Chart 5: Incidents of self harm at YHIDC88 100 93 90 86 80 70 50 52 50 47 40 30 61 59 58 60 45 43 35 25 23 20 12 10 0 7 2018–2019 2019–2020 2020–2021 Self Harm – Actual 2021–2022 Self Harm – Threatened With the level of symptomatology and lack of community supports, self-harm, suicidal behaviour, mental ill-health related behavioural disturbance and aggression are predictably common at the centre. Operational systems therefore need to be designed to minimise risks of harm to self and others, and health services need to be designed to adequately respond to identified needs. 2022–2023 Total 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. Yongah Hill Immigration Detention Centre Inspection Report • 2024 • 47

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