The past 50 years has been a time of momentous change in community services, disability, aged care and health services. Dr Tom Keating was at the heart of those changes in supporting young offenders, the management of disasters, protecting children from abuse, reforming intellectual disability services and reforming health care; sometimes leading change, always participating and always observing. Throughout his career he has written about the important things with which he was engaged to further his understanding and that of others. This book is made up of discrete pieces of writing, originally published in a variety of places, that provide a contemporaneous perspective on the events they describe. With only minor edits, they remain as they were written at the time, serving as a historical record of the events themselves, and Dr reactions to them.