In some Canadian provinces, people with severe physical disabilities are simply warehoused in nursing homes, where many people, especially in the age of homecare, are in the final stages of their lives. It is difficult for a young person to live in a home geared for death; their physical assistance needs are met, but their social, psychological and emotional needs are not. Jen Powley argues that everyone deserves to live with the dignity of risk.

In Making a Home, Powley tells the story of how she got young disabled people like herself out of nursing homes by developing a shared attendant services system for adults with severe physical disabilities. This book makes a case for living in the community and against dehumanizing institutionalization.