PHSS, Medical and Complex Care in Community is a non-profit, community-based organization providing assistance to people with significant physical and/or developmental disabilities to reach their full potential in the community. It is committed to encouraging and creating an inclusive community where individuals with disabilities have access to all the community has to offer and are included in a valued and meaningful way. In addition to supporting individuals in over 70 locations throughout Ontario, PHSS provides support services, recreation and leisure activities for individuals with disabilities throughout the community. Project Hope (Help with Opportunities for Participation and Enrichment) was established to offer individuals considered medically fragile and/or having high needs with day activities for social interaction and community activities while still living at home with their families. Everyone supported by PHSS participates in determining the level and type of support they receive.