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I completely understand that you have to keep the patients safe. But in one peice? What about emotionally?
I'm not trying to give you a hard time... you obviously do good work... this is just something to think about.
People are people, no matter the change in cognitive function, the same emotions are present. Perfectly rational people died, and still do die, for the sake of freedom... it's completely human nature. They aren't getting angry for no reason, they are angry because, in their perspective, they are locked up without ever having seen a trial, a judge, and all of a sudden someone else is ordering their days for them.
Maybe you can keep them safe until they are healthier on the outside.... but whats left in the inside when that person is released from these sorts of facilities? It is necessary, true... and staffed by very compassionate people, true... but I just think the other shoe should be considered as much as possible when problems arise. Thats all.
and I hope you find something that works!