diff --git a/api/api/admin/media_report.py b/api/api/admin/media_report.py
index 09e8bf3ab03..f441e6665c6 100644
--- a/api/api/admin/media_report.py
+++ b/api/api/admin/media_report.py
@@ -16,6 +16,7 @@
 from elasticsearch import NotFoundError
 from elasticsearch_dsl import Search
 
+from api.constants.moderation import DecisionAction
 from api.models import (
     Audio,
     AudioDecision,
@@ -377,6 +378,9 @@ def change_view(self, request, object_id, form_url="", extra_context=None):
         media_obj = self.get_object(request, object_id)
         if media_obj:
             extra_context["media_obj"] = media_obj
+        else:
+            messages.warning(request, f"No media object found with ID {object_id}.")
+            return redirect(f"admin:api_{self.media_type}_changelist")
 
         tags_by_provider = {}
         if tags := media_obj.tags:
@@ -440,6 +444,10 @@ def decision_create_view(self, request, object_id):
         if request.method == "POST":
             media_obj = self.get_object(request, object_id)
 
+            through_model = {
+                "image": ImageDecisionThrough,
+                "audio": AudioDecisionThrough,
+            }[self.media_type]
             form = get_decision_form(self.media_type)(request.POST)
             if form.is_valid():
                 decision = form.save(commit=False)
@@ -454,9 +462,13 @@ def decision_create_view(self, request, object_id):
                     moderator=request.user.get_username(),
                 )
 
-                decision.media_objs.add(media_obj)
+                through = through_model.objects.create(
+                    decision=decision,
+                    media_obj=media_obj,
+                )
                 logger.info(
-                    "Media linked to decision",
+                    "Through model created",
+                    through=through.id,
                     decision=decision.id,
                     media_obj=media_obj.id,
                 )
@@ -468,6 +480,22 @@ def decision_create_view(self, request, object_id):
                     report_count=count,
                     decision=decision.id,
                 )
+
+                if decision.action in {
+                    DecisionAction.DEINDEXED_COPYRIGHT,
+                    DecisionAction.DEINDEXED_SENSITIVE,
+                }:
+                    messages.info(
+                        request,
+                        "The media object has been deindexed from ES and deleted from DB.",
+                    )
+                    return redirect(f"admin:api_{self.media_type}_changelist")
+
+                if decision.action == DecisionAction.MARKED_SENSITIVE:
+                    messages.info(
+                        request,
+                        "The media object has been marked as sensitive.",
+                    )
             else:
                 logger.warning(
                     "Form is invalid",
diff --git a/api/api/models/audio.py b/api/api/models/audio.py
index 3f7a4637b08..c5f7cc1e9dd 100644
--- a/api/api/models/audio.py
+++ b/api/api/models/audio.py
@@ -363,6 +363,10 @@ class AudioDecisionThrough(AbstractMediaDecisionThrough):
     be referenced by `identifier` rather than an arbitrary `id`.
     """
 
+    media_class = Audio
+    sensitive_media_class = SensitiveAudio
+    deleted_media_class = DeletedAudio
+
     media_obj = models.ForeignKey(
         Audio,
         to_field="identifier",
diff --git a/api/api/models/image.py b/api/api/models/image.py
index 873f7ad3a69..b107b41caed 100644
--- a/api/api/models/image.py
+++ b/api/api/models/image.py
@@ -166,6 +166,10 @@ class ImageDecisionThrough(AbstractMediaDecisionThrough):
     be referenced by `identifier` rather than an arbitrary `id`.
     """
 
+    media_class = Image
+    sensitive_media_class = SensitiveImage
+    deleted_media_class = DeletedImage
+
     media_obj = models.ForeignKey(
         Image,
         to_field="identifier",
diff --git a/api/api/models/media.py b/api/api/models/media.py
index 2bccfea1124..fc5c290b09d 100644
--- a/api/api/models/media.py
+++ b/api/api/models/media.py
@@ -335,8 +335,6 @@ class AbstractMediaDecision(OpenLedgerModel):
     class Meta:
         abstract = True
 
-    # TODO: Implement ``clean`` and ``save``, if needed.
-
 
 class AbstractMediaDecisionThrough(models.Model):
     """
@@ -348,6 +346,10 @@ class AbstractMediaDecisionThrough(models.Model):
 
     media_class: type[models.Model] = None
     """the model class associated with this media type e.g. ``Image`` or ``Audio``"""
+    sensitive_media_class: type[models.Model] = None
+    """the model class associated with this media type e.g. ``SensitiveImage`` or ``SensitiveAudio``"""
+    deleted_media_class: type[models.Model] = None
+    """the model class associated with this media type e.g. ``DeletedImage`` or ``DeletedAudio``"""
 
     media_obj = models.ForeignKey(
         AbstractMedia,
@@ -361,6 +363,24 @@ class AbstractMediaDecisionThrough(models.Model):
     class Meta:
         abstract = True
 
+    def perform_action(self, action=None):
+        """Perform the action specified in the decision."""
+
+        action = self.decision.action if action is None else action
+
+        if action in {
+            DecisionAction.DEINDEXED_SENSITIVE,
+            DecisionAction.DEINDEXED_COPYRIGHT,
+        }:
+            self.deleted_media_class.objects.create(media_obj_id=self.media_obj_id)
+
+        if action == DecisionAction.MARKED_SENSITIVE:
+            self.sensitive_media_class.objects.create(media_obj_id=self.media_obj_id)
+
+    def save(self, *args, **kwargs):
+        super().save(*args, **kwargs)
+        self.perform_action()
+
 
 class PerformIndexUpdateMixin:
     @property