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Mental health policy in Ireland: a decade after A Vision for Change, where are we now?In 2006, the Irish government published A Vision for Change: Report of the Expert Group on Mental Health Policy, a comprehensive mental health policy document which sought to consolidate and deepen moves towards community-based mental health care in Ireland. 1,2 Did it work? Long before A Vision for Change was published, there was already a well-established commitment to community mental health care, dating from The Psychiatric Services: Planning for the Future (1984) 3 and even the 1967 Commission of Enquiry on Mental Illness 4 which recommended "radical and widespread changes" (p.xv), moving away from "barrack-like structures characterised by large wards, gloomy corridors and stone stairways" (p.xiii) and towards the provision of community care. As a result, well before A Vision for Change appeared in 2006, there was a strong emphasis on community care, at least in certain parts of the country, as reflected in the reduction of the number of "mentally ill" persons in institutions from 18,188 in 1966 to 4,522 in 2000.