With regard to the involvement of people with disabilities in rehabilitation projects, there is a mixed picture. There are many organisations set up by able bodied people, who are providing 'services' for people with disabilities. There are also organisations which have a more process orientated approach, that include people with disabilities and their families in decision making roles, resulting in an integrated system, in which disabled and non disabled people work together. Improvement in the quality of life of PWD is the single most unifying goal of all the projects involved. Some projects have been set up specifically for disabled people, while others are part of more general development activities.
Many projects work towards changing attitudes and building awareness.
Community participation in disability activities can be quite hard to achieve, depending on the nature and the needs of the community in general. Some communities may support a programme with a charity approach, and are less concerned with the empowerment of people with disabilities. The projects vary widely in terms of the nature of services provided, the types of disabilities and the age groups of the clients. Most projects work with limited groups, such as physically disabled persons alone, depending on the availability of specialist skills, needs and resources. The age group of clients also varies widely, though most projects in Nepal do have specific age criteria and different types of services for different age groups.