In recent years, with the support of the Stability pact for south-east Europe, and following the example of the EU countries, there has been developed a new concept of mental health care. It should be carried out by newly opened centers for mental health. Goal of the work is to set forth numerous problems which considerably slow down development of these modern aproach to mental health care,as well as solutions to them.

Problems in the realisation of the project, have been stated and classified in the discussion together with explanation of their causes and consequences:

1. - unadjusted or non-existent accompanied legal acts;

2. - negligence of bureaucracy, resistance in other social services;

3. - prejudices and opposition of “official” psychiatry and of profesionals in mental health institutions;

4. - insufficient education and shortage of trained staff

5. - lack of understanding and resistance in a wider community;

6. - financial problems.

Furtheron, methods have been stated for finding “less painful” solutions to these problems. This experience is probably similar to those in all countries in transition and should help that the same mistakes would not be made in further development of communal psychiatry. This work contains recommedations how to prevent and avoid these obstacles and may be useful in those places where developmemnt of such aproach to mental health care just being planned.