State Coroner criticises call centre operator action over death of tot Duke Hadley Mental Health Triage team leader Tony Halczuk gave evidence at the inquest of Duke Hadley. Picture: Greg Higgs Source: News Limited A CALL centre operator's reluctance to send a crisis team to a mother who went on to kill her child has been criticised by the State Coroner. Coroner Mark Johns is conducting an inquest into the November 2009 death of Duke Hadley, 2, at the hands of his mother Rachael. He is investigating the level and appropriateness of mental health support Hadley, who is serving a limiting term of life, received prior to Duke's death. Hadley stood on her son's mouth and chest because she believed he had been taken over by an evil spirit. Previously, the inquest has heard Duke's father, Jason Hura, tried to get urgent help for Hadley by calling the Mental Heath Triage Service. On Wednesday, Mr Johns said a transcript of Mr Hura's call left him with the impression triage service co-ordinator Daniel Bienewitz had an "unwelcoming attitude." Triage service team leader Tony Halczuk told the inquest there wasn't a culture of discouraging people from calling mental health services. But Mr Halczuk said the service had not classified Mr Hura's call, nor Hadley's condition, as high-risk. Mr Johns said the transcript indicated Mr Bienewitz was reluctant to send an Assessment and Crisis Intervention Service team when Mr Hura called. He said Mr Bienewitz had suggested Mr Hura take Hadley to a doctor the next day. "I get an impression of an unwelcoming attitude to engage on the part of Mr Bienewitz," Mr Johns said. It seems to me an aura of discouragement. Mr Johns said Mr Bienewitz's attitude could be viewed by mental health patients as "another Government service trying to fend them off." We are dealing with people who are used to going to Centrelink and aren't welcome there. They probably don't travel business class on airlines very frequently. He said the triage service's policy outlining the seriousness of an emergency call was unsatisfactory. Mr Halczuk told the inquest that an ambulance was not called because there was no physical element reported about Hadley's condition. He said SA Police also were not notified because of police "reluctance to be involved with mental health issues."