Assessing costs and benefits
For most of the period in which community-based services have been proposed as complete alternatives to institutional care, the main focus of debate has been their feasibility. With the widespread development of supported housing in the 1980s, attention has been concentrated on people with special needs, and particularly people with challenging behaviour. Even here, the development of working models of supported housing has gone a long way to demonstrate that, given adequate commitment and investment of time and effort, these services are a feasible and desirable alternative to hospital care (Chapters 5 and 6).
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