Abstract
Individuals with intellectual and developmental disabilities have overcome the abuses of the past but continue to be challenged by discrimination and stigmatization. This article highlighted and reconciled the tension to care for individuals with intellectual and developmental disabilities. Autonomy, facilitated by relationship with trusted advocates, can move individuals forward and replace age-old precepts of paternalism as individuals with intellectual and developmental disabilities exert their citizenship. Nurses and other healthcare providers can create new models of service delivery focused on caring, in relationship with individuals with intellectual and developmental disabilities, continuing the evolution of care and culture change needed for belonging.