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The authors write, "In the past few years, it has become increasingly clear that all people with developmental disabilities...can be supported in the community. The current issue is not whether a person should live in an institution or in the community, but how best to provide supports for people with the most complex needs in the community...The most exemplary practices in supporting adults with severe disabilities in the community represent a new way of thinking about "residential services."......innovative service agencies are now starting with the person first and developing the supports and housing around the person. This article will examine some of the key issues raised by an individualised approach to supporting adults...in the community." Keyword: Accommodation