Yоu аre а psychiаtrist оn call with a state prisоn. You have been called in to examine an inmate who has been behaving erratically. Prison officials are concerned that the inmate poses a danger to himself and others. They have confined the inmate in a bare solitary cell to be sure they can’t hurt themself and have asked you to evaluate the inmate. Immediately, you recognize an ethical dilemma. Your duty as a psychiatrist requires you to act in the best interests of your patient, but at the same time, you recognize that the prison setting brings with it certain duties that favor institutional security over patient rights. After meeting with the inmate, you determine that he needs medication to control his psychosis. You are concerned that the inmate is unable to provide: