"This book .. will help us frame the issues and act more responsibly". (Ian Pumpian). Recognising that self-determination is one of the building blocks for people with disability, this book explores the theoretical, developmental and practical aspects of decision making. Written by adults with disability, parents and workers, it offers suggestions on how to: encourage the growth of self-esteem; incorporate self-determination skills into educational programs; begin skill training in the home; promote self-determination throughout the lifespan (a chapter is devoted to adolescence); and evaluate the progress of skill acquisition. Keyword: Self determination