The successful efforts of individuals to reduce the use of solitary confinement and to make the conditions found in solitary settings are described. Sections of this case study include: introduction; the origins of solitary confinement; the psychological effects of long-term isolation; before the reforms—solitary confinement in Maine; it does not have to be this way—the Maine reform example of what and how it happened; keys to success—honest assessment and organizing and cooperation; overcoming institutional inertia related to safety, alternatives, reform worth the effort, and whether advocated really understand the situation; the lessons of the Maine reform campaign—bring all the pieces together, the importance of leadership, and the judicious and timely application of pressure; and conclusion.
