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A teenage girl who took her own life at a mental health 施設 was 'failed by the place that was supposed to keep her 安全な', her family have said.
Her death comes as the スキャンダル-攻撃する，衝突する Tees, Esk and Wear Valleys NHS 創立／基礎 信用 (TEWV) has been 罰金d £200,000 for offences relating to the care of her and another 患者 who died as a result of self-（打撃，刑罰などを）与えるd 出来事/事件s at its hospitals.
Christie Harnett, 17, died after 存在 設立する unconscious in a bathroom at the Newberry Centre at West 小道／航路 Hospital, Middlesbrough, in June 2019.
A mother-of-four, referred to as Service 使用者 X after a 裁判官 支配するd her 指名する could not be 報告（する）／憶測d, died in November 2020 - three days after 存在 設立する unconscious in the bathroom of her room at Roseberry Park Hospital, also in Middlesbrough.
On Friday, the mental health 信用 責任がある the women's care was 罰金d at Teesside 治安判事s' 法廷，裁判所 after pleading 有罪の to two offences of failing to 供給する 安全な care and 治療 to people who were exposed to a 重要な 危険 of avoidable 害（を与える）.
Christ ie Harnett, 17, died after 存在 設立する unconscious in a bathroom at the Newberry Centre at West 小道／航路 Hospital, Middlesbrough, in June 2019
Tees, Esk and Wear Valleys NHS 創立／基礎 信用 (TEWV) has been 罰金d £200,000 for offences relating to the care of two 患者s who died as a result of self-（打撃，刑罰などを）与えるd 出来事/事件s at its hospitals
On Friday, the mental health 信用 責任がある Christie's care was 罰金d at Teesside 治安判事s' 法廷，裁判所 after pleading 有罪の to two offences of failing to 供給する 安全な care
The Care 質 （売買）手数料，委託（する）／委員会／権限, which brought the 起訴, said the 信用 failed to mitigate the known 危険s the women were exposed to に引き続いて previous self-害（を与える） 出来事/事件s.
The 法廷，裁判所 heard Christie had 'experienced 重要な past 外傷／ショック in childhood' and had been 診断するd with a 'コンビナート／複合体 and 現れるing mental health disorder' 主要な to her spending 603 out of 672 nights in hospital before her death.
検察官，検事 Jason Pitter KC said she had been 拘留するd under the Mental Health 行為／法令／行動する on 11 occasions from the age of 15, and that there were '非常に／多数の self-害（を与える） 出来事/事件s in that time'.
She fatally 害（を与える）d herself in a communal bathroom on the 区 on June 23 2019, and was 設立する by a healthcare assistant after a service 使用者 saw water running under the bathroom door.
An 調査 明らかにする／漏らすd a number of failings in her care, 含むing a 失敗 to adequately identify the high 危険 of self 害（を与える） and 始める，決める out appropriate ways this was to be managed by staff, Mr Pitter said.
The 信用 failed to 答える／応じる to previous ligature 出来事/事件s 伴う／関わるing Christie in March and May, and put in place appropria te 対策, it was said.
危険 査定／評価s and care 計画（する）s failed to 妨げる Christie using the bathrooms without any 付加 危険 支配（する）／統制する, such as 除去 of items she could use to 試みる／企てる to tie a ligature, Mr Pitter said.
Christie fatally 害（を与える）d herself in a communal bathroom on the 区 at West 小道／航路 Hospital on June 23 2019, and was 設立する by a healthcare assistant after a service 使用者 saw water running under the bathroom door
以前 選挙運動者s have 抗議するd outside the 危機-攻撃する，衝突する mental health hospital
In its 返答 under 警告を与える, the 信用 受託するd that 'in relation to the use of the 区 bathroom the 危険 of self 害（を与える） had been underappreciated by staff and 危険s were not mitigated as fully as they could have been'.
The 法廷，裁判所 heard Service 使用者 X had a history of 不景気 and 苦悩 and was 認める to hospital に引き続いて an overdose in 2020.
On the day of her death, a staff member doing a care 観察 一連の会議、交渉／完成する looked 一連の会議、交渉／完成する her bedroom door, but did not go into the bathroom and wrongly 報告（する）／憶測d there was no-one in the room before 完全にするing her 一連の会議、交渉／完成する.
The staff member then tried to find out where Service 使用者 X was, and returned to the room with another 従業員. This time they entered the bathroom and 設立する Service 使用者 X unconscious, the 法廷，裁判所 heard.
After her death, the CQC 設立する TEWV had an '不十分な approach to carrying out 観察s' and a '失敗 to embed its 観察 and 約束／交戦 手続き amongst its staff and 全住民'.
