The paper was read to staff at Broadmoor Hospital (a secure psychiatric unit in London for serious offenders February 1994) The letter shows Patrick's vision, that was later realised  by Peter Garrett with Dialogue Groups running in many prisons in the UK and the USA.

The Virginia Department of Corrections (VADOC) has been on a pathway to reduce and eliminate the use of restrictive housing since 2016. Traditionally, as defined by the American Correctional Association (ACA), restrictive housing is a practice where inmates are separated from the general population for up to 22 hours per day and placed in a cell for the safe and secure operation of a facility1. The agency relied on the use of this practice for inmates that exhibited serious b