Professor Christine Bigby and colleagues synthesized findings from several studies over 5 years examining supports for social inclusion of people with intellectual disabilities. They found that despite policies since 1986, social inclusion has largely failed with most people occupying distinct social spaces and experiencing ongoing exclusion. Multiple factors contribute including ambivalence among support services, tensions in community groups, and a lack of skills in supporting meaningful inclusion. The studies indicate inclusion requires a multifaceted approach including direct support hours, indirect support to build community connections, and practice leadership to focus efforts and shift planning to optimize support for social inclusion.