Previous chapters described important topics related to the long-term, durable outcomes for individuals with autism. However, these chapters are written from a scientist-practitioner perspective and, ultimately, cannot approximate the incredible journey that families take part in during the lifespan of an individual with autism. This chapter is written by a mother of an individual with autism and a leader in the movement to support those with profound autism. The author shares her experiences with diagnosis and intervention while providing a unique perspective on lifelong care and recommendations that might allow behavior analysts to provide higher-quality care to families.