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Oliver is a young man with autism who has challenging behaviours and who spent many years in an institution. Upon rejection from a group home, his parents and some staff members worked on providing him with a service that was tailored to his needs. Today Oliver lives in his own home and is in part-time employment in a job he enjoys. Given the right environment and thoughtful planning, the triggers to his outbursts have been minimised and he has become a valued member of his community. The article outlines the keys to unlocking positive change for Oliver, contrasting these with some of the human and financial costs of failing respond to an individual's needs. Keywords: Accommodation, Individualisation