Amongst other issues which challenge our views about the mentally ill, Foster and Zagier Roberts examine the complex issues surrounding de-institutionalisation. With sensitivity and acute insight they probe the motives both political and personal, behind why it has been decided that the mentally ill must be outside of institutions and living in the community. They discuss how the seemingly noble gesture of de-institutionalisation has in some cases perpetuated further isolation and suffering due to the failure of integration and acceptance by the community. I recommend this book to anyone who is working in the helping proffession. It will challenge and encourage you to examine and question the efficacy of what you are doing and the reasons behind why you are doing it.