ABSTRACT
High secure Medium secure Low secure/psychiatric intensive care unit (PICU)
Grave offence, especially sadistic or sexual
Serious offence or past failed placements at lower level
History of non-violent offending behaviour
Immediate danger to others if in community
Danger to others would be less immediate
Risk is predominantly to others Mix of risk to others/challenging behaviour/deliberate self-harm
Significant capacity to coordinate outside help for an escape attempt or absconding would undermine confidence in the criminal justice system
Significant risk of escape or absconding, or Pre-sentence for serious charge
Low risk of absconding
Unpredictable relationship between risk and mental state
Recovery likely to be prolonged, some risks remain even when well
Acute illness, likely to respond promptly to treatment
Previously unmanageable in medium security
Previously unmanageable in low security/PICU
Previously unmanageable on open ward
• This reflects a social consensus that sick people should be treated rather than punished (James et al., 2002).
