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UID:pretalx-2026-ZK7LBB@conferences.acspri.org.au
DTSTART;TZID=AEST:20261125T160000
DTEND;TZID=AEST:20261125T161500
DESCRIPTION:Coronial investigations occupy a neglected position within acce
 ss to justice scholarship.  While coronial proceedings offer important pro
 cedural protections for bereaved families\, the preventive function of the
  coronial jurisdiction\, (its capacity to generate recommendations that dr
 ive legislative\, regulatory and policy reform) has received limited empir
 ical attention.  Whether recommendations actually translate into meaningfu
 l change is a question of accountability and distributional justice: it go
 es to whether the justice system delivers on its preventive mandate for co
 mmunities most exposed to preventable harm. \n\nExisting research has prim
 arily evaluated coronial recommendations through implementation or accepta
 nce rate frameworks\, examining whether the agency to which a recommendati
 on was directed formally accepted\, rejected\, or partially implemented it
 .  While these approaches yield useful descriptive information\, they impl
 icitly assume a relatively linear relationship between recommendation and 
 documented reform.  In practice\, policy changes rarely follow such a path
 way.  Reforms addressing risks identified in coronial investigations frequ
 ently emerge through extended policy processes (government reviews\, commi
 ssioned research\, regulatory consultation and incremental legislative dev
 elopment) that may unfold over years following the original recommendation
 .  Recommendations may also contribute to change indirectly by shaping pol
 icy agendas\, informing research\, or reinforcing concerns raised through 
 parallel policy processes.  No established method exists capable of system
 atically tracing these broader non-linear pathways of influence.  The From
  Inquest to Impact project therefore required constructing a new analytica
 l framework from the ground up. \n\nThis presentation introduces Recommend
 ation-to-Reform Mapping (R2R Mapping)\, a structured qualitative method de
 veloped to trace policy influence of coronial recommendations over time.  
 The method integrates documentary policy analysis\, policy sequence analys
 is and process tracing to reconstruct the sequence of policy developments 
 that may follow from coronial findings.  Rather than evaluating recommenda
 tions by whether they were formally accepted or rejected\, R2R Mapping tra
 ces the broader policy trajectories through which coronial findings may co
 ntribute to institutional and legislative change. \n\nThe method involves 
 five analytical stages: defining the policy domain\; identifying and codin
 g coronial recommendations\; identifying relevant policy developments and 
 reforms through systematic documentary analysis\; constructing chronologic
 al policy timelines\; and assessing linkages between recommendations and r
 eforms. Linkages are classified according to both type – direct\, indire
 ct\, or conceptual agenda-setting\, and strength of evidentiary support.  
 This structured approach enables recommendations\, reforms and policy link
 ages to be systematically compared across policy domains\, time periods\, 
 and institutional actors. \n\nThe method is illustrated through its applic
 ation to the rock fishing safety domain\, one of a number of preventable d
 eath domains examined in the From Inquest to Impact study\, commissioned b
 y the NSW State Coroner.  This domain provides a concrete example of how t
 he framework records intermediate policy developments events\, such as com
 missioned research and safety reviews\, alongside substantive legislative 
 reform\, and assess the documentary evidence linking coronial recommendati
 ons to each.  The rock fishing safety domain also demonstrates the potenti
 al to integrate R2R Mapping with quantitative mortality trend analysis\, e
 nabling examination not only of how recommendations contributed to reform\
 , but whether those reforms were followed by measurable reductions in prev
 entable deaths. \n\nThe presentation considers both the methodological cha
 llenges of working in data-poor documentary environments\, including the d
 ifferential visibility of policy instruments and the inherent uncertainty 
 in attributing reform to specific recommendations.  The potential for R2R 
 Mapping to be adapted for application to other investigative and oversight
  bodies that produce recommendations aimed at reducing preventable deaths 
 is also discussed.
DTSTAMP:20261013T070013Z
LOCATION:Holme Room
SUMMARY:Recommendation-to-Reform Mapping: A method for tracing the policy i
 nfluence of coronial recommendations - Kerryn Butler
URL:https://conferences.acspri.org.au/2026/talk/ZK7LBB/
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