There is no question that organization and structure are essential to an effective ministry with people with disabilities. However, there is no oneway to structure this ministry, as evidenced by the variety of configurations currently operating in dioceses throughout the country. We are witnessing the downsizing or consolidation of many programs, and in some cases, directors have been required to assume responsibility for additional ministries. These trends have made clear the need for creativity and openness to change when considering how best to create a welcoming and inclusive community of faith for all, including Catholics with disabilities.