In a 声明 read in 法廷，裁判所, Christie's stepfather Michael Harnett said he had met her at the age of five afte r starting a 関係 with her mother Charlotte, and that 'she considered me to be her dad', which he said was a 大規模な honour.
He said Christie was 'such a happy child' who dreamed of becoming a singer.
'The day Christie went into hospital was the start of the worst period of our lives,' Mr Harnett said.
'いつかs we would travel for an hour to see her only to be turned away because Christie had misbehaved.'
He 述べるd watching his daughter 'climb over a 盗品故買者 to try to see you' on those occasions, and told how seeing her 'covered in scratches, 削減（する）s and bruises' during visits was 'traumatising' for Christie's family.
Mr Harnett said he would never see Christie turn 18, or 21, or 'become a mother which she was looking 今後 to so much'.
'These things people take for 認めるd but not for us. We have had them stolen from us because the place that was supposed to keep her 安全な, in my opinion, 全く failed her,' he 追加するd.
Christie's sister, Ellis Brayley, said her mental health '拒絶する／低下するd 速く' after she was 認める to hospital, 広告 ding: 'I can't even bring myself to say the 指名する of the place because it fills me with so much 怒り／怒る.'
The mother of Service 使用者 X said in a 声明 that her children 'will never be able to live their lives 普通は' after her death.
'My daughter is dead and it's like she is a number on a piece of paper rather than a young lady with amazing 可能性のある,' she said.
'My daughter deserved better, she deserved to be cared for. The 信用, in my opinion, should have done better.'
Paul Greaney KC, mitigating, said the 信用 wished to apologise to the families of Christie and Service 使用者 X, and read a 声明 from its 長，指導者 nurse - Beverley Murphy - 説 how sorry it was for the 出来事/事件s and that the care on these occasions 'had fallen short of that which we would 推定する／予想する'.
Mr Greaney said TEWV was not 存在 宣告，判決d on the basis that it 原因（となる）d the women's deaths, and that it did have systems designed to 確実にする care and 治療 were 供給するd in a 安全な way.
'This is not a 事例／患者 where nothing was done. There were systems and these systems failed,' Mr Greaney said.
'Staff on those 区s did care for Christie and Service 使用者 X.'
He told the 法廷，裁判所 the leadership of the 信用 'has changed beyond all 承認' since the time of the 感情を害する／違反するing and it was '決定するd to learn the lessons arising out of Christie and Service 使用者 X'.
Mr Greaney said the money to 支払う／賃金 the 罰金 would have to be コースを変えるd from 基金s 'that would さもなければ be used to support 患者 care'.
The 信用's CEO, Brent Kilmurray, said in a 声明 seen by ITV News: 'As we made （疑いを）晴らす in 法廷，裁判所 today, we're 深く，強烈に sorry for the events that led to these 悲劇s.
'We didn't 供給する the care these two people deserved, and the 有罪の 嘆願s 反映する that. Of course, that's no なぐさみ for 患者 X and Christy's loved ones, for which I 申し込む／申し出 our 深く心に感じた 陳謝s.
'The CQC has 定評のある in our 最新の 査察 that 改良s have been made since then, however today is about 存在 accountable and our thoughts are with the families at this incredibly difficult time.'
It is understood Mr Kilmurray will not be 辞職するing from the 信用.
The director for 操作／手術s of the north for the Care 質 （売買）手数料，委託（する）／委員会／権限 said she hopes the 起訴 起訴 reminds health and social care organisations they must 供給する care in a 安全な way that 会合，会うs the needs of people.
Middlesbrough MP Andy McDonald 述べるd the 財政上の 刑罰，罰則 against the TEWV as 'ludicrous' and said it would not 'help them in any way 改善する on the 配達／演説／出産 of services'.
He 追加するd: 'There must be a better way than this to admonish a 信用 who have failed in their care of 患者s.
'And let us not forget that whilst there were （疑いを）晴らす systemic 失敗s, no individual or individuals have been held 本人自身で accountable for their particular errors and 失敗s that were part of the events that led to these avoidable deaths.
'NHS England （売買）手数料，委託（する）／委員会／権限d 独立した・無所属 報告（する）／憶測s into these deaths and were utterly scathing in their 結論s and their 推薦s are far reaching.
'But the 苦悩 now is that we are not going to get 進歩 with the broader 問題／発行するs that these 悲劇の 事例／患者s lay 明らかにする.
'I have 繰り返して called for a public 調査, not just in to these deaths but into the broader 準備／条項 of mental health for children and young people.
'A 財政上の 刑罰，罰則 against TEWV is not the answer here.'