Presents a new conception of care that seeks to embed persons with disabilities in a web of personal relationships; to make their living experience more connected to the other people in their community; to find ways to involve them intrinsically in the flow of their community. Schwartz points out the promise, potential, and limits of this new direction, illustrating with a series of exciting experiments in social policy in Pennsylvania. This book also has important implications for other groups disenfranchised from their communities -- those with mental illness and those who are homeless.