How the shift to individualize supports gets stuck and the first step out of gridlock.

Many mature and successful service providers continue to find their identity in the heritage of moving people with developmental disabilities out of public institutions. Significant achievements such as providing residential alternatives to large facilities do not immune providers from criticism emerging from a growing demand for individualized supports. The Individualized Supports Think Tank, a group of self-advocates, parents, and service providers convened by the Self-Advocacy Association of New York State (2007) expressed this demand: