Therapeutic security and secure care levels

Your progress

Saved on this device.

Target exams

Red flags

• Grave and immediate risk of serious harm with high escape potential managed on an open or inadequately secure ward — escalate placement assessment urgently
• Patient stuck long-term in high or medium security without active recovery, programme, or discharge-barrier review — restart stratified recovery planning
• Security reduced to fences and searches while staff do not know the patient — relational security failure is a clinical safety crisis
• Seclusion or restraint used as a substitute for an appropriate secure care level or treatment plan — reframe to least-restrictive therapeutic security
• Planned step-down or leave without multi-source risk review after recent violence, abscond, or substance relapse — pause and reassess
• Discharge from secure care without forensic aftercare, housing, or crisis plan — post-discharge harm and readmission risk is material