Work on this Ebook started early in 2012. Public services in the UK and elsewhere were already facing unprecedented challenges from the fall out of the international economic crisis. Since then it has become clear that, in the UK and many other countries, the challenge will be even greater and longer lasting than we had feared. The need for solutions becomes ever more pressing. 'Preventive' approaches may offer one potential solution. Such approaches, however, must be rooted in improving people's lives and outcomes, require a robust evidence base, and are likely to demand culture change and consensus across the wider system. This Ebook aims to explore these issues by bringing together a wide variety of perspectives—people with learning disabilities, family carers, economics, practice, policy and research.