One of the difficulties facing County Councils is the lack of non-institutional accommodation for young disabled people who reach the age of 18 where they are no longer eligible for child services. These vulnerable young people are sent from child placement centres housing up to 60 children, to large adult neuro-psychiatric institutions. Whilst child placement centres are not ideal, moving young people into large adult institutions where the ratio of staff to young person is far less than that of a placement centre, is traumatic and puts the child’s physical and emotional wellbeing at risk.