actions in the Youth Crime Action Plan; and  C ensuring that justice, social sector and care and protection initiatives for Māori are linked up and are based on partnerships with Iwi. Mental Health in Detention 209 The high prevalence of mental health issues amongst people in detention, and their access to care and treatment in detention are longstanding issues. Sixty to seventy percent of people in prison have either a learning disability or mental illness. 210 In 2012 the Ombudsman completed an investigation into prison healthcare,115 identifying deficiencies in the management of mentally unwell prisoners, and finding that aspects of the management of prisoners at risk of self-harm could be detrimental to their long term mental health. In general, it was found that services were insufficiently responsive to the diverse needs of prisoners requiring mental health care. 211 Also in 2012, the IPCA carried out a review of deaths in police custody,116 highlighting the effect of alcohol, drugs and mental health issues on people in Police custody as areas requiring attention. The 20 recommendations made by the IPCA included “to work towards establishing detoxification centres to provide appropriate care for heavily intoxicated people, and expansion of the watch-house nurse programme to help identify and manage detainees with mental health, alcohol or other drug issues.”117 212 Despite some very positive developments, such as increased adolescent mental health services, improved screening for mental health issues in prisons, efforts to reduce seclusion, and a successful pilot initiative placing mental health nurses in Police watch houses, overall, mental health issues in detention remain a concern. An ongoing concern is that detainees experiencing mental illness should be professionally treated in a therapeutic environment, rather than managed in a custodial setting. 213 According to the New Zealand Police Mental Health Team, Police dealt with around 5,000 mental health related jobs in 1995/96. By contrast in 2103/14 Police responded to over 25,500 mental health related calls for assistance. 118 115 http://www.ombudsman.parliament.nz/system/paperclip/document_files/document_files/456/original/own_motion_p risoner_health.pdf?1349735789 116 http://ipca.govt.nz/Site/media/2012/2012-June-30-Deaths-in-Custody.aspx 117 Ibid. 118 New Zealand Police, Mental Health Team Newsletter, November 2014, p2. Page 57 of 93 Human Rights Commission submission to the Human Rights Committee in relation to New Zealand’s 6th periodic review under the ICCPR

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