This article deals with the issue of paradigm shift in an important area of health policy, which is the mental health care system. Despite the beginning of changes towards the transformation of the model of care, from one based on solutions characteristic for the asylum model, to community psychiatry already in 1996, through the adoption of the Mental Health Protection Act, and then subsequent National Mental Health Protection Programs, in practice, until 2018 no comprehensive real attempts have been made to transform this system and move away from the dominance of hospital treatment in favor of solutions characteristic of community treatment. The preparation and commencement of pilot projects under the program for the preparation of social innovations financed by the European Union was the first systemic attempt to develop solutions that fully meet the European standards of deinstitutionalization of support and treatment of people with mental problems and diseases, and to fully implement these models in practice along with integration with existing solutions in under the public health insurance system.