New Hampshire implemented an innovative technical assistance model that promoted organizational change to expand individual employment opportunities. This person-to-person change began at the micro level but “trickled up” through organizations across the state. In 2000, realizing that the state’s growth in integrated employment had stalled, the Bureau of Developmental Services invested aggressively in expanding its intervention strategy by recruiting a community provider to work directly through the bureau. The bureau hired John Vance-the director of ACCESS, a small individualized support organization in New Hampshire-half-time to provide individualized technical assistance to providers across the state. As part of the bureau, Vance established working relationships with providers to expand the rate and quality of employment services, usually through demonstrating job development on a person-byperson basis. Using a hands-on training style, Vance sat down with individuals and their providers to understand personal goals, dreams, and talents, and then directly modeled the support needed to help individuals achieve their employment goals.