Still Waiting … The Unfulfilled Promise of Olmstead is a call to action to advocates, policy makers, and the public. It summarizes the context in which the Olmstead ruling was made and describes its inadequate implementation, which is evidenced by continued segregation of large numbers of people with mental illnesses in psychiatric hospitals, board-and-care homes, nursing facilities, and other institutions. Because states take varied approaches to compiling data, precise figures are not known. However, in 2006 about 528,000 adults and children resided at some point in state hospitals and other residential mental health facilities, with a median length of stay among adults of 869 days. It is currently estimated that more than 500,000 people with mental illnesses other than dementia live in nursing homes, and even more remain segregated in group homes and other congregate settings. The report notes that nearly all of these individuals could live independently in the community with adequate services, such as supportive housing, illness self-management and recovery, case management, and crisis residential services.