AbstractThe present study focuses on the on‐going reorganisation of psychiatric care in a major county council in Sweden. The aim of this study is to describe the impact of these changes from the perspective of one group of occupational therapists. Data were collected by a mailed questionnaire. Results showed an acceptance of the current policies towards restructuring psychiatric care, especially on the focus on alternative living and work/occupational facilities. Strong criticism was raised concerning the lack of trans‐institutional facilities. Loneliness and isohtion were seen as a main problem of the patients. Strong doubts were raised concerning independent living as the best alternative for most of the patients. The new professional role in community psychiatric care has brought the occupational therapist closer to die individual patient. Feelings of shortcomings and frustration in this group of occupational therapists regarding the reorganisation of psychiatric care were linked to the insufficiency of community support facilities designed to meet these new challen