Option A Offenders continue to be treated in prison or hospital, depending on whether they have committed a crime.

Greater use of discretionary life sentences for criminal offenders.

Removal of the condition that only those 'likely to respond to treatment' can be detained.

Option B New legal framework and a third type of institution for all DSPD individuals.

A DSPD direction could be attached to sentences passed by the higher courts, or given as part of civil proceedings.

Compulsory assessment in a specialist facility, with sentences subject to appeal and periodic review.