Shifting care from hospital to the community in Europe: Economic challenges and opportunities

An introduction gives the history of how in most European countries for many decades large institutions dominated provision for people with severe and chronic disabilities, including those with mental health problems, and how this changed. Trends in the balance of care, changes in provision, and policies to develop community care and the allocation of resources are described, challenges listed and opportunities outlined, ending with a conclusion that research on progress in this area in Europe has been limited.