A three-year deinstitutionalisation and rehabilitation pilot intervent
ion project was implemented at Leros PIKPA for people with severe lear
ning disabilities. initial conditions at the asylum were appalling. Re
sidents suffered severe deprivation, extreme institutionalisation, and
violation of basic human rights. Intervention involved professionals
from different disciplines, and involved residents, their families, ca
re staff, the institution, and the local community. As a result, resid
ent care and adaptive behaviour has started to improve. Communication
between residents and families has increased. Owing to training and se
nsitisation, care staff's poor resident-management practices and negat
ive attitudes toward disabled people have changed. Living and hygienic
conditions have been upgraded and building renovation is under way. A
sylum administration and the local community have been sensitised to r
esidents' needs. Eleven residents have moved to the project's pilot co
mmunity home in Athens; two others now live with foster families. The
results suggest that deinstitutionalisation and rehabilitation can be
successfully initiated even in residential institutions of the severes
t kind.