled his death not suspicious.
On Tuesday, coroner Sarah Gebert found that Tyrone died of an unintentional overdose of heroin and methamphetamine.
A forensic investigation found he was due to visit a drug and alcohol worker later that day.
Ms Gebert said Tryone was a vulnerable member of the community.
Ms Woxvold had previously said health officials should have provided better care for her son.
The coroner ruled Tuesday that 15-year-old Tyrone Woxwold (pictured) died of an unintentional overdose of heroin and methamphetamine.
“It got out of hand, he should have been better guarded,” he said. Herald of the Sun.
“The system abandoned him. He put his trust in them and they weren’t there when he needed them,”
Tyrone lived just a few metres from a safe injecting room in the city, which is a medically supervised facility that helps people take drugs safely.
He would not have been allowed access to the facility as the service is only available to people over 18 years of age.
Tyrone began to lose a lot of weight after he started taking methamphetamine, but the side effect of the drug helped him feel good about himself.
Tyrone attended Westall Secondary College in Melbourne’s south-east after enrolling at the school in 2015.
He had a hard time attending school regularly and was soon expelled.
A coroner’s inquest found that Tyrone (pictured right) had been planning to visit a drug and alcohol worker on the day of his death.
He began using drugs while living with his mother and her partner in the apartment.
Ms. Gebert will reveal the full results in a written presentation at a later date.
The state government introduced legislation in 2023 to make Medically Supervised Injection Service (MSIR) a continuous service in North Richmond.
The move was made after the MSIR was tested for five years, between 2018 and 2022.
Daily Mail Australia has contacted Victoria Health for comment.