It is not clear to carers and families what exactly ‘participation’ means for people with visual and severe or profound intellectual disabilities (VSPID). Support tends to focus more on this target group’s disabilities than on their abilities. Helping people with VSPID towards participation entails increasing awareness among carers and bringing about a change in attitude. In this research project, families, carers and experts all contributed their insights, on the basis of which a picture was built of what exactly participation means for people with VSPID.