An introduction to the volume addresses the background and evolution of day services, national trends, and guiding principles for meaningful daytimes. Chapters discuss: transition from school to meaningful lives, how individuals have used their own initiative to create work and work alternatives, lifelong learning/adult education, promoting community relationships and connections, self-advocacy, promoting meaningful daytimes for older people, organizational issues (innovative organizational structures and practices, organizational conversion from facility-based to community-based services), and policy and practice in promoting quality daytime supports. Focus will be placed on examples, case studies, and practical strategies, themes of self-determination, cultural diversity, and collaboration.