When I was 13yrs old I became friends with a boy whose brother had Downs Syndrome. At 14 I began volunteering with this underserved population providing therapeutic recreation. My work there continued through college. At that time, neither him nor other individuals with significant impairments were meaningfully integrated into public schools. While this has improved over time, those who also display challenging behavior such as self-injurious behavior remain separated - understandably. My career over the last 20 years has focused on helping treat these behaviors to allow better integration.