The National Association of the Dually Daignosed (NADD) has tried to provide a program that will give attendants some food for thought about how to better meet the needs of people with intellectual disabilities, not just in their middle adult years, but across the lifespan from childhood to old age. The speakers are leaders in their respective fields, and will certainly give insight into their own areas of expertise. This year, NADD has attempted to inject a measure of debate into the proceedings, partly through its choice of themes, and also by asking the speakers to consider and compare a variety of viewpoints when making their presentations.