Commissioner’s Foreword 5 Contents Commissioner’s Foreword 5 1 | Introduction 9 2 | Background – Immigration detention in Australia 11 2.1 Number of people in detention 12 2.2 Length of detention 12 2.3 Reasons for detention 13 2.4 Administration of the detention network 14 3 | Inspection methodology 17 4 | Relevant human rights standards 19 5 | Yongah Hill Immigration Detention Centre 21 6 | Key issues and concerns 23 6.1 Safety concerns 23 6.2 Infrastructure concerns 25 6.3 Drug infiltration 27 6.4 Meaningful activity 31 7 | Health Services 7.1 Staffing 35 7.2 Screening on reception and transfer of records 36 7.3 Accessing health care services 37 7.4 Out of hours health care services 38 7.5 Emergency healthcare 39 7.6 Specialist health care services and external appointments 41 7.7 Medication management 43 7.8 Physical health 43 7.9 Mental health 44 7.10 COVID-19 response 48 8 | Treatment of people in detention 51 8.1 General security 51 8.2 Relationships with staff 52 8.3 Use of force – spit hoods 55 9 | Conditions of detention 59 9.1 Accommodation and shared spaces 59 9.2 Food provision 60 9.3 Facilitating visits 61 9.4 Access to computers 62 10 | Recommendations 4 35 65