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This research examined the costs, benefits and impacts for participants, carers, communities and government of the transition to consumer directed care (CDC) markets for respite outputs and outcomes. Drawing on a policy and literature review, stakeholder consultations, and cost/benefit and impact modelling, the project mapped the service infrastructure as it transitions to consumer-directed care and possible implications for respite outputs and outcomes. The research aimed to increase understanding of the impact of the structural adjustment and contribute an evidence base to guide governments and their agencies, participants and carers, and respite services on action they may take during the transition that could maximise stakeholder benefit and minimise negative impact.