Stephen Rawlinson reflects on the model of support that Mary, a client with prader-willi syndrome, will need in the communiity

For most people, leaving home is a critical event symbolising the transition to greater independence and adulthood and offering opportunities for growth and life enrichment. In contrast, many people with learning disabilities often experience it as an abrupt, frightening event precipitated by a sudden, enforced separation from the family home (May 1988). For example, in family bereavements there is often a double loss for the client: the loss of a loved one and the loss of a familiar place to live. Under such circumstances, removal from the home can engender strong feelings, memories and fears, where communication difficulties perhaps delay or inhibit expression of grief and the full realisation of the loss experience (Oswin 1991).