Caring for patients such as those in St. Mary's is extremely difficult. I am a member of the board of Peamount Hospital where there are such patients but they are not as severely disabled as those in St. Mary's. It is often difficult to prevent them from harming themselves or others, the reason physical restraint must be sometimes used. The only alternative is to sedate patients in order that at night they are not in a position to move and cause damage to themselves or others. Many of the patients are in wheelchairs or bedridden.