In the field of learning difficulties there has been a revolution in professional understanding and user aspirations towards delivery of services. Institutional models no longer prevail; language, attitudes and practices have been transformed. Full of up-to-date case studies, practice examples and points for reflection, this exciting textbook explores how to embed this culture shift into mainstream services. It explores theoretical frameworks for working with people with learning difficulties and examines the role of services and the social worker, drawing on person-centred, community-centred and family involvement perspectives. Essential reading for anyone studying social work or nursing people with learning difficulties.