Since 1975, a series of study days have been held at the King's Fund Centre to explore the problems of life in residential units for young disabled people. A common theme at these meetings was the isolation felt by both residents and staff. The report covers the type of care given and the design, planning and staffing of a unit. The second part of the report is a personal view of life in a unit for young disabled people. The appendix contains a checklist of questions for those responsible for young disabled units with a view to improving the quality of life for the residents.