The San Antonio Express-News investigates the deaths 18 mentally retarded patents who died in state institutions over the past 10 years. The Express-News discovered that these deaths were not isolated. Rather, these deaths followed a sharp pattern: "attempts to restrain patients turned violent with the victims suffering physical stress that led to their deaths... While the risks of such restraints are well known to mental health providers, we found large regulatory blind spots. The rules of governing the use of restraints are fractured among local, state and federal regulators."