The evolution of secure and forensic mental healthcare

It is in all likelihood a by-product of human evolution, and of the complexity of the human brain and of society, that there have always been dysfunctional individuals who present overtly with a mental or behavioural disorder. They may cause significant harm and disruption to others, as well as to themselves. The most seriously affected depend on the concerted efforts of those around them to provide a safe and supportive environment, or risk neglect, rejection, homelessness and even persecution. Perhaps there always will be such problems in our communities, and thus a continuing need for secure mental health services, at least until science and society have advanced greatly from their present position.