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Published Online:https://doi.org/10.1176/ajp.115.2.114

When a program of non-restraint is put into action both personnel and patients require re-training.

In a period of 6 weeks all physical restraints have been abolished on a disturbed service. The patients are much more relaxed and the personnel take a much greater interest in their work. Abolition of restraint has been attained without any increase or change in personnel.

Noisy and aggressive patients have shown a much better response to the new regimen than those who are regressed and deteriorated.

Although the program has been in effect for only a short time, our convalescent rate is already 9 times what it was in the previous year.

We have attempted to prove the truth of the statement of Dr. John Connolly, a hundred years ago: "Restraint and neglect are synonymous. They are a substitute for the thousand attentions needed by a disturbed patient."

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