7.3.1 The Role of Security

The Role of Security in a Therapeutic Environment

Security in a therapeutic environment is a critical factor in ensuring the safety and well-being of patients, staff, and visitors. The main aim of security measures in a therapeutic environment is to provide a safe and secure environment for patients to recover from their illnesses and receive appropriate treatment. However, security measures should not be so restrictive that they compromise the therapeutic process or violate the rights of patients.

Security measures in a therapeutic environment may include physical security such as locked doors and gates, electronic surveillance, and security personnel. Other measures may include policies and procedures that govern the behaviour of patients, visitors, and staff. The use of restrictive interventions such as seclusion and restraint should only be used as a last resort when less restrictive measures have failed.

Security is not solely dependent on physical barriers and surveillance; it also encompasses other crucial aspects. Establishing strong relationships with patients through understanding their backgrounds and engaging with them contributes to ‘relational security.’ Moreover, adhering to protocols for managing the environment, such as access procedures for various activities, ensures security. Thus, security is maintained through a combination of relational, procedural, and environmental security measures. A multidisciplinary approach to risk assessment and management is vital to this process.

It is essential that security measures in a therapeutic environment are regularly reviewed and evaluated to ensure that they are effective and do not have any adverse effects on the therapeutic process. Staff should receive the appropriate training in security procedures and should be aware of the potential impact of security measures on patients.

Overall, the role of security in a therapeutic environment is to provide a safe and secure environment for patients to recover from their illnesses while balancing the need for security with the rights and dignity of patients.

References:

1. Meehan, T., & Bergen, H. (2017). Security in mental health care: A therapeutic environment. Australasian Psychiatry, 25(1), 49-53. doi: 10.1177/1039856216669235
2. National Institute for Health and Care Excellence. (2015). Violence and aggression: Short-term management in mental health, health and community settings. Retrieved from https://www.nice.org.uk/guidance/ng10/chapter/Recommendations#physical-interventions