that there are clear service level agreements and pathways in place. either in person or by telehealth if it is not practicable to have them on site. Recommendation 19: The Department and Serco should ensure that all its use of force policies, guidelines, decision making documentation and training clearly state that the use of handcuffs or other restraints when accessing external healthcare appointments should be recognised to cause harm and should be avoided as far as possible. Recommendation 25: The Government should establish and resource an independent body to monitor the provision of mental health services in immigration detention. Recommendation 20: The Procedural Instruction relating to the use of force should be amended to require that the impact that not being escorted outside of a detention centre may have on the health or wellbeing of the individual be considered as a mandatory factor in the risk analysis prepared when seeking approval for a planned use of force. Recommendation 21: IHMS should review its practices at the centre, with a view of improving privacy within the dispensing area. Recommendation 22: The Department should establish an independent review of healthcare at the centre, with a view to assessing the standard of care currently provided and proposing measures to address any identified deficiencies. Recommendation 23: The Department and IHMS should review and ensure that planning for mental health service provision recognises the very high level of morbidity in the current detention population, and the need for an assertive case management and crisis response-based model, rather than a clinic-based model alone. Recommendation 24: Given the very high mental health morbidity, the Government and Department must ensure out of hours mental health clinicians are available to respond to mental health crises Recommendation 26: The Department should cease the use of high‑care accommodation at YHIDC for quarantine purposes and use alternative, less restrictive options for quarantine as it does for group transfers. Treatment of people in detention Recommendation 27: The Department and Serco should provide breathing apparatus training to the centre’s Emergency Response Team. Recommendation 28: The Department, IHMS and Serco staff working in the centre should be provided with adequate and ongoing mental health training and specific training regarding trauma, its impacts and working with traumatised people. Recommendation 29: The Department, IHMS and Serco should ensure a Trauma Management Plan should be developed for everyone who has experienced torture and trauma. This plan should form part of the existing Individual Management Plan that guides the collaborative work and approach of staff in the centre. Recommendation 30: The Department should ensure that all people in immigration detention have the opportunity for regular, face-to-face contact with status resolution officers, including provision of adequate resourcing for this. Recommendation 31: The Government should introduce legislation to ban the use of spit hoods in immigration detention. Yongah Hill Immigration Detention Centre Inspection Report • 2024 • 67