People with disability are still at significant disadvantage in choosing where they live, who they live with and who provides their supports. And the people who experience the highest rates of violence, neglect, abuse and exploitation are people with an intellectual disability who have very high support needs. This includes those with complex communication needs, who very often have a range of unmet needs and subsequent experiences of dysregulation, and who very often experience segregation in group homes. The promise of a better life under the NDIS has not turned into reality for many people with disability. There are clear steps that can be taken to reverse this situation and deliver on the promise.