This article examines results from a consumer and caregiver-directed care pilot program for families with adults with developmental disabilities. Surveys were administered to 50 caregivers and three project coordinators, and focus groups were conducted with 44 individuals, including caregivers, consumers, and support coordinators. Significant pre- to posttest changes were seen in terms of caregivers' perceptions of choice, goodness-of-fit of services to needs, and satisfaction with the program. Analysis of focus group discussions yielded three major themes: trust, flexibility, and relief. Although support and program coordinators had some concerns that the program was more caregiver than consumer oriented at times, overall, the program was viewed positively. (Contains 3 tables.)