Public alarm for random attacks by mentally ill people is at an all-time high. The brutal killing of Jill Dando, the TV personality, and the assault on George Harrison, the former Beatle, are among the cases which have undermined confidence in the mental health service. Community care is widely seen as a failed policy that has left too many people walking the streets, posing a risk to themselves and a threat to others. The Government has responded with a programme of change billed as the biggest reform in forty years, but will it achieve the ''safe, sound, supportive'' service as promised? For ''Pure'' Madness, Jeremy Laurance travelled across the country observing the care provided to mentally ill people in Britain today. Based on interviews, visits and case histories, his book reveals a service driven by fear in which risk reduction is brought about through containment.