The aim of our study was to analyze institutional care and social welfare for people with disabilities in Serbia. Data collection was performed using a special questionnaire about present institutions, providers and users of social welfare services. Indicators of evaluation were: capacity and structure of accommodation units, accessibility of building, structure of users of services, accessibility of services, the number and types of services and programs for users, transparency, structure of employees and their permanent education. The basic paradigm was that the effects of protection cannot be measured by the number of people treated at certain territory, but the scope and quality of services provided. The study included a total of 18 institutions of social protection (7 residential institutions and 11 day care institutions). Structure of users of social welfare services makes a total of 2 145 people with disabilities (out of which 1 757 (81,91%) in residential institutions and 388 (18,09%) in the daily treatment institutions). Social welfare institutions in Serbia are providing accommodation, food and working-occupational treatment for people with disabilities. They are organized as day care and residential institutions. The level and scope of social protection measures are regulated by a special law, but not by the standards and norms of the profession. Basic features of institutional care and protection of people with disabilities in the Republic of Serbia are: the number and heterogeneity of the group, trying degree of disability service users, systematization inconsistent with the needs and professional standards in this area, a low level of qualification of service providers.