Based on the author's own experience from over 30 years in the field, this thought-provoking book offers a comparative study of services for people with intellectual disabilities in 7 countries. How do services in different countries vary across the lifespan? What lessons can the different countries learn from one another? Based on the author's own experience from over thirty years in the field, this thought-provoking book offers a comparative study of services for people with intellectual disabilities in seven countries: England, Australia, Canada, New Zealand, Norway, Sweden and the USA. Through the author's discussions with people with intellectual disabilities, parents and families, and those involved with services at a professional and academic level, the book provides a critical reflection on intellectual disability services across the lifespan.Each chapter contains the following key features: a brief 'Instant Impacts' reflection of an incident or a person encountered in the country concerned; a short history of services in the country and a summary of the current service system; and, a detailed look at services through the age range, including issues around screening and pre-birth.