Amanda Costello

This autoethnographic chapter begins with a personal journey of change, through the lens of the author's lived experience of supporting a sibling with a brain injury. A learning disabilities nurse, special needs teacher, and leader, she describes her experience of periods of change within service delivery for individuals with learning disabilities. She goes on to address a parallel journey: from caring for people with learning disabilities in long-stay hospitals to a phased move into community care. The chapter ends with a look at how gaps in service provision have arisen and become even wider, causing an increased risk of harm and exploitation.