Central to the analyses of the numbers in this report are the time points. The baseline is 1990, which arguably was the end of the Cold War. However, 1990 is not significant as a time point for bed closures. The number of psychiatric beds peaked in the 1950s in most countries, with a rapid fall in the subsequent decades. The challenge of the 1990s, in Western Europe as well as in the United States, was that the decline in the number of hospital beds was not compensated for by the development of community services, including residential care facilities, which left patients who would previously have been institutionalized at high risk of destitution. Since then many countries have invested large sums to support the development of nursing homes and residential care facilities; such investment has occurred at a fast pace, as this brief report illustrates. This line of reasoning points to another conclusion—namely, that we are not dealing with an overdevelopment of beds but, as a result of inadequate planning, with a lag in time between hospital closures and the availability of residential places.