Imagine living in a cramped and segregated hospital-style ward, with no privacy, no personal control over your daily life, no chance to form intimate relationships, and no ability to leave. Overcrowding, under-funding, a lack of qualified supervision, as well as a lack of residents’ abilities to advocate for themselves, led to these toxic environments being a daily reality for widespread alleged abuse for thousands labeled with cognitive and developmental disabilities in Canada as recently as 2009.