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The central argument of this paper is that more attention must be paid to providing accommodation options with a concern for each individual's quality of life. It takes the closure of St.Nicholas Hospital in Melbourne as an example. While very disabled people demonstrated a remarkable enhancement in like skills development when out of institutional living, social integration remained low and no subjective measuring of self-esteem, happiness or self fulfilment occurred. The author argues we must change the ways in which we measure success or failure and provides examples of how this can be done. Keywords: Accommodation