Queensland locked mental health wards lack independent oversight, former patients report assaults

Advocates call for regular inspections similar to those at prisons and youth detention facilities

By LineZotpaper
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Former patients say they have been physically attacked and experienced sexual misconduct in locked mental health wards across regional Queensland, as advocates call for frequent independent inspections of these facilities. Queensland has not set up an independent body to regularly inspect its locked mental health wards almost a decade after Australia agreed to do so under an international treaty.

The ABC has spoken with former patients and advocates who want regular checks, similar to those carried out at the state's prisons and youth detention facilities.

Bella (not her real name) was an involuntary patient at Mackay Base Hospital's inpatient mental health unit last year and believes the locked wards need more oversight. She said she was watching a movie in the ward's communal room when a male patient sat down next to her and made a sexual advance towards her.

"I was in there by myself, and he touched my legs and asked me to come into the bathroom with him," she said. "He wanted me to do sexual activities with him in the psych ward. I was really scared, and I couldn't really get out of the room that I was in."

When the man eventually left, Bella called the Queensland Police Service (QPS). "The hospital had taken my phone off me, so I used the communal phone to call the police," she said. Bella says the man had also made inappropriate comments about her body, and other men had exposed themselves to her while she was in the ward.

Data from the Office of the Health Ombudsman (OHO) shows there were 19 complaints about sexual misconduct related to a mental health service provided by a hospital and health service in Queensland between July 1, 2021 and June 30, 2026. Of these, four were investigated by OHO, and one resulted in immediate action being taken. Organisations involved in the sector believe the actual figures to be higher, according to a report by the Queensland Public Advocate.

Bella does not believe she has a mental illness and said she was referred to mental health services after reporting to family and police that she had experienced domestic violence and cyberstalking. "I experienced extreme trauma while incarcerated in the psychiatric ward," she said.

A QPS spokesperson said investigations into "a reported assault" at the hospital were ongoing, but police could not release any further information at this stage.

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Analysis

Why This Matters

  • Patients in locked mental health wards are vulnerable and unable to leave, making independent oversight critical for their safety.
  • Queensland has failed to establish an inspection body nearly a decade after an international treaty commitment, raising accountability questions.
  • The reported incidents of sexual misconduct and assault highlight gaps in patient protection, with official complaint numbers likely undercounting the problem.

Background

Australia agreed under an international treaty to establish independent monitoring of locked mental health facilities. Queensland has not set up such a body, despite similar oversight existing for prisons and youth detention centres. The lack of routine independent inspections means patient safety relies on internal hospital processes and complaint-based investigations, which advocates argue are insufficient.

Key Perspectives

Former patients: Describe experiences of sexual advances, exposure, and assault within wards, and say they had limited means to escape or call for help. Advocates: Call for regular independent inspections, arguing that without them, abuses go undetected and underreported. Health Ombudsman's Office: Investigated four of 19 sexual misconduct complaints over five years, with immediate action in one case, suggesting a low rate of formal inquiry. Queensland Police Service: Confirms an ongoing investigation into a reported assault at Mackay Base Hospital but provides no further details.

What to Watch

  • Whether the Queensland government responds with a commitment to establish an independent inspection body.
  • The outcome of the police investigation into the reported assault at Mackay Base Hospital.
  • Any further complaints or reports from patient advocacy groups that may emerge.

Sources

Zotpaper

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