Supported living needs to be flexible if it is to meet the needs of individuals. For most service providers, this means a change in thinking and practice. John O'Brien lists some of the experiences of a group of leaders in pioneering supported living which have challenged them to look for innovative ways of supporting people with disabilities, as well as looking at issues that need to be addressed if supported living is to be successful. The article concludes by outlining support workers' obligations to the person with disability and that person's friends and family, recognising the importance of earning trust. Please note, this is also a chapter in the book Critical Issues in the Lives of People with Severe Disabilities, which is on our book shelves. Keyword: Accommodation