A highly secured or controlled setting is referring to restricted environments where health care is given to the patients. These includes: jails/prisons and correctional settings like forensic psychiatric center, alcohol rehabilitation center, etc. In many cases, patients with mental health problems and/or learning dysfunctions are the ones being treated in secured settings. Medium-level security is designed for patients who are temporarily confined in a hospital. The low level security settings are for the normal patients that go to the hospital for check up and diagnosis.
Secure settings are specially formed and established in order to take care of patients that are detained in the prison cells and/or those with mental health problems and learning dysfunctions requiring extra supervision, a special kind of attention, care, treatment and rehabilitation.
Patients who are mentally incompetent need an unconditional understanding which is very much different from what is being provided in a low-level security setting. By nature, normal people do not tolerate those that are ‘mentally-ill.’ For these reason, mentally incompetent patients has to be relocated away from the normal patients. On the other hand, prisoners have a moral obligation to the state for the crimes and misconduct they have done in the past. Therefore, they have to be kept in a secured setting.
Professionalism is very much expected from these health workers. They need to be patience and sensitive when it comes to providing care for the mentally ill patients. Ethical principles of a secure setting are basically obtained from the existing basic ethical theories. Some of the most important ethical principles in health care ethics includes: respect for individual, autonomy, non-maleficence, beneficence, justice, fidelity, veracity, and confidentiality.
