A child with intellectual disability usually does best living at home. However, some families cannot provide care at home, especially for children with severe, complex disabilities. This decision is difficult and requires extensive discussion between the family and their entire support team. Having a child with severe disabilities at home requires dedicated care that some parents may not be able to provide. The family may need psychologic support. A social worker can organize services to assist the family. Help can be provided by day care centers, housekeepers, child care givers, and respite care facilities. Most adults with ID live in community-based residences that provide services appropriate to the person’s needs, as well as work and recreational opportunities.