This paper describes an occupational therapy independent living skills program for adults with developmental disabilities living in group homes. Four clients have participated in this program for 1 year. Verbal reports from house and workshop staffs and written documentation in the clients’ records were examined to see if the clients’ behaviors changed over the course of their first year in the program. These reports indicate that the clients have moved toward increased independence by showing greater initiative in directing their own care. Treatment issues in group home systems are also discussed.