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Report finds Darwin youth mental health unit a safety risk

Report finds Darwin youth mental health unit a safety risk

A previously confidential NT Health report found the Northern Territory's only dedicated youth mental health inpatient unit in Darwin failed 16 national safety standards and posed a risk to patients and staff. It was used as overflow for an adult ward as staffing fell.

A previously confidential report has found that the Northern Territory's only dedicated youth mental health inpatient unit posed a health and safety risk to both patients and staff. The internal review, produced by NT Health, was obtained under freedom of information laws. It paints a grim picture of conditions inside the unit's walls. The facility, in Darwin, had originally opened as the territory's first and only inpatient program of its kind.

The findings were stark. According to the report, the facility did not meet safety standards and lacked even the basic facilities found in comparable units. It failed to meet 16 national health and safety standards, including those meant to enable sexual and personal safety. The review described an environment far below what such a unit was supposed to provide for vulnerable young people.

One of the most striking concerns was how the unit was actually being used. The report found it had been used as overflow for an adjacent mental health ward. That meant a space designed for young people could end up housing other patients. Staff numbers, meanwhile, had been dramatically downsized since the facility first opened its doors.

The staffing problems were described as part of a longer pattern. The report confirmed that NT Health had been periodically reducing and removing allied health positions from its mental health workforce, particularly in the youth inpatient program. Critics said the territory was not alone, arguing that many state governments were also failing young people. They warned that without enough beds and resources, the whole system risks collapsing.

The context behind the crisis is a surging need for care. Demand for youth mental health services has risen by 50 percent over the last 15 years. Specialists said the full range of acute services, along with enough beds, was needed to manage the problem properly. Without those resources, they warned, services simply implode under the weight of demand.

The report set out clear options for fixing the unit. It recommended either a major upgrade of the current facility, a move to a new location, or a completely new build to bring it up to standard. The aim was to ensure the space could finally meet the requirements expected of a youth mental health unit. Each of those options pointed to significant investment by the territory.

NT Health declined an interview but responded to written questions with a short statement. It said the facility had received upgrades, including the addition of viewing panels to bedrooms and an airlock. However, it did not say whether the failed safety standards had since been met, whether allied health positions had been restored, or whether adults were still being housed in the unit. Advocates said they believed there had been little to no change since the report.

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