The case study describes a family residential service for three people with profound and multiple disabilities in Burlington, Vermont. The disabled individuals live with a couple and their two children who are also provided support services in the form of weekend relief and helpers for the late afternoon and evening period. The house is owned by a private investor. The disabled individuals are all in their twenties and had previously been institutionalized. The program is private and was set up at the instigation and support of faculty members of the University of Vermont's psychology department. The cost of the program is $40,000 a year per resident which comes from Medicaid and the state. Each of the disabled residents is described as is a typical day. The program's philosophy is holistic stressing the making of a happy home. Also discussed are specific issues such as replication, ways of encouraging a cooperative team approach, and costs. (DB)