<p>Sexual self-determination for people with disabilities remains a&#xa0;marginalised topic in the context of the discourse on participation. Narratives and facts that define the (sexual) realities of life for the target group clearly show that the realisation of sexual self-determination is primarily shaped by disabling social attitudes, structural challenges and paternalistic everyday practices. These are mostly at odds with sexual human rights. The ReWiKs research project has developed a&#xa0;comprehensive topic-specific media package, conducted training courses for professionals and designed participation-oriented discussion formats (Freiraum-Gruppen) for people with disabilities. The empirical findings from these activities indicate significant competence developments among professionals, while also revealing considerable structural and institutional challenges in the development and implementation of sex-positive institutional cultures. The participatory discussion formats for people with disabilities create spaces for resonance, exchange, recognition and sexual education. The findings of the project have multidimensional consequences for participation issues in the context of self-determined sexuality.</p>