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Published Online:https://doi.org/10.1176/ajp.119.8.763

1. The concept of the Closed Group in the development of an open psychiatric hospital in Oxford is elaborated and its composition, management and regime are described.

2. In this hospital (a traditional mental hospital responsible for all types of psychiatric admissions), 97.6% of the patients are informal and less than 1% compulsorily detained; this includes cases referred from the Courts. No wards are locked.

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