Across much of the world, governments have been moving away from large residential institutions housing people with disabilities, where the very structure of care can foster abuse — and where many residents could, with the right support, live and work independently. In Russia, however, change has been slow and often superficial, despite years of pressure from nonprofits. A new analysis by the think tank To Be Precise, based on official data, expert interviews, and policy documents, takes a closer look at how these institutions operate in Russia today — and what kind of support is actually available to the people who live in them.