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According to
CSP-SAC prison authorities in Folsom California,
ESU is a safe alternative for inmates and mental health patients, providing a humane alternative to eating with fingers...
For institutions with issues of misuse of utensils, EcoTensil offers a great alternative.

ECOSECURITY™ UTENSIL  A Safer Eating Utensil for Correctional & Psychiatric Facilities
EcoSecurity Utensil™ case (2,500 pcs)
EcoSecurity Utensil™ case (5,000 pcs)