Book excerpt: Practice Leadership refers to individuals who have direct front-line responsibility for leading the practice of staff on a day-to-day basis, such as operational leaders and managers in services for people with autism and intellectual disabilities. A good practice leader creates cultures and puts values into action. They deliver great support. A practice leader implements our best endeavours. A good leader makes all the difference. This book lays out the steps to achieving great practice leadership in services for people with autism and intellectual disabilities, such as care homes or supported living. It explains how practice leadership delivers support and care using the principles of Positive Behaviour Support (PBS). The book outlines what practice leadership should look like in context, how to do it and why it matters. It draws from real-life case studies throughout and each section encourages discussion and reflection. Refreshingly warm, humorous and jargon free, this is an indispensable guide for professionals in services working with people with intellectual disability or autism at any level.