Abstract

The resettlement of people with learning disabilities from long-stay hospitals in the United Kingdom and the United States has accelerated in the last decade. The research emphasis has shifted from the effects of relocation to examining the quality of care offered by various community-based accommodation options and the services required to meet the needs of people with challenging behaviours and mental health problems. Staffing issues have also become a focus of attention along with the service systems intended to produce better outcomes for service-users; such as person-centred planning and active support from staff. Day services have not attracted the same attention from researchers although interest in supported employment continues. Priorities for future research are noted.