The resettlement of people with learning disabilities from long-stay hospit
als in the UK and the USA has accelerated during the past decade. The resea
rch emphasis has shifted from the effects of relocation to examining the qu
alify of care offered by various community-based accommodation options, and
the services required to meet the needs of people with challenging behavio
urs and mental health problems. Staffing issues have also become a focus of
attention, along with the service systems that are intended to produce bet
ter outcomes for service users, such as person-centred planning and active
support from staff. Day services have not attracted the same degree of atte
ntion from researchers, although interest in supported employment continues
. Priorities for future research are noted. Curr Opin Psychiatry 13:491-495
. (C) 2000 Lippincott Williams & Wilkins.