Criminally insane inmates are unpredictable, require dedicated care, and carry their own reputation traits. Decide whether they coexist with the general population or are confined to padded cells. Staff your facility with Psychiatrists and Orderlies who can sedate rowdy prisoners and apply restraints when necessary. Build a Psychiatrist's Office and upgrade it to improve counseling sessions. Too much suppression can tip regular inmates into criminal insanity. New padded cells, contraband, and building elements are included. A Prison Architect DLC expanding the game with a psychiatric wing.