I wonder if the report gave due consideration to the need for a healthy sex life in the detained mentally ill. Not that I'm sure how that would be facilitated in a secure environment, but a worthy dialogue I believe. Whilst it is interesting to note that consistency among expectations has the potential to be a therapeutic factor of the environment, this applies to any environment. Consistency in value projection and interpersonal behaviour is important in a family group as well as a secure psychiatric facility. However this is not to say that the consistency needs to be a strict one or any other one that implies some sort of value judgement made by others.
Consistent harshness is unlikely to produce a therapeutic effect.
Difficult environments and interpersonal tension does not bode well for facilitation of empathy and the development of rapport. I argue that the nature of the care and control that a mentally ill person recieves will influence his behaviour and his receptiveness to the available therapeutic options upon the unit. Consider here the issue of criminal responsibility among mentally ill prison populations. This is no reason for me to accept that as the new status quo of the brave new world. Whilst security is essential for some individuals at some time, I believe that this is a clinical consideration, to be applied in a careful and considered way in respect to each individual and the unique situation that the individual presents.