A 16-year-old girl was held in police custody for almost two days without food or water, a report has found.
An inspection of Nottinghamshire Police's child protection work by HM Inspectorate of Constabulary (HMIC) found the teenager went without provisions for 44 hours.
The girl was being detained under the Mental Health Act.
The force said she was offered food and drink on several occasions but declined.
'Lack of awareness'HMIC carried out an inspection of the force's child protection work in September last year.
Inspectors found significant delays in some child protection investigations and discovered that children were being unnecessarily detained in police custody overnight, the report said.
It also found there was also a lack of awareness of child sexual exploitation in some parts of the force, leading to an inconsistent response.
According to the report, inspectors found that staff responsible for managing child abuse investigations were highly committed, knowledgeable, and dedicated to providing good outcomes for children.
Zoë Billingham, from HMIC, said the area of significant concern was the detention of children in custody for their own protection under mental health legislation.
'Never again'She highlighted the plight of the 16-year-old-girl as the most serious case.
"It is essential that the force takes steps to ensure that this never happens again," she said.
"It is clear that that despite good work in many areas, Nottinghamshire Police needs to do more to improve its approach to protecting children."
Nottinghamshire Police's Assistant Chief Constable, Steve Jupp, said: "We never want to be in a position where children need to be taken into custody, whether for crimes or because of mental health issues.
"We continue to work with our partners to find alternative accommodation wherever possible."
"A full review of the case into the 16-year-old girl who was arrested has been conducted," he said.
"She was offered food and drink on several occasions while in custody but declined. Doctors and nurses assessed her welfare, and she was deemed to require specialist mental health assistance, and attempts were made over many hours to find appropriate accommodation."
He said since September, a mental health nurse has been available in custody suites in north Nottinghamshire, and plans are in place to replicate this in the remaining suites.
The force is also focusing on training for officers and better working with partners.
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