Although much has been written about the normalization and social inclusion of persons with developmental disabilities over the past 50 years, a small subset of this population has remained largely overlooked--individuals who are quadriplegic, non-verbal and who also have additional disabilities, including cognitive impairment. The present project was designed to address one of the most glaring aspects of this neglect--personal control over personal hygiene and its connection to human dignity and sense of self-efficacy. Ten parents with adult children with severe and multiple disabilities were asked a series of questions to explore the following thesis: Are unnecessary physical barriers negatively impacting on normalization in the area of personal care, an important area of pro-social behavior?