First, I want to clarify again that I don't have a doctorate, so you shouldn't be calling me “Dr. Fletcher”.
Basically, I do agree with Dr. Marshall about that: you need treatment both in the institution and outside. The institution provides a secure setting where the behaviour at least can come under control. You can begin to focus a little bit more time on treatment.
But if you think about the stages that people go through in learning things, first you may learn it at a cognitive level, but it doesn't really take hold until you actually start putting it into practice. So ultimately you need to have some treatment in the community, where you're supporting the person and you're teaching them how they apply what they're learning in their actual day-to-day activities, in their marriage, in their relationships with family members and with employers, and in dealing with the financial stresses of earning a living--all those sorts of things.
The applied part of that is going to take place better in the most natural setting, where you actually live in the community, but you certainly can begin to learn that in the institution. For someone who poses significant risk, it becomes important that they begin to do that there. I would just like to point out—