We recommend a layered approach to securing these individuals. These protective layers will be based on the following observed behaviors and requirements to date:
Behaviors
1. Random and extreme mood swings
2. A mood in which violence to the self or others is likely and intentional
3. Inordinate strength when victim to a violent phase
Requirements
1. Some freedom of motion
2. Safe access to others for educational, social, or intimate purposes
3. Ability to present prophesies
Assumptions
We assume these individuals are not trainable to reduce the length or severity of violent episodes. If this were the case, we would advise methods that have been researched in controlling the self-harm of mentally deficient individuals, such as applying lemon juice to the mouth during a non-desired behavior. We also note that such activity would likely be hazardous to the health of others, and may not be recommended, dependent on the severity of the violent episode.
With these factors in mind, we present the following solution.
Primary Protection - Restraint
The prophetic individual should be secured at all times using a belly chain. 442
This device allows the subject limited motion to eat, point, write, etc. while "restricting arm motion to prevent the [subject] from butting or hitting." In accordance with the inordinate strength noted in the past, we advise heavier chain than would be utilized for high-risk inmates placed in similar restraints. During sessions with others, ankle bindings may also be employed and it is advised the chains be secured to a solid surface, such as a heavy chair or the frame of a bed; the latter is especially advised for intimate sessions.
Secondary Protection - Personnel and Technology
There should always be at least two attendants available to facilitate or restrain the prophetic individual, both being individuals of strength to handle the observed inordinate strength of the subject's manic episodes. These individuals should be trained to notice mood swings, either impending or happening, and be alert and ready to respond.
Additionally, we advise using a cutting edge device that has seen particular acclaim from ranchers: a cattle prod. The electric charge from the device will assist the attendant personnel to direct or interfere with the activities of the subject.
Tertiary Protection - Environment
A padded cell should be provided the prophetic individual. This room will feature no furnishings or windows and have a single entry point. During extreme bouts of mania, the attendants should place the subject in this room for safety, until the mania passes.
Additionally, the subject should have access to a grassy enclosure, for psychological reasons, and eating, education, public, entertainment, and relaxation areas, to provide basic needs and offer mental and physical stimulation.
In all environments, the attendants must have free and easy access to the subject. Environments in which the subject interacts with the public must be secured prior to the subject's entry to the area. In such areas, we advise a fence, either chain link or bars, to limit the subject's access to the public.
Emergency Protection - Anesthesia
Finally, in an emergency case, and thankfully for medical advances, we advise the use of an anesthetic grenade, a device capable of deploying a sleep-inducing gas, for instances where the prophetic individual escapes restraint during a manic episode and cannot be restrained through force from the attendants. We have previously recommended such a device with notable success. 548