This report describes Neighbours, Inc., a nonprofit organization based in Franklin Park, New Jersey, that offers individualized supports for people with disabilities. In addition to the CEO and the director, the agency employs five advisors. These advisors each work to coordinate support for between five and seven people. Advisors, who typically have contact with the people they support at least once a week, provide a variety of supports including hiring personal assistants, working on scheduling and managing personal assistance services, looking for job opportunities, and building social networks. This report discuses the organization structure of Neighbours, how the agency provides supports toward full community life, housing supports, daytime supports, assisting individuals in expanding their social networks, advocacy efforts, and service brokerage. Critical factors to the success of Neighbours are identified and include: (1) linking agency practice to philosophy; (2) providing creative solutions to individual situations; (3) devoting resources to relationships and quality lives; (4) having a commitment to finding the funding to support integrated lives; and (5) using the best technology possible to help individuals achieve autonomy. Challenges to the program are also discussed and include dealing with the state bureaucracy and finding quality personal assistants. (CR)