Investigation into deaths and harm in custody

26 March 2014
The Victorian Ombudsman, Mr George Brouwer, today tabled in Parliament a report titled Investigation into deaths and harm in custody.
The State owes a duty of care to every person detained in custody to ensure their safety and wellbeing.
The Ombudsman’s own motion investigation identified a number of common issues impacting on the ability of custodial operators to meet this duty.
They include: • overcrowding • the management of detainees at risk of suicide and self-harm • the safety of detainees in custody • limited transitional support services • access to appropriate health care • lack of accountability and transparency.
The investigation focussed on Victorian prisons, police cells, the youth justice precincts and the secure psychiatric hospital for people with serious mental illness.
The Ombudsman made a number of recommendations to address his concerns. The report can be accessed at:
The Victorian Ombudsman and his officers do not comment on the Ombudsman’s reports.
If you require clarification on the information published in the report or assistance finding other information you may contact: Ms Christina DiPierdomenico Assistant Director (Strategic Services)
Victorian Ombudsman Tel 03 9613 6235 | Mob 0409 936 235  | 
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