The report examines the status of community integration for people with the most severe disabilities. Information is drawn from literature reviews, telephone surveys of over 50 programs nationwide, and visits to 5 community service systems in 4 states. An initial section outlines basic principles for community integration, followed by a review and critique of the continuum concept, the notion that persons with a range of disabilities need to live in a range of most restrictive to least restrictive settings. Analysis of the nonrestrictive concept stresses the importance of supporting children in natural, foster, and adoptive families. Ways in which good families for children can be found are considered and illustrated by examples. Types of support that must be offered such families are noted - including staff and professional support and case management. Participation in community life is stressed as is the need for integrated and individualized vocational services. Commitment flexibility and accountability are emphasized. Guidelines for operating group homes are presented, including avoiding institutional trappings and teaching functional life skills. (CL)