Abstract
recognised three groups of mentally impaired patients in need of secure facilities. Those who are borderline or mildly handicapped would fit in secure units designed for the mentally illwhile the moderately handicapped would need a special secure facility, more appropriately accommodated in mental handicap hospitals. Severely handicapped patients should be in highly staffed wards in mental handicap hospitals. The extent of the problem presented by mentally impaired patients is probably greater than appreciated. One survey4 found 37 mentally handicapped patients, as
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