“…However, creating an optimal climate within a high security forensic setting can be very challenging due to the complex patient population, involuntary admission within a closed setting and the balance between security needs and treatment goals (Burrows, 1991;Campling, Davies, & Farquharson, 2004;Howells, Krishnan, & Daffern, 2007). Moreover, patients and staff members working within forensic psychiatric settings seem to evaluate ward climate differently (Caplan, 1993;Day, Casey, Vess, & Huisy, 2011;Dickens, Suesse, Snyman, & Picchioni, 2014;Howells et al, 2009;Livingston et al, 2012;Long et al, 2011;Moos, 1975;Rossberg & Friis, 2004;Schalast, Redies, Collins, Stacey, & Howell, 2008;Morrison, Burnard, & Phillips, 1997). For instance, Howells et al (2009) found that patients in a high secure hospital service in the United Kingdom (UK) evaluated cohesion among patients more favorably than staff members.…”