In an interesting introduction to this paper, Richard Bruggerman cautions us to remember that 'while there are few doubts that economic theory works, ... it is only a part of the story in understanding human motivation or the workings of society'. He warns against seeing the service-brokerage model (which he refers to as 'Options Co-ordination') as perfect, and argues that safeguards need to be put in place to ensure people with disabilities not only get access to appropriate services but are provided with opportunities for citizenship, i.e. the gauge for success should be positive outcomes for people with disabilities. In addition, he poses a series of assumptions which have been made about Options Co-ordination, and questions the validity of these assumptions. Bruggerman presents issues that he believes need to be dealt with if the Options Co-ordination model is to achieve its goal. Keywords: Individualisation, Attitudes