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The problem of divided loyalties is of special concern in security hospitals. Ethics principles particularly at risk are confidentiality and informed consent. Where there are cultural disparities between the staff and the patients, differences in background, socioeconomic class, education, and other types of diversity, cultural awareness is required and must be reflected in appropriate treatment and evaluation. To counteract the risks of ethical violations, a security hospital should create an ethical climate and develop means to anticipate, prevent, and deal with ethical violations. These might include detailed and specific policies and procedures, programs of orientation, education, consultation, and liaison as well as its own ethics committee. Copyright \u00a9 2002 John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/bsl.504","type":"journal-article","created":{"date-parts":[[2002,10,9]],"date-time":"2002-10-09T02:30:52Z","timestamp":1034130652000},"page":"443-461","source":"Crossref","is-referenced-by-count":6,"title":["Ethics issues in security hospitals"],"prefix":"10.1002","volume":"20","author":[{"given":"Henry C.","family":"Weinstein","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2002,9,16]]},"reference":[{"key":"e_1_2_1_2_1","volume-title":"Program requirements for residency training in psychiatry","author":"Accreditation Council for Graduate Medical Education (ACGME)","year":"2001"},{"key":"e_1_2_1_3_1","volume-title":"Ethics guidelines for the practice of forensic psychiatry","author":"American Academy of Psychiatry and the Law (AAPL)","year":"2001"},{"key":"e_1_2_1_4_1","first-page":"439","article-title":"Standards for psychological services in jails, prisons, correctional facilities and agencies","volume":"27","author":"American Association for Correctional Psychology (AACP)","year":"2000","journal-title":"Criminal Justice and Behavior"},{"key":"e_1_2_1_5_1","volume-title":"Criminal justice mental health standards","author":"American Bar Association (ABA)","year":"1986"},{"key":"e_1_2_1_6_1","volume-title":"Code of ethics","author":"American Correctional Health Services Association (ACHSA)","year":"1990"},{"key":"e_1_2_1_7_1","volume-title":"Code of medical ethics","author":"American Medical Association (AMA)","year":"2000"},{"key":"e_1_2_1_8_1","volume-title":"Principles of medical ethics","author":"American Medical Association (AMA)","year":"2001"},{"key":"e_1_2_1_9_1","volume-title":"Code of ethics for nurses with interpretive statements","author":"American Nurses Association (ANA)","year":"2001"},{"key":"e_1_2_1_10_1","volume-title":"Psychiatric services in jails and prisons","author":"American Psychiatric Association (Amer Psych Assn)","year":"2000"},{"key":"e_1_2_1_11_1","volume-title":"Opinions of the ethics committee on the principles of medical ethics with annotations especially applicable to psychiatry","author":"American Psychiatric Association (Amer Psych Assn)","year":"2001"},{"key":"e_1_2_1_12_1","volume-title":"Principles of medical ethics with annotations especially applicable to psychiatry","author":"American Psychiatric Association (Amer Psych Assn)","year":"2001"},{"key":"e_1_2_1_13_1","doi-asserted-by":"crossref","DOI":"10.1037\/0003-066X.47.12.1597","volume-title":"Ethical principles of psychologists and code of conduct","author":"American Psychological Association (Amer Psychol Assn)","year":"1992"},{"key":"e_1_2_1_14_1","first-page":"233","article-title":"A theory of ethics for forensic psychiatry","volume":"25","author":"Appelbaum P. 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