Years of expansion had resulted in a complex, evolving, and overstretched facility

Casuarina Prison (Casuarina) had undergone rapid and sustained expansion to manage population growth and an increasingly complex statewide role. While substantial infrastructure investment had delivered new accommodation and specialist facilities, measures such as triple bunking and repurposing units pressurised services, staffing, and disciplinary capacity. The prison has relied on staff resilience and short‑term solutions to maintain daily operations amid constant change, overcrowding, and construction. The development of a comprehensive, site‑specific operational plan may support strategic focus. (Recommendation 1)

A well-run prison operating in a pressured environment

Casuarina remained stable and well managed despite operating under sustained pressure from chronic staffing shortages, infrastructure constraints and ongoing population growth. Strong leadership and collaborative workplace relationships assisted the prison in responding to the challenges and statewide demands. (Recommendation 2)

Infrastructure and resource shortfalls impacted daily life

Daily life was impacted by infrastructure and resource shortfalls, compounded by rapid population growth without the corresponding increases in staffing or services. Temporary and aging facilities impacted services, overcrowding contributed to poor living conditions and short staffing disrupted recreation and contact with family and community connections. (Recommendations 3-6)

State-wide pressures impacted health and support services

Casuarina’s health and support services were under strain, resulting in care that fell short of community standards. Chronic understaffing limited psychiatric input, and allied health provision compromised physical and mental health care and substance‑use treatment could not meet demand. Gaps in disability coordination, dementia and aged‑care pathways left some vulnerable prisoners without consistent or appropriate supports. Cultural and peer support services were under‑resourced, leaving First Nations prisoners and those at risk without sufficient cultural, emotional, and practical support. (Recommendations 7-16)

Systemic barriers to rehabilitation remained

Rehabilitation of Casuarina’s prisoners was undermined by assessment backlogs that delayed program eligibility and contributed to releases on parole being refused based on unmet treatment needs. Program delivery remained well below demand and was further constrained by staffing shortages and inadequate program spaces. Although education was valued, it was rarely available due to frequent closures and limited capacity, while meaningful work opportunities did not keep pace with population growth, resulting in widespread underemployment. (Recommendations 17-20)

Effectiveness of safety, security, and emergency management was mixed

Overall, safety, security and emergency management at Casuarina evidenced strong day‑to‑day practice but systemic gaps limited effectiveness. Emphasis on de‑escalation and maintaining time out of cell was associated with comparatively lower restraint use, but behaviour management was constrained by limited incentives and management capacity. Procedural security and contraband control were undermined by staffing shortfalls, redeployment and underused technology. Specialised units were generally well managed but prisoners in restrictive settings reported limited meaningful activity and supports. Emergency preparedness had improved through strengthened response capability, but readiness and contingency for a prolonged or large-scale incident was limited by population pressures and infrastructure limitations. (Recommendations 21-23)

Page last updated: June 9, 2026
168: Inspection of Casuarina Prison