The inquest, before coroner Ainslie Kirkegaard, heard that child safety staff decided in 2019 that it would be "more detrimental" to not return Elizabeth to her Toowoomba home upon her discharge from hospital, where she had been treated for a coma caused by diabetic ketoacidosis.
On Monday, senior doctors from the Queensland children's hospital gave evidence that they had repeatedly raised the alarm after Elizabeth was hospitalised. The court heard doctors warned that her mother, Kerrie Struhs, might "sabotage" her long-term treatment, which requires multiple daily insulin injections, if they lived together.
Kerrie Struhs told authorities at the time that she did not believe in medicine and had discouraged Elizabeth's father, Jason Struhs, from seeking medical assistance, telling him instead to trust in prayer.
The decision to return Elizabeth home was made at a meeting of the suspected child abuse and neglect team, led by child safety officers and involving specialist police and health staff. Jason was deemed able to provide treatment such as insulin injections. According to meeting minutes, a child safety officer said: "The Queensland children's hospital is not agreeing with our assessment and have been very vocal about it. I feel that removing her would be more detrimental and we currently have the father stepping up."
On Tuesday, a police officer who attended the meeting and served as a child safety liaison for 10 years told the court: "I learned early on ... you couldn't change child safety's mind once they had made their decision." He said the attitude was "across the board" and that officers had to respect the department's structured decision-making tools, describing the approach as "professional courtesy".
All 14 adult members of the Saints were convicted of Elizabeth's manslaughter last year, including Jason and Kerrie Struhs. Both parents were also convicted of failing to provide the necessaries of life in relation to the 2019 incident, and Kerrie was jailed. The inquest heard Jason was initially willing to provide insulin to Elizabeth, against the wishes of his wife.