During this past year, the Management and Treatment Unit, (MTU), Mendota Mental Health Institute, (MMHI), in Madison, Wisconsin, put their theory as well as the APNA recommendations regarding reducing violence to the test. MTU is the most secure maximum security unit in the state’s mental health system. The most acutely aggressive patients receiving mental health services from the state are admitted to MTU. Accordingly, the care providers are constantly grappling with questions involving restrictive measures as well as the threat of injury from aggressive patients. In a concerted effort to reduce violence, the MTU treatment team implemented several significant changes during the last year. Consistent with the APNA recommendations, the MTU treatment team incorporated programming that has included a focus on early, consistent interventions; introduced enhancements to the milieu to increase calmness; and developed working relationships and partnerships between care providers and patients (Delacey, 2000). The underlying hope in utilizing these measures was as predicted by APNA, an overall decrease in violence as evidenced by reductions in patient violence-related injuries, use of restrictive measures, emergency codes, emergency interventions teams , (EIT), and formal complaints from the patient. Utilizing approaches consistent with their motto of “Protect, Respect and Connect;” you will learn how the treatment team efforts have, indeed, resulted in a positive impact on the MTU.