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7 - Can the Secure Dementia Unit Be Justified?

Building Egalitarian Dementia Care Infrastructure

Published online by Cambridge University Press:  12 December 2025

Matilda Carter
Affiliation:
University of Leeds
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Summary

Secure dementia units (SDUs) rely on a degree of coercive control that might strike many of us as intuitively unjust. This chapter, however, cautions against the idea that justice demands their elimination. Setting out the limits of community care models, it makes the case for the limited use of suitably reformed SDUs. While they ought not to be the first choice for meeting the care needs of people living with dementia, the chapter defends the view that these institutions are essential to the social care infrastructure of a just society.

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