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Supports and services for individuals with disabilities have evolved notably over the past 50 years. Historically, indi-viduals with intellectual and developmental disabilities (IDD) were removed from the mainstream of society and placed in institutions (Pfeiffer, 1993; Wolfensberger, 1975) or were cared for by their families with little, if any, govern-mental financial support (Davis, Fox-Grage, & Gehshan, 2004). By the 1960s and 1970s, the disability rights and independent living movement sparked a need and desire for community services (University of California Berkeley, 2008). States responded to this by making the option of th