The second edition of this acclaimed book offers a critical analysis of the transition from institutional to community care for people with mental health problems. Despite the almost complete abandonment of the old Victorian asylum system, the powerful cultural legacy of segregation remains potent in modern thought. Rogers and Pilgrim analyse the impact of new policies introduced by the Labour government since it came to power in 1997, identifying both the processes and causes of policy change and assessing its value in the context of longer term debates about madness and distress.