Case Study 1
A patient spent 66 hours under sedation in the emergency department waiting for a bed to become available in the hospital’s mental health ward, to the point staff were worried that further sedation would collapse their airways.
Case Study 2
A patient who had been waiting four days for a mental health bed was put in the intensive care unit of the hospital to keep them safe, as a result of which surgeries had to be cancelled.
Case Study 3
There were several cases of 16 and 17-year-old children waiting days for a hospital bed and/ or being admitted to the adult forensic mental health ward, the Frankland Centre. Unwell children were held (in one case for a month) in an isolation unit at Banksia Hill which is similar to a seclusion room in a hospital.
Case Study 4
A patient complained after they were assaulted by another patient in the courtyard of their ward, saying there should have been staff in the courtyard, that staff in the nurses’ station did not come to their aid after the incident, and they had to run through the ward while trying to fend off the attack and ‘thump’ on the nurses’ station window to get attention.
Case Study 5
Of 26 complaints that restraint had been excessive, four related to treatment by police, including one person who suffered heavy bruising and a broken bone after being tasered and hit with a baton. In another case, police were witnessed holding up taser guns when responding to an incident on a children’s ward.
In a third case involving an 82-year-old at an older adult ward, police had been prepared to use taser guns and bean bag rounds before hospital staff informed them it was not appropriate.
Case Study 6
A patient complained that they soiled themselves after being refused access to a bathroom during a restraint lasting 24 hours. A catheter was also fitted without the patient’s consent. They received an apology, with the hospital noting there was no safe alternative available at the time.
Case Study 7
A female patient became distressed by a male patient entering her room at night as she slept. She felt her sexual safety was at risk but when she reported her concerns they resulted in her being transferred to a locked ward.
In another case, a female patient told her advocate that she had extensive history of being raped while homeless. She was convinced she would be raped again and was the only woman on the ward. These intrusive thoughts disrupted her ability to receive treatment.