This chapter examines the shift in housing services for people with intellectual disabilities from institutions to individualised housing services. First, this change is examined on a practical level. The perspective is what kind of changes have occurred in type of housing services for people with intellectual disabilities in the twenty-first century. The distribution between public and private providers is also critically examined. The overall situation in housing services for people with intellectual disabilities has been a successful effort to move away from institutional living. The last part of the chapter discusses a recent reorganisation of social and health services in Finland into larger entities. This is a reversing of the decentralisation that has been going on in the Nordic region for decades. It also appears to have interrupted the ongoing deinstitutionalisation, and one sees a trend towards re-institutionalisation. Financial issues appear to cause these recent trends.