Thousands of young people with severe learning disabilities and autism are still locked up in hospitals, despite promises made by the government in its Transforming Care Policy. NHS commissioners continue to send these vulnerable young people to big institutions, instead of providing more bespoke care packages to meet their complex needs. This Dispatches Special from Bafta Award-winning director Alison Millar tells the stories of families whose loved ones have been locked away in one of the biggest institutions in the country, subject to restraint, seclusion and frequent sedation. The programme also shows what good care looks like, and the dramatic improvements it can make to people's quality of life. With mental health services facing a rise in demand at the same time as public spending is being squeezed, the programme asks how best to provide appropriate care for those in desperate need.