In Okinawa, persons with severe handicaps and their parents began to claim the rights to live an active and normal life in their own communities with other non-handicapped people. This change has started in the last several years. A few plans have been put into practice by persons concerned, local governments and the Ministry of Health and Welfare. For example, day service, home for the group of the handicapped, unauthorized small workshops and day care in authorized facilities for adults and children with severe mental and physical handicaps have begun. But these changes are far from sufficient in both quality and quantity. The central government and local government are mostly responsible for realizing the normalization of the seriously handicapped people in Okinawa.