As I envision the future, I am reminded that just a mere 40 years ago, most people with intellectual and other developmental disabilities who couldn’t live independently or with their families were confined to public institutions. Litigation, new funding streams, and a growing chorus of voices from parents, professionals, and self advocates demanding change transformed that system of care. Yet, I doubt that the leaders of that transformation clearly envisioned, back then, where we would be today, any better than we can precisely envision where we will be in the next several decades.
Today, I can see in the transformation a trajectory which will ...