This report presents findings of a Minnesota study group which reviewed the costs and structures under which developmental disabilities services are provided. The group conducted a series of town meetings throughout the state and concluded with a toll-free call-in day. Six themes emerged from the meetings: (1) "We have a lot to be proud of and much remains to be done" (e.g., more support to families and improved coordination of services for children); (2) individualization (e.g., individuals and families want more decision making powers, and case managers are overworked); (3) staffing (poor pay and high turnover); (4) leadership and bureaucracy (there is too much red tape and too little attention to quality; (5) inequity of resources and inconsistencies in the system (too much inconsistency among counties and between rural and urban areas); and (6) community programs and support (waiting lists are long and there is a need for respite care services). Specific study group recommendations address: individual and family support, increased funding for community programs, renegotiation of waivers, array of available services, coordination, case management, alternative approaches to quality, quality assurance functions, planning data, and guardianship. (DB)