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Cohen gives his impressions of the trend in British psychiatric hospitals to establish the 'open-door' policy, which means not only abolition of closed wards but also creation of a hospital-wide therapeutic atmosphere and mutual acceptance by the hospital and the community. The aim is 'to see the patient in the community as early as possible, to keep him there as long as possible, and in those cases in which major therapeutic intervention proves necessary, to return him to the community as soon as possible'. The impressive results obtained at the Mapperly Hospital are described. This hospital is quite comparable to the smaller state hospitals in the United States; it is the regional mental hospital for the city and county of Nottingham. It is seventy-seven years old, located within the city limits, and has approximately eleven hundred beds. Although it receives all patients from the area, regardless of the nature or extent of their illness, it has been a completely open hospital without any locked doors for five years. Only one committed patient was admitted in 1956; he came from prison and was admitted by the court. In 1929 every patient was committed, and most of the wards were locked. During 1956, one thousand three hundred sixty patients were discharged as recovered or improved (this out of a total of one thousand five hundred fifty-four admissions). Relatively small numbers