 He strongly condemns both a quantitative and qualitative lack of resources as the number one cause of the problems he witnessed, problems which included severe overcrowding, understaffing, lack of training of the present staff, frequent assaults committed by staff or fellow patients, physical deterioration of buildings paired with the deterioration of staff morale, over reliance on mechanical restraint of patients, logistical complications caused by segregation, political pressure to spend less and move patients out faster, etc.Overall, he describes a lack of adequate active care, and moreover, lack of even adequate "custodial care.