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Published on: August 22, 2012
Health of children who experienced Australian immigration detention
Shidan Tosif1,2,3, Hamish Graham1,2,3, Karen Kiang1
1Department of General Medicine, Royal Children's Hospital Melbourne, Parkville, Victoria, Australia.
Insights
Australian immigration detention significantly harmed children's physical and mental health. Locked detention led to developmental issues, nutritional deficiencies, and widespread mental health concerns for children and their families.
Area of Science:
- Public Health
- Pediatrics
- Immigration Studies
Background:
- Australian immigration policies led to prolonged detention of children.
- Children and families experienced locked immigration detention, raising health concerns.
Purpose of the Study:
- To examine the physical and mental health outcomes of children and families exposed to immigration detention.
- To provide clinical evidence on the adverse impacts of detention on child wellbeing.
Main Methods:
- Retrospective audit of medical records from January 2012 to December 2021.
- Data extracted on demographics, detention details, symptoms, and health diagnoses for 277 children.
Main Results:
- 60% of children had nutritional deficiencies; 75% had developmental concerns (including autism and intellectual disability).
- 62% of children and 54% of parents experienced mental health issues, with higher prevalence in offshore detention (Nauru/Manus Island).
- Detention duration was significantly longer for children held offshore (median 51 months) compared to those in Australia (median 7 months).
Conclusions:
- Immigration detention adversely impacts children's physical and mental health.
- Policymakers should prioritize avoiding child and family detention due to severe consequences.
Background:
Australian immigration policy resulted in large numbers of children being held in locked detention. We examined the physical and mental health of children and families who experienced immigration detention.
Methods:
Retrospective audit of medical records of children exposed to immigration detention attending the Royal Children's Hospital Immigrant Health Service, Melbourne, Australia, from January 2012 -December 2021. We extracted data on demographics, detention duration and location, symptoms, physical and mental health diagnoses and care provided.
Results:
277 children had directly (n = 239) or indirectly via parents (n = 38) experienced locked detention, including 79 children in families detained on Nauru or Manus Island. Of 239 detained children, 31 were infants born in locked detention. Median duration of locked detention was 12 months (IQR 5-19 months). Children were detained on Nauru/Manus Island (n = 47/239) for a median of 51 (IQR 29-60) months compared to 7 (IQR 4-16) months for those held in Australia/Australian territories (n = 192/239). Overall, 60% (167/277) of children had a nutritional deficiency, and 75% (207/277) had a concern relating to development, including 10% (27/277) with autism spectrum disorder and 9% (26/277) with intellectual disability. 62% (171/277) children had mental health concerns, including anxiety, depression and behavioural disturbances and 54% (150/277) had parents with mental illness. Children and parents detained on Nauru had a significantly higher prevalence of all mental health concerns compared with those held in Australian detention centres.
Conclusion:
This study provides clinical evidence of adverse impacts of held detention on children's physical and mental health and wellbeing. Policymakers must recognise the consequences of detention, and avoid detaining children and families.
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