//Outcome report on implementation of OHO recommendations relating to sexual safety risks and alleged assaults in mental health services

Outcome report on implementation of OHO recommendations relating to sexual safety risks and alleged assaults in mental health services

01 September 2025


This report highlights the outcomes of improvement actions taken to improve the sexual safety of consumers within the mental health unit after recommendations were made by the Office of the Health Ombudsman.

Wider learnings and recommendations for service improvements

The investigation identified opportunities for improvement and proposed recommendations relating to:

  • Auditing to monitor compliance with policies and procedures for incidents involving alleged sexual assault.
  • Training to ensure that staff are equipped with the appropriate knowledge and skills to ensure consumers’ sexual safety.
  • Compliance with record keeping standards.
  • Communication with consumers regarding expectations within the unit, reinforcing the importance of maintaining sexual safety.
  • Safety planning
  • Performance of visual observations

Read the outcomes report (PDF 152KB)