Many students "included" in general education today are accompanied by a paraprofessional, also known as a 1-to-1 aide, therapist, behavioral aide, or personal assistant. The use of a paraprofessional, particularly with children who have autism, mental retardation, deaf-blindness, or multiple disabilities has many merits, such as increased behavioral support, personal care assistance, and additional supervision. It may seem the only disadvantage would be the additional cost to the school. However, individual paraprofessional support has both advantages and disadvantages for the child. Parents should consider all of these before determining that their child requires a 1-to-1 paraprofessional. While the drawbacks of paraprofessional support might lead some parents and school staff to reconsider the service all together, there are some strategies that can help assure the appropriate use of the 1-to-1. ["Holding on to Their Kitestrings: Paraprofessional Support in Inclusive Settings" was written with Tiffany Rodriguez.]