Disclosed herein are system, method, and computer program product embodiments for providing presence-based secure communications in a controlled environment. In an embodiment, a presence management system monitors communication status information related to communication devices within a controlled facility as well as communication devices external to the controlled facility. Communication statuses indicate the availability of users to receive certain types of communications, such as, for example, video conferencing, audio calls, and/or textual messages. In embodiments, secure communications are provided between inmates and approved individuals, such as medical or legal professionals, based on the communication statuses. Such secure communications are encrypted and not monitored for content.