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This report considers the normative basis of social policy, and particularly, policy and practice related to people with a mental handicap. Beginning with the idea of autonomy as the basis of rights, this book considers the implications of these rights for social policy in general and people with a mental handicap in particular. The first part of the book contains a theory of autonomy, rights and paternalism, all of which are generally applicable beyond social policy. The second part considers the implication of autonomy-based rights for social policy in general and mental handicap in particular. Examples of a wide range of current and emerging policy and practice models from the UK and North America are also detailed. By presenting a combination of political theory and applied social policy, this text is relevant to both the current debate on citizenship and community care